Provider Name: CLAIBORNE HEALTH AND REHABILITATION CENTER
Address: 1850 OLD KNOXVILLE ROAD, TAZEWELL, TN 37879
Phone: (423) 526-2348
County: Claiborne (120)
Ownership Type: Non profit - Corporation
Certified Beds: 100
Average Residents Per Day: 69.6 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: CLAIBORNE MEDICAL CENTER
First Approved Date: December 22, 1968
Affiliated Entity: COVENANT HEALTH (167)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 2 ()
Long Stay QM Rating: 2 ()
Short Stay QM Rating: 2 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.27008, LPN Staff Hours Per Day: 0.5057, RN Staff Hours Per Day: 1.1648, Licensed Staff Hours Per Day: 1.6706
Total Nurse Staff Hours Per Day, per resident: 3.94069
Weekend Nurse Staff Hours: 3.28446, Weekend RN Staff Hours: 0.6991
PT Staff Hours Per Day, per resident: 0.1101
Nurse Staff Turnover: 44.4, Nurse Turnover Note:
RN Turnover: 44.4, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.1817, Case Mix LPN Hours Per Day: 0.7460, Case Mix RN Hours Per Day: 0.3580
Adjusted Nurse Aide Hours Per Day, per resident: 2.11975, Adjusted LPN Hours Per Day: 0.5002, Adjusted RN Hours Per Day: 1.2259
Total Adjusted Nurse Hours Per Day, per resident: 3.78025
Adjusted Weekend Nurse Hours Per Day, per resident: 3.15073
Health Survey Dates and Scores: Cycle 1: 2023-08-09 (Score: 12), Cycle 2: 2020-03-11 (Score: 0), Cycle 3: 2019-02-27 (Score: 0)
Total Weighted Health Score: 6.000
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 1850 OLD KNOXVILLE ROAD,TAZEWELL,TN,37879 (36.4538, -83.573)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-08-30
Type: Health, Deficiency: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-08-30
Type: Health, Deficiency: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-08-31
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0222, Version: New
Description: Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-03-07