Vanco Manor Nursing And Rehabilitation Center, Inc - Goodlettsville Nursing Home
General Information
UPDATEFederal Provider Number
445460
Provider Name
VANCO MANOR NURSING AND REHABILITATION CENTER, INC
Provider Address
813 S DICKERSON RD
GOODLETTSVILLE, TN 37072
GOODLETTSVILLE, TN 37072
Provider Phone Number
6158596600
Provider SSA County
180
Provider County Name
Davidson
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VANCO HEALTH CARE AND REHABILITATION INC
Date First Approved to Provide Medicare and Medicaid services
2002-10-01
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
4
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.16188
Reported LPN Staffing Hours per Resident per Day
1.25875
Reported RN Staffing Hours per Resident per Day
0.31438
Reported Licensed Staffing Hours per Resident per Day
1.57313
Reported Total Nurse Staffing Hours per Resident per Day
3.73501
Reported Physical Therapist Staffing Hours per Resident Per Day
0.42813
Expected CNA Staffing Hours per Resident per Day
2.50687
Expected LPN Staffing Hours per Resident per Day
0.67266
Expected RN Staffing Hours per Resident per Day
1.23297
Expected Total Nurse Staffing Hours per Resident per Day
4.41250
Adjusted CNA Staffing Hours per Resident per Day
2.11603
Adjusted LPN Staffing Hours per Resident per Day
1.55319
Adjusted RN Staffing Hours per Resident per Day
0.19052
Adjusted Total Nurse Staffing Hours per Resident per Day
3.41200
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
12
Cycle 1 Standard Survey Health Date
2014-04-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
18
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2013-04-19
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2011-08-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
49.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
5
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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