Wyndridge Health And Rehab Ctr - Crossville Nursing Home
General Information
UPDATEFederal Provider Number
445304
Provider Name
WYNDRIDGE HEALTH AND REHAB CTR
Provider Address
456 WAYNE AVENUE
CROSSVILLE, TN 38555
CROSSVILLE, TN 38555
Provider Phone Number
(931) 484-6129
Provider SSA County
170
Provider County Name
Cumberland
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
157
Number of Residents in Certified Beds
136
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1992-11-09
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
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
2.38346
Reported LPN Staffing Hours per Resident per Day
1.21434
Reported RN Staffing Hours per Resident per Day
0.62022
Reported Licensed Staffing Hours per Resident per Day
1.83456
Reported Total Nurse Staffing Hours per Resident per Day
4.21802
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04743
Expected CNA Staffing Hours per Resident per Day
2.54613
Expected LPN Staffing Hours per Resident per Day
0.67201
Expected RN Staffing Hours per Resident per Day
1.10266
Expected Total Nurse Staffing Hours per Resident per Day
4.32080
Adjusted CNA Staffing Hours per Resident per Day
2.29694
Adjusted LPN Staffing Hours per Resident per Day
1.49983
Adjusted RN Staffing Hours per Resident per Day
0.42028
Adjusted Total Nurse Staffing Hours per Resident per Day
3.93502
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
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
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2012-12-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2011-07-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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