Signature Healthcare Of Putnam County - Cookeville Nursing Home
General Information
UPDATEFederal Provider Number
445136
Provider Name
SIGNATURE HEALTHCARE OF PUTNAM COUNTY
Provider Address
278 DRY VALLEY RD
COOKEVILLE, TN 38506
COOKEVILLE, TN 38506
Provider Phone Number
(931) 537-6524
Provider SSA County
700
Provider County Name
Putnam
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
175
Number of Residents in Certified Beds
152
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LP COOKEVILLE, LLC
Date First Approved to Provide Medicare and Medicaid services
1980-09-29
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.05592
Reported LPN Staffing Hours per Resident per Day
0.97632
Reported RN Staffing Hours per Resident per Day
0.45033
Reported Licensed Staffing Hours per Resident per Day
1.42664
Reported Total Nurse Staffing Hours per Resident per Day
3.48257
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06579
Expected CNA Staffing Hours per Resident per Day
2.63504
Expected LPN Staffing Hours per Resident per Day
0.63560
Expected RN Staffing Hours per Resident per Day
0.97227
Expected Total Nurse Staffing Hours per Resident per Day
4.24291
Adjusted CNA Staffing Hours per Resident per Day
1.91444
Adjusted LPN Staffing Hours per Resident per Day
1.27493
Adjusted RN Staffing Hours per Resident per Day
0.34608
Adjusted Total Nurse Staffing Hours per Resident per Day
3.30855
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
0
Cycle 1 Standard Survey Health Date
2015-02-04
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-12-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-07-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
12.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
3900
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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