Signature Healthcare Of Memphis - Memphis Nursing Home
General Information
UPDATEFederal Provider Number
445241
Provider Name
SIGNATURE HEALTHCARE OF MEMPHIS
Provider Address
1150 DOVECREST RD
MEMPHIS, TN 38134
MEMPHIS, TN 38134
Provider Phone Number
(901) 382-1700
Provider SSA County
780
Provider County Name
Shelby
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
128
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LP MEMPHIS LLC
Date First Approved to Provide Medicare and Medicaid services
1989-12-21
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
2.15664
Reported LPN Staffing Hours per Resident per Day
0.88516
Reported RN Staffing Hours per Resident per Day
0.56367
Reported Licensed Staffing Hours per Resident per Day
1.44883
Reported Total Nurse Staffing Hours per Resident per Day
3.60547
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10352
Expected CNA Staffing Hours per Resident per Day
2.49667
Expected LPN Staffing Hours per Resident per Day
0.61279
Expected RN Staffing Hours per Resident per Day
1.06455
Expected Total Nurse Staffing Hours per Resident per Day
4.17400
Adjusted CNA Staffing Hours per Resident per Day
2.11953
Adjusted LPN Staffing Hours per Resident per Day
1.19892
Adjusted RN Staffing Hours per Resident per Day
0.39564
Adjusted Total Nurse Staffing Hours per Resident per Day
3.48186
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-03-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2014-01-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2011-12-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
40.66700
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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