The Village At Germantown - Germantown Nursing Home
General Information
UPDATEFederal Provider Number
445482
Provider Name
THE VILLAGE AT GERMANTOWN
Provider Address
7930 WALKING HORSE CIRCLE
GERMANTOWN, TN 38138
GERMANTOWN, TN 38138
Provider Phone Number
(901) 752-2580
Provider SSA County
780
Provider County Name
Shelby
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
30
Number of Residents in Certified Beds
26
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
THE VILLAGE AT GERMANTOWN INC
Date First Approved to Provide Medicare and Medicaid services
2006-07-21
Continuing Care Retirement Community
Y
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.71731
Reported LPN Staffing Hours per Resident per Day
1.38462
Reported RN Staffing Hours per Resident per Day
1.09808
Reported Licensed Staffing Hours per Resident per Day
2.48269
Reported Total Nurse Staffing Hours per Resident per Day
7.20001
Reported Physical Therapist Staffing Hours per Resident Per Day
0.26731
Expected CNA Staffing Hours per Resident per Day
2.39460
Expected LPN Staffing Hours per Resident per Day
0.66092
Expected RN Staffing Hours per Resident per Day
1.21565
Expected Total Nurse Staffing Hours per Resident per Day
4.27116
Adjusted CNA Staffing Hours per Resident per Day
4.83374
Adjusted LPN Staffing Hours per Resident per Day
1.73885
Adjusted RN Staffing Hours per Resident per Day
0.67494
Adjusted Total Nurse Staffing Hours per Resident per Day
6.79499
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-04-15
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
28
Cycle 1 Total Health Score
84
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
16
Cycle 2 Standard Health Survey Date
2013-01-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
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
12
Cycle 3 Standard Health Survey Date
2011-10-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
49.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
10140
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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