Signature Healthcare Of Primacy - Memphis Nursing Home

General Information

UPDATE
Federal Provider Number
445140
Provider Name
SIGNATURE HEALTHCARE OF PRIMACY
Provider Address
6025 PRIMACY PARKWAY
MEMPHIS, TN 38119
Provider Phone Number
(901) 767-1040
Provider SSA County
780
Provider County Name
Shelby
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
53
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
LP MEMPHIS V, LLC
Date First Approved to Provide Medicare and Medicaid services
1981-06-03
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
1.95000
Reported LPN Staffing Hours per Resident per Day
0.79906
Reported RN Staffing Hours per Resident per Day
1.01698
Reported Licensed Staffing Hours per Resident per Day
1.81604
Reported Total Nurse Staffing Hours per Resident per Day
3.76604
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23208
Expected CNA Staffing Hours per Resident per Day
2.29218
Expected LPN Staffing Hours per Resident per Day
0.63136
Expected RN Staffing Hours per Resident per Day
1.26819
Expected Total Nurse Staffing Hours per Resident per Day
4.19173
Adjusted CNA Staffing Hours per Resident per Day
2.08741
Adjusted LPN Staffing Hours per Resident per Day
1.05046
Adjusted RN Staffing Hours per Resident per Day
0.59919
Adjusted Total Nurse Staffing Hours per Resident per Day
3.62154
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-02-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
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
2011-11-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
32.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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