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Waverly Health Care & Rehabilitation Center - Waverly Nursing Home

General Information

UPDATE
Federal Provider Number
445251
Provider Name
WAVERLY HEALTH CARE & REHABILITATION CENTER
Provider Address
895 POWERS BLVD
WAVERLY, TN 37185
Provider Phone Number
(931) 296-7552
Provider SSA County
420
Provider County Name
Humphreys
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WAVERLY HEALTH CARE AND REHABILITATION CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1990-04-09
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.08750
Reported LPN Staffing Hours per Resident per Day
0.92206
Reported RN Staffing Hours per Resident per Day
0.67279
Reported Licensed Staffing Hours per Resident per Day
1.59485
Reported Total Nurse Staffing Hours per Resident per Day
3.68235
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12941
Expected CNA Staffing Hours per Resident per Day
2.49962
Expected LPN Staffing Hours per Resident per Day
0.65965
Expected RN Staffing Hours per Resident per Day
0.95182
Expected Total Nurse Staffing Hours per Resident per Day
4.11109
Adjusted CNA Staffing Hours per Resident per Day
2.04915
Adjusted LPN Staffing Hours per Resident per Day
1.16017
Adjusted RN Staffing Hours per Resident per Day
0.52815
Adjusted Total Nurse Staffing Hours per Resident per Day
3.61052
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-05-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2012-05-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
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
2011-02-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
31.33300
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
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Humphreys Co Nursing Home

670 Highway 13 South | WAVERLY TN 37185 | 5.2 miles away