Provider Name: JEFFERSON CITY HEALTH AND REHAB CENTER
Address: 283 W BROADWAY BLVD, JEFFERSON CITY, TN 37760
Phone: (865) 475-9037
County: Jefferson (440)
Ownership Type: For profit - Individual
Certified Beds: 170
Average Residents Per Day: 136. ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: JEFFERSON OPERATOR, LLC
First Approved Date: March 5, 1990
Affiliated Entity: PRESTIGE ADMINISTRATIVE SERVICES (416)
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: 3 ()
Short Stay QM Rating: 1 ()
Staffing Rating: 2 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.34663, LPN Staff Hours Per Day: 0.7785, RN Staff Hours Per Day: 0.3981, Licensed Staff Hours Per Day: 1.1767
Total Nurse Staff Hours Per Day, per resident: 3.52339
Weekend Nurse Staff Hours: 2.93083, Weekend RN Staff Hours: 0.2318
PT Staff Hours Per Day, per resident: 0.0432
Nurse Staff Turnover: 42.3, Nurse Turnover Note:
RN Turnover: 30.8, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.2377, Case Mix LPN Hours Per Day: 0.7723, Case Mix RN Hours Per Day: 0.3796
Adjusted Nurse Aide Hours Per Day, per resident: 2.13640, Adjusted LPN Hours Per Day: 0.7439, Adjusted RN Hours Per Day: 0.3952
Total Adjusted Nurse Hours Per Day, per resident: 3.27631
Adjusted Weekend Nurse Hours Per Day, per resident: 2.72531
Health Survey Dates and Scores: Cycle 1: 2020-03-04 (Score: 0), Cycle 2: 2019-02-21 (Score: 8), Cycle 3: 2018-02-22 (Score: 0)
Total Weighted Health Score: 2.667
Reported Incidents: 1, Substantiated Complaints: 2
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: 283 W BROADWAY BLVD,JEFFERSON CITY,TN,37760 (36.1115, -83.508)
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: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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 2022-12-21
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
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 2019-04-05
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: 0921, Version: New
Description: Ensure that testing and maintenance of electrical equipment is performed.
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 2019-03-30
Type: Fire Safety, Tag: 0026, Version: New
Description: Establish roles under a Waiver declared by secretary.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-03-15
Type: Fire Safety, Tag: 0035, Version: New
Description: Provide family notifications of emergency plan.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-03-15
Type: Fire Safety, Tag: 0923, Version: New
Description: Have proper medical gas storage and administration areas.
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 2018-03-15