Tennova Health Care-tennova Tcu - Knoxville Nursing Home
General Information
UPDATEFederal Provider Number
445360
Provider Name
TENNOVA HEALTH CARE-TENNOVA TCU
Provider Address
900 EAST OAK HILL AVENUE
KNOXVILLE, TN 37917
KNOXVILLE, TN 37917
Provider Phone Number
(865) 545-7778
Provider SSA County
460
Provider County Name
Knox
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
25
Number of Residents in Certified Beds
14
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
METRO KNOXVILLE HMA LLC
Date First Approved to Provide Medicare and Medicaid services
1995-11-09
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
1.68571
Reported LPN Staffing Hours per Resident per Day
1.42857
Reported RN Staffing Hours per Resident per Day
4.08214
Reported Licensed Staffing Hours per Resident per Day
5.51071
Reported Total Nurse Staffing Hours per Resident per Day
7.19642
Reported Physical Therapist Staffing Hours per Resident Per Day
0.90000
Expected CNA Staffing Hours per Resident per Day
2.21096
Expected LPN Staffing Hours per Resident per Day
0.71307
Expected RN Staffing Hours per Resident per Day
1.53842
Expected Total Nurse Staffing Hours per Resident per Day
4.46244
Adjusted CNA Staffing Hours per Resident per Day
1.87079
Adjusted LPN Staffing Hours per Resident per Day
1.66283
Adjusted RN Staffing Hours per Resident per Day
1.98267
Adjusted Total Nurse Staffing Hours per Resident per Day
6.50049
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-12-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-11-14
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-06-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
38.00000
Number of Facility Reported Incidents
1
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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