Provider Name: LIFE CARE CENTER OF ELIZABETHTON
Address: 1641 HIGHWAY 19E, ELIZABETHTON, TN 37643
Phone: (423) 542-4133
County: Carter (090)
Ownership Type: For profit - Corporation
Certified Beds: 158
Average Residents Per Day: 104. ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: ELIZABETHTON MEDICAL INVESTORS LP
First Approved Date: January 15, 1993
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: 2 ()
Health Inspection Rating: 4 ()
QM Rating: 1 ()
Long Stay QM Rating: 1 ()
Short Stay QM Rating: 1 ()
Staffing Rating: 1 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.36223, LPN Staff Hours Per Day: 1.0570, RN Staff Hours Per Day: 0.4268, Licensed Staff Hours Per Day: 1.4839
Total Nurse Staff Hours Per Day, per resident: 2.84615
Weekend Nurse Staff Hours: 2.29938, Weekend RN Staff Hours: 0.2250
PT Staff Hours Per Day, per resident: 0.0222
Nurse Staff Turnover: 55.4, Nurse Turnover Note:
RN Turnover: 66.7, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 1.8198, Case Mix LPN Hours Per Day: 0.7014, Case Mix RN Hours Per Day: 0.3419
Adjusted Nurse Aide Hours Per Day, per resident: 1.52495, Adjusted LPN Hours Per Day: 1.1120, Adjusted RN Hours Per Day: 0.4703
Total Adjusted Nurse Hours Per Day, per resident: 3.13315
Adjusted Weekend Nurse Hours Per Day, per resident: 2.53124
Health Survey Dates and Scores: Cycle 1: 2019-12-10 (Score: 0), Cycle 2: 2018-11-15 (Score: 8), Cycle 3: 2017-11-01 (Score: 64)
Total Weighted Health Score: 13.333
Reported Incidents: 0, Substantiated Complaints: 2
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 11768.25, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 1641 HIGHWAY 19E,ELIZABETHTON,TN,37643 (36.3423, -82.226)
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 2022-09-30
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 2018-12-07
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: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Past Non-Compliance on 2021-07-31
Type: Health, Deficiency: Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Past Non-Compliance on 2021-07-31
Type: Health, Deficiency: Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Past Non-Compliance on 2021-07-31
Type: Health, Deficiency: Provide necessary care and services to maintain or improve the highest well being of each resident .
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 2017-12-15
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: 0353, Version: New
Description: Inspect, test, and maintain automatic sprinkler systems.
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 2019-12-27
Type: Fire Safety, Tag: 0741, Version: New
Description: Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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 2018-12-07