Siskin Hospital Subacute Rehab - Chattanooga Nursing Home
General Information
UPDATEFederal Provider Number
445420
Provider Name
SISKIN HOSPITAL SUBACUTE REHAB
Provider Address
ONE SISKIN PLAZA
CHATTANOOGA, TN 37403
CHATTANOOGA, TN 37403
Provider Phone Number
(423) 634-1587
Provider SSA County
320
Provider County Name
Hamilton
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
29
Number of Residents in Certified Beds
27
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
SISKIN HOSPITAL FOR PHYSICAL REHABILITATION
Date First Approved to Provide Medicare and Medicaid services
2000-09-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.60000
Reported LPN Staffing Hours per Resident per Day
1.08704
Reported RN Staffing Hours per Resident per Day
2.81852
Reported Licensed Staffing Hours per Resident per Day
3.90556
Reported Total Nurse Staffing Hours per Resident per Day
6.50556
Reported Physical Therapist Staffing Hours per Resident Per Day
0.38148
Expected CNA Staffing Hours per Resident per Day
2.20963
Expected LPN Staffing Hours per Resident per Day
0.66741
Expected RN Staffing Hours per Resident per Day
1.54988
Expected Total Nurse Staffing Hours per Resident per Day
4.42693
Adjusted CNA Staffing Hours per Resident per Day
2.88719
Adjusted LPN Staffing Hours per Resident per Day
1.35185
Adjusted RN Staffing Hours per Resident per Day
1.35881
Adjusted Total Nurse Staffing Hours per Resident per Day
5.92358
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-09-24
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-08-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-02-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
6.66700
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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