Signature Healthcare Of Columbia - Columbia Nursing Home

General Information

UPDATE
Federal Provider Number
445465
Provider Name
SIGNATURE HEALTHCARE OF COLUMBIA
Provider Address
1410 TROTWOOD AVENUE
COLUMBIA, TN 38401
Provider Phone Number
(931) 388-6443
Provider SSA County
590
Provider County Name
Maury
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
181
Number of Residents in Certified Beds
98
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LP COLUMBIA LLC
Date First Approved to Provide Medicare and Medicaid services
2002-12-04
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.88878
Reported LPN Staffing Hours per Resident per Day
1.05306
Reported RN Staffing Hours per Resident per Day
0.77041
Reported Licensed Staffing Hours per Resident per Day
1.82347
Reported Total Nurse Staffing Hours per Resident per Day
3.71225
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12602
Expected CNA Staffing Hours per Resident per Day
2.47530
Expected LPN Staffing Hours per Resident per Day
0.68979
Expected RN Staffing Hours per Resident per Day
1.12590
Expected Total Nurse Staffing Hours per Resident per Day
4.29099
Adjusted CNA Staffing Hours per Resident per Day
1.87230
Adjusted LPN Staffing Hours per Resident per Day
1.26712
Adjusted RN Staffing Hours per Resident per Day
0.51128
Adjusted Total Nurse Staffing Hours per Resident per Day
3.48724
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2012-09-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2011-06-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
36.66700
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
8
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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