Wexford House, The - Kingsport Nursing Home

General Information

UPDATE
Federal Provider Number
445207
Provider Name
WEXFORD HOUSE, THE
Provider Address
2421 JOHN B DENNIS HIGHWAY
KINGSPORT, TN 37660
Provider Phone Number
4232883988
Provider SSA County
810
Provider County Name
Sullivan
Ownership Type
Non profit - Corporation
Number of Certified Beds
174
Number of Residents in Certified Beds
170
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WELLMONT WEXFORD HOUSE
Date First Approved to Provide Medicare and Medicaid services
1987-10-12
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.84618
Reported LPN Staffing Hours per Resident per Day
1.28412
Reported RN Staffing Hours per Resident per Day
0.53118
Reported Licensed Staffing Hours per Resident per Day
1.81529
Reported Total Nurse Staffing Hours per Resident per Day
4.66148
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06735
Expected CNA Staffing Hours per Resident per Day
2.62978
Expected LPN Staffing Hours per Resident per Day
0.79828
Expected RN Staffing Hours per Resident per Day
1.16560
Expected Total Nurse Staffing Hours per Resident per Day
4.59366
Adjusted CNA Staffing Hours per Resident per Day
2.65561
Adjusted LPN Staffing Hours per Resident per Day
1.33515
Adjusted RN Staffing Hours per Resident per Day
0.34051
Adjusted Total Nurse Staffing Hours per Resident per Day
4.09041
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-10-22
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
10
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-09-05
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
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-02-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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