Wharton Nursing Home - Pleasant Hill Nursing Home
General Information
UPDATEFederal Provider Number
445510
Provider Name
WHARTON NURSING HOME
Provider Address
55 WEST LAKE ROAD
PLEASANT HILL, TN 38578
PLEASANT HILL, TN 38578
Provider Phone Number
(931) 277-3511
Provider SSA County
170
Provider County Name
Cumberland
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
62
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UPLANDS VILLAGE
Date First Approved to Provide Medicare and Medicaid services
2012-09-19
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
4.24273
Reported LPN Staffing Hours per Resident per Day
0.85091
Reported RN Staffing Hours per Resident per Day
0.86818
Reported Licensed Staffing Hours per Resident per Day
1.71909
Reported Total Nurse Staffing Hours per Resident per Day
5.96182
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12636
Expected CNA Staffing Hours per Resident per Day
2.60895
Expected LPN Staffing Hours per Resident per Day
0.65430
Expected RN Staffing Hours per Resident per Day
0.92955
Expected Total Nurse Staffing Hours per Resident per Day
4.19281
Adjusted CNA Staffing Hours per Resident per Day
3.99025
Adjusted LPN Staffing Hours per Resident per Day
1.07940
Adjusted RN Staffing Hours per Resident per Day
0.69787
Adjusted Total Nurse Staffing Hours per Resident per Day
5.73160
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
24
Cycle 1 Standard Survey Health Date
2014-11-06
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
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
2013-08-14
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
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-01-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
27.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
12375
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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