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Detailed information-HUNTSVILLE MANOR

This is the detailed information about HUNTSVILLE MANOR, including its zip code, address, phone, federal provider number, state, overall rating, etc.

Federal Provider Number: 445288
Provider Name: HUNTSVILLE MANOR
Provider State: TN
Provider Zip Code: 37756
Overall Rating: 4
Ownership Type: For profit - Corporation
Number of Substantiated Complaints: 1
Provider Phone Number: 4236633600
Provider City: HUNTSVILLE
Provider SSA County Code: 750
Provider County Name: Scott
Provider Address: 287 BAKER STREET
Number of Certified Beds: 96
Number of Residents in Certified Beds: 71.7
Provider Type: Medicare and Medicaid
Provider Resides in Hospital: N
Legal Business Name: HUNTSVILLE NH OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services: 1992-04-23
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
Overall Rating Footnote:
Health Inspection Rating: 3
Health Inspection Rating Footnote:
QM Rating: 5
QM Rating Footnote:
Staffing Rating: 2
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: 1.63423
Reported LPN Staffing Hours per Resident per Day: 0.74678
Reported RN Staffing Hours per Resident per Day: 0.44570
Reported Licensed Staffing Hours per Resident per Day: 1.19248
Reported Total Nurse Staffing Hours per Resident per Day: 2.82671
Reported Physical Therapist Staffing Hours per Resident Per Day: 0.08908
Expected CNA Staffing Hours per Resident per Day: 2.02945
Expected LPN Staffing Hours per Resident per Day: 0.74661
Expected RN Staffing Hours per Resident per Day: 0.39681
Expected Total Nurse Staffing Hours per Resident per Day: 3.17288

Adjusted CNA Staffing Hours per Resident per Day: 1.68238
Adjusted LPN Staffing Hours per Resident per Day: 0.75902
Adjusted RN Staffing Hours per Resident per Day: 0.42728
Adjusted Total Nurse Staffing Hours per Resident per Day: 2.87627
Health Survey Date Under New Process: 01/31/2018
Number of Health Deficiencies on Survey Under New Process: 0
Severity of Most Severe Deficiency Cited Under New Process: None
Largest Number of Residents Affected by Deficiency Cited Under New Process: None
Date of Previous Standard Health Inspection: 02/01/2017
Number of Health Deficiencies on Previous Standard Health Inspection: 4
Rating Cycle 1 Standard Survey Health Date: 2017-02-01
Rating Cycle 1 Total Number of Health Deficiencies: 4
Rating Cycle 1 Number of Standard Health Deficiencies: 4
Rating Cycle 1 Number of Complaint Health Deficiencies: 0
Rating Cycle 1 Health Deficiency Score: 28
Rating Cycle 1 Number of Health Revisits: 1
Rating Cycle 1 Health Revisit Score: 0
Rating Cycle 1 Total Health Score: 28

Rating Cycle 2 Standard Health Survey Date: 2016-01-26
Rating Cycle 2 Total Number of Health Deficiencies: 5
Rating Cycle 2 Number of Standard Health Deficiencies: 5
Rating Cycle 2 Number of Complaint Health Deficiencies: 2
Rating Cycle 2 Health Deficiency Score: 20
Rating Cycle 2 Number of Health Revisits: 1
Rating Cycle 2 Health Revisit Score: 0
Rating Cycle 2 Total Health Score: 20
Total Weighted Health Survey Score: 24.800
Number of Facility Reported Incidents: 0
Number of Fines: 0
Total Amount of Fines in Dollars: 0
Number of Payment Denials: 0
Total Number of Penalties: 0
Processing Date: 2018-04-01