Provider Name: PRINCETON TRANSITIONAL CARE & ASSISTED LIVING
Address: 401 PRINCETON ROAD, JOHNSON CITY, TN 37601
Phone: (423) 431-6111
County: Washington (890)
Ownership Type: For profit - Individual
Certified Beds: 47
Average Residents Per Day: 42.7 ()
Provider Type: Medicare, Resides in Hospital: No
Legal Business Name: LP JOHNSON CITY, LLC
First Approved Date: August 25, 1995
Affiliated Entity: SIGNATURE HEALTHCARE (474)
Retirement Community: Y, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: None
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 3 ()
Long Stay QM Rating: (2)
Short Stay QM Rating: 3 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.96970, LPN Staff Hours Per Day: 2.0530, RN Staff Hours Per Day: 1.2562, Licensed Staff Hours Per Day: 3.3093
Total Nurse Staff Hours Per Day, per resident: 5.27900
Weekend Nurse Staff Hours: 4.33906, Weekend RN Staff Hours: 0.4912
PT Staff Hours Per Day, per resident: 0.2835
Nurse Staff Turnover: 49.2, Nurse Turnover Note:
RN Turnover: 64.7, RN Turnover Note:
Admin Left Number: 1, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0070, Case Mix LPN Hours Per Day: 0.8430, Case Mix RN Hours Per Day: 0.4472
Adjusted Nurse Aide Hours Per Day, per resident: 1.99931, Adjusted LPN Hours Per Day: 1.7972, Adjusted RN Hours Per Day: 1.0583
Total Adjusted Nurse Hours Per Day, per resident: 5.04632
Adjusted Weekend Nurse Hours Per Day, per resident: 4.14780
Health Survey Dates and Scores: Cycle 1: 2022-05-04 (Score: 0), Cycle 2: 2019-07-31 (Score: 16), Cycle 3: 2018-09-06 (Score: 4)
Total Weighted Health Score: 6.000
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: 401 PRINCETON ROAD,JOHNSON CITY,TN,37601 (36.3515, -82.371)
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: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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 2019-08-15
Type: Health, Deficiency: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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 2018-10-05
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: 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 2019-08-17
Type: Fire Safety, Tag: 0006, Version: New
Description: Conduct risk assessment and an All-Hazards approach.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-10-05