Southern Tenn Medical Center Snf - Winchester Nursing Home
General Information
UPDATEFederal Provider Number
445222
Provider Name
SOUTHERN TENN MEDICAL CENTER SNF
Provider Address
629 HOSPITAL ROAD
WINCHESTER, TN 37398
WINCHESTER, TN 37398
Provider Phone Number
(931) 967-8315
Provider SSA County
250
Provider County Name
Franklin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
17
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
SOUTHERN TENNESSEE MEDICAL CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1989-04-25
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
4
Health Inspection Rating Footnote
QM Rating
2
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
2.73529
Reported LPN Staffing Hours per Resident per Day
2.35000
Reported RN Staffing Hours per Resident per Day
2.89706
Reported Licensed Staffing Hours per Resident per Day
5.24706
Reported Total Nurse Staffing Hours per Resident per Day
7.98235
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16765
Expected CNA Staffing Hours per Resident per Day
2.65660
Expected LPN Staffing Hours per Resident per Day
1.00386
Expected RN Staffing Hours per Resident per Day
1.92659
Expected Total Nurse Staffing Hours per Resident per Day
5.58705
Adjusted CNA Staffing Hours per Resident per Day
2.52638
Adjusted LPN Staffing Hours per Resident per Day
1.94300
Adjusted RN Staffing Hours per Resident per Day
1.12358
Adjusted Total Nurse Staffing Hours per Resident per Day
5.75904
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
16
Cycle 1 Standard Survey Health Date
2015-04-15
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-02-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-08-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
14.66700
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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