White House Health Care Inc - White House Nursing Home
General Information
UPDATEFederal Provider Number
445513
Provider Name
WHITE HOUSE HEALTH CARE INC
Provider Address
2871 HIGHWAY 31W
WHITE HOUSE, TN 37188
WHITE HOUSE, TN 37188
Provider Phone Number
(615) 672-3636
Provider SSA County
730
Provider County Name
Robertson
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
84
Number of Residents in Certified Beds
63
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WHITE HOUSE HEALTH CARE, INC.
Date First Approved to Provide Medicare and Medicaid services
2013-07-17
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.83968
Reported LPN Staffing Hours per Resident per Day
0.98175
Reported RN Staffing Hours per Resident per Day
1.56984
Reported Licensed Staffing Hours per Resident per Day
2.55159
Reported Total Nurse Staffing Hours per Resident per Day
5.39127
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08175
Expected CNA Staffing Hours per Resident per Day
2.61451
Expected LPN Staffing Hours per Resident per Day
0.70730
Expected RN Staffing Hours per Resident per Day
1.16147
Expected Total Nurse Staffing Hours per Resident per Day
4.48329
Adjusted CNA Staffing Hours per Resident per Day
2.66502
Adjusted LPN Staffing Hours per Resident per Day
1.15206
Adjusted RN Staffing Hours per Resident per Day
1.00991
Adjusted Total Nurse Staffing Hours per Resident per Day
4.84726
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-12-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-07-17
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
0000-00-00
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
4.80000
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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