Signature Healthcare Of Greeneville - Greeneville Nursing Home
General Information
UPDATEFederal Provider Number
445351
Provider Name
SIGNATURE HEALTHCARE OF GREENEVILLE
Provider Address
106 HOLT COURT
GREENEVILLE, TN 37743
GREENEVILLE, TN 37743
Provider Phone Number
(423) 639-0213
Provider SSA County
290
Provider County Name
Greene
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
154
Number of Residents in Certified Beds
105
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LP GREENEVILLE LLC
Date First Approved to Provide Medicare and Medicaid services
1995-09-01
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
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.14000
Reported LPN Staffing Hours per Resident per Day
0.82857
Reported RN Staffing Hours per Resident per Day
0.87429
Reported Licensed Staffing Hours per Resident per Day
1.70286
Reported Total Nurse Staffing Hours per Resident per Day
3.84286
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05190
Expected CNA Staffing Hours per Resident per Day
2.59609
Expected LPN Staffing Hours per Resident per Day
0.64624
Expected RN Staffing Hours per Resident per Day
0.99858
Expected Total Nurse Staffing Hours per Resident per Day
4.24091
Adjusted CNA Staffing Hours per Resident per Day
2.02263
Adjusted LPN Staffing Hours per Resident per Day
1.06417
Adjusted RN Staffing Hours per Resident per Day
0.65420
Adjusted Total Nurse Staffing Hours per Resident per Day
3.65256
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
112
Cycle 1 Standard Survey Health Date
2014-05-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
112
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-05-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2011-09-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
81.33300
Number of Facility Reported Incidents
7
Number of Substantiated Complaints
12
Number of Fines
1
Total Amount of Fines in Dollars
59313
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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