Summit View Of Rocky Top - Rocky Top Nursing Home
General Information
UPDATEFederal Provider Number
445259
Provider Name
SUMMIT VIEW OF ROCKY TOP
Provider Address
204 INDUSTRIAL PARK RD
ROCKY TOP, TN 37769
ROCKY TOP, TN 37769
Provider Phone Number
(865) 426-2147
Provider SSA County
0
Provider County Name
Anderson
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
125
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUMMIT VIEW OF LAKE CITY, LLC
Date First Approved to Provide Medicare and Medicaid services
1990-08-02
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
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
1.97346
Reported LPN Staffing Hours per Resident per Day
1.23642
Reported RN Staffing Hours per Resident per Day
0.57222
Reported Licensed Staffing Hours per Resident per Day
1.80864
Reported Total Nurse Staffing Hours per Resident per Day
3.78210
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.41424
Expected LPN Staffing Hours per Resident per Day
0.66117
Expected RN Staffing Hours per Resident per Day
1.11373
Expected Total Nurse Staffing Hours per Resident per Day
4.18914
Adjusted CNA Staffing Hours per Resident per Day
2.00572
Adjusted LPN Staffing Hours per Resident per Day
1.55213
Adjusted RN Staffing Hours per Resident per Day
0.38390
Adjusted Total Nurse Staffing Hours per Resident per Day
3.63924
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-03-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-01-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
9
Cycle 3 Health Deficiency Score
599
Cycle 3 Standard Health Survey Date
2011-06-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
599
Total Weighted Health Survey Score
146.50000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
18
Number of Fines
1
Total Amount of Fines in Dollars
74446
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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