Tennessee Nursing Homes >> Woodbury Nursing Homes >> Woodbury Health And Rehabilitation Center

Woodbury Health And Rehabilitation Center - Woodbury Nursing Home

General Information

UPDATE
Federal Provider Number
445435
Provider Name
WOODBURY HEALTH AND REHABILITATION CENTER
Provider Address
119 WEST HIGH STREET
WOODBURY, TN 37190
Provider Phone Number
(615) 563-5939
Provider SSA County
70
Provider County Name
Cannon
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
102
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OCOEE FOUNDATION-CC LLC
Date First Approved to Provide Medicare and Medicaid services
2002-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
3.56013
Reported LPN Staffing Hours per Resident per Day
1.25000
Reported RN Staffing Hours per Resident per Day
0.40000
Reported Licensed Staffing Hours per Resident per Day
1.65000
Reported Total Nurse Staffing Hours per Resident per Day
5.21013
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00886
Expected CNA Staffing Hours per Resident per Day
2.70755
Expected LPN Staffing Hours per Resident per Day
0.64533
Expected RN Staffing Hours per Resident per Day
0.97082
Expected Total Nurse Staffing Hours per Resident per Day
4.32371
Adjusted CNA Staffing Hours per Resident per Day
3.22634
Adjusted LPN Staffing Hours per Resident per Day
1.60770
Adjusted RN Staffing Hours per Resident per Day
0.30786
Adjusted Total Nurse Staffing Hours per Resident per Day
4.85729
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-03-11
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-01-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-07-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
10.66700
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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