Tennova Lafollette Health And Rehab Center - Lafollette Nursing Home
General Information
UPDATEFederal Provider Number
445115
Provider Name
TENNOVA LAFOLLETTE HEALTH AND REHAB CENTER
Provider Address
200 TORREY ROAD
LAFOLLETTE, TN 37766
LAFOLLETTE, TN 37766
Provider Phone Number
(423) 907-1380
Provider SSA County
60
Provider County Name
Campbell
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
98
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
CAMPBELL COUNTY HMA LLC
Date First Approved to Provide Medicare and Medicaid services
1976-12-15
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
1
Overall Rating Footnote
Health Inspection Rating
2
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
2.11136
Reported LPN Staffing Hours per Resident per Day
1.05568
Reported RN Staffing Hours per Resident per Day
0.40739
Reported Licensed Staffing Hours per Resident per Day
1.46307
Reported Total Nurse Staffing Hours per Resident per Day
3.57443
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04943
Expected CNA Staffing Hours per Resident per Day
2.35881
Expected LPN Staffing Hours per Resident per Day
0.61404
Expected RN Staffing Hours per Resident per Day
0.98196
Expected Total Nurse Staffing Hours per Resident per Day
3.95481
Adjusted CNA Staffing Hours per Resident per Day
2.19629
Adjusted LPN Staffing Hours per Resident per Day
1.42696
Adjusted RN Staffing Hours per Resident per Day
0.30999
Adjusted Total Nurse Staffing Hours per Resident per Day
3.64320
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-10-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
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
2013-08-30
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-02-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
51.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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