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Detailed information-GRACE HEALTHCARE OF CORDOVA
This is the detailed information about GRACE HEALTHCARE OF CORDOVA, including its zip code, address, phone, federal provider number, state, overall rating, etc.
Federal Provider Number: 445218
Provider Name: GRACE HEALTHCARE OF CORDOVA
Provider State: TN
Provider Zip Code: 38018
Ownership Type: For profit - Individual
Number of Substantiated Complaints: 9
Provider Phone Number: 9017541393
Provider City: CORDOVA
Provider SSA County Code: 780
Provider County Name: Shelby
Provider Address: 955 GERMANTOWN PKWY
Number of Certified Beds: 240
Number of Residents in Certified Beds: 180.4
Provider Type: Medicare and Medicaid
Provider Resides in Hospital: N
Legal Business Name: CORDOVA HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services: 1989-03-01
Continuing Care Retirement Community: N
Special Focus Facility: N
Most Recent Health Inspection More Than 2 Years Ago: N
Provider Changed Ownership in Last 12 Months: N
With a Resident and Family Council: Both
Automatic Sprinkler Systems in All Required Areas: Yes
Reported Staffing Footnote:
Physical Therapist Staffing Footnote:
Reported CNA Staffing Hours per Resident per Day: 2.09332
Reported LPN Staffing Hours per Resident per Day: 1.16434
Reported RN Staffing Hours per Resident per Day: 0.62868
Reported Licensed Staffing Hours per Resident per Day: 1.79302
Reported Total Nurse Staffing Hours per Resident per Day: 3.88634
Reported Physical Therapist Staffing Hours per Resident Per Day: 0.05947
Expected CNA Staffing Hours per Resident per Day: 2.20927
Expected LPN Staffing Hours per Resident per Day: 0.76269
Expected RN Staffing Hours per Resident per Day: 0.37487
Expected Total Nurse Staffing Hours per Resident per Day: 3.34682
Adjusted CNA Staffing Hours per Resident per Day: 1.97960
Adjusted LPN Staffing Hours per Resident per Day: 1.15848
Adjusted RN Staffing Hours per Resident per Day: 0.63799
Adjusted Total Nurse Staffing Hours per Resident per Day: 3.74896
Health Survey Date Under New Process: 12/05/2017
Number of Health Deficiencies on Survey Under New Process: 4
Severity of Most Severe Deficiency Cited Under New Process: Minimal Harm/Potential for Actual Harm
Largest Number of Residents Affected by Deficiency Cited Under New Process: Few
Date of Previous Standard Health Inspection: 10/06/2016
Number of Health Deficiencies on Previous Standard Health Inspection: 9
Total Weighted Health Survey Score: 63.200
Number of Facility Reported Incidents: 0
Number of Fines: 1
Total Amount of Fines in Dollars: 7729
Number of Payment Denials: 0
Total Number of Penalties: 1
Processing Date: 2018-04-01