Whitehaven Community Living - Memphis Nursing Home
General Information
UPDATEFederal Provider Number
445233
Provider Name
WHITEHAVEN COMMUNITY LIVING
Provider Address
1076 CHAMBLISS ROAD
MEMPHIS, TN 38116
MEMPHIS, TN 38116
Provider Phone Number
(901) 396-8470
Provider SSA County
780
Provider County Name
Shelby
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
88
Number of Residents in Certified Beds
65
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLC OF WHITEHAVEN, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-09-13
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.86692
Reported LPN Staffing Hours per Resident per Day
1.28154
Reported RN Staffing Hours per Resident per Day
0.54462
Reported Licensed Staffing Hours per Resident per Day
1.82615
Reported Total Nurse Staffing Hours per Resident per Day
3.69308
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00462
Expected CNA Staffing Hours per Resident per Day
2.33940
Expected LPN Staffing Hours per Resident per Day
0.58043
Expected RN Staffing Hours per Resident per Day
0.82346
Expected Total Nurse Staffing Hours per Resident per Day
3.74329
Adjusted CNA Staffing Hours per Resident per Day
1.95813
Adjusted LPN Staffing Hours per Resident per Day
1.83258
Adjusted RN Staffing Hours per Resident per Day
0.49418
Adjusted Total Nurse Staffing Hours per Resident per Day
3.97683
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-03-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2012-08-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
84
Cycle 3 Total Number of Health Deficiencies
26
Cycle 3 Number of Standard Health Deficiencies
26
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
176
Cycle 3 Standard Health Survey Date
2011-06-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
176
Total Weighted Health Survey Score
75.33300
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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