Unicoi Co Nursing Home - Erwin Nursing Home
General Information
UPDATEFederal Provider Number
445077
Provider Name
UNICOI CO NURSING HOME
Provider Address
100 GREENWAY CIRCLE
ERWIN, TN 37650
ERWIN, TN 37650
Provider Phone Number
4237433141
Provider SSA County
850
Provider County Name
Unicoi
Ownership Type
Non profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
38
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
MOUNTAIN STATES HEALTH ALLIANCE
Date First Approved to Provide Medicare and Medicaid services
1969-09-15
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
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
2.83026
Reported LPN Staffing Hours per Resident per Day
0.96842
Reported RN Staffing Hours per Resident per Day
1.28684
Reported Licensed Staffing Hours per Resident per Day
2.25526
Reported Total Nurse Staffing Hours per Resident per Day
5.08552
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21842
Expected CNA Staffing Hours per Resident per Day
2.60109
Expected LPN Staffing Hours per Resident per Day
0.65540
Expected RN Staffing Hours per Resident per Day
1.05137
Expected Total Nurse Staffing Hours per Resident per Day
4.30786
Adjusted CNA Staffing Hours per Resident per Day
2.66988
Adjusted LPN Staffing Hours per Resident per Day
1.22640
Adjusted RN Staffing Hours per Resident per Day
0.91455
Adjusted Total Nurse Staffing Hours per Resident per Day
4.75856
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-05-06
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-02-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-09-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
23.33300
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
Nursiong Homes Nearby
Center On Aging And Health
880 South Mohawk Drive |
ERWIN TN 37650 | 0.1 mile away
Erwin Health Care Center
100 Stalling Lane |
ERWIN TN 37650 | 1 mile away
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