Signature Healthcare At Methodist - Memphis Nursing Home
General Information
UPDATEFederal Provider Number
445225
Provider Name
SIGNATURE HEALTHCARE AT METHODIST
Provider Address
1265 UNION AVENUE
MEMPHIS, TN 38104
MEMPHIS, TN 38104
Provider Phone Number
(901) 516-7925
Provider SSA County
780
Provider County Name
Shelby
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
44
Number of Residents in Certified Beds
17
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
LP MEMPHIS IV, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-06-27
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.15294
Reported LPN Staffing Hours per Resident per Day
1.93824
Reported RN Staffing Hours per Resident per Day
1.74706
Reported Licensed Staffing Hours per Resident per Day
3.68529
Reported Total Nurse Staffing Hours per Resident per Day
5.83824
Reported Physical Therapist Staffing Hours per Resident Per Day
0.28529
Expected CNA Staffing Hours per Resident per Day
2.56856
Expected LPN Staffing Hours per Resident per Day
0.88398
Expected RN Staffing Hours per Resident per Day
1.82878
Expected Total Nurse Staffing Hours per Resident per Day
5.28131
Adjusted CNA Staffing Hours per Resident per Day
2.05667
Adjusted LPN Staffing Hours per Resident per Day
1.81989
Adjusted RN Staffing Hours per Resident per Day
0.71381
Adjusted Total Nurse Staffing Hours per Resident per Day
4.45597
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-02-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-09-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2011-11-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
16.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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