Provider Name: LIFE CARE CENTER OF JEFFERSON CITY
Address: 336 WEST OLD ANDREW JOHNSON HWY, JEFFERSON CITY, TN 37760
Phone: (865) 475-6097
County: Jefferson (440)
Ownership Type: For profit - Corporation
Certified Beds: 121
Average Residents Per Day: 92.5 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: JEFFERSON CITY OPERATIONS, LLC
First Approved Date: February 21, 1992
Affiliated Entity: LIFE CARE CENTERS OF AMERICA (311)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 4 ()
Health Inspection Rating: 4 ()
QM Rating: 3 ()
Long Stay QM Rating: 2 ()
Short Stay QM Rating: 3 ()
Staffing Rating: 2 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.63399, LPN Staff Hours Per Day: 1.1447, RN Staff Hours Per Day: 0.5080, Licensed Staff Hours Per Day: 1.6527
Total Nurse Staff Hours Per Day, per resident: 3.28674
Weekend Nurse Staff Hours: 2.80970, Weekend RN Staff Hours: 0.2247
PT Staff Hours Per Day, per resident: 0.1458
Nurse Staff Turnover: 40.9, Nurse Turnover Note:
RN Turnover: 61.5, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.1496, Case Mix LPN Hours Per Day: 0.7258, Case Mix RN Hours Per Day: 0.3464
Adjusted Nurse Aide Hours Per Day, per resident: 1.54856, Adjusted LPN Hours Per Day: 1.1638, Adjusted RN Hours Per Day: 0.5524
Total Adjusted Nurse Hours Per Day, per resident: 3.21537
Adjusted Weekend Nurse Hours Per Day, per resident: 2.74869
Health Survey Dates and Scores: Cycle 1: 2021-07-14 (Score: 12), Cycle 2: 2019-02-27 (Score: 4), Cycle 3: 2018-04-11 (Score: 4)
Total Weighted Health Score: 8.000
Reported Incidents: 1, 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: 336 WEST OLD ANDREW JOHNSON HWY,JEFFERSON CITY,TN,37760 (36.1174, -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: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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 2021-08-27
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
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 2021-08-27
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 2019-04-13
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 2018-04-27
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: 0324, Version: New
Description: Provide properly protected cooking facilities.
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 2019-04-13
Type: Fire Safety, Tag: 0918, Version: New
Description: Have generator or other power source capable of supplying service within 10 seconds.
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 2019-04-13
Type: Fire Safety, Tag: 0341, Version: New
Description: Install a fire alarm system that can be heard throughout the facility.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-05-18