Universal Health Care/nashville - Nashville Nursing Home

General Information

UPDATE
Federal Provider Number
345374
Provider Name
UNIVERSAL HEALTH CARE/NASHVILLE
Provider Address
1022 EASTERN AVENUE
NASHVILLE, NC 27856
Provider Phone Number
(252) 459-3014
Provider SSA County
630
Provider County Name
Nash
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
60
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UNIVERSAL HEALTH CARE/NASHVILLE, INC
Date First Approved to Provide Medicare and Medicaid services
1991-06-12
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
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
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
2.06727
Reported LPN Staffing Hours per Resident per Day
0.80818
Reported RN Staffing Hours per Resident per Day
0.41727
Reported Licensed Staffing Hours per Resident per Day
1.22545
Reported Total Nurse Staffing Hours per Resident per Day
3.29272
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02364
Expected CNA Staffing Hours per Resident per Day
2.62624
Expected LPN Staffing Hours per Resident per Day
0.68635
Expected RN Staffing Hours per Resident per Day
1.09496
Expected Total Nurse Staffing Hours per Resident per Day
4.40756
Adjusted CNA Staffing Hours per Resident per Day
1.93145
Adjusted LPN Staffing Hours per Resident per Day
0.97733
Adjusted RN Staffing Hours per Resident per Day
0.28474
Adjusted Total Nurse Staffing Hours per Resident per Day
3.01133
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-04-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-04-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-10-18
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
22.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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