Provider Name: IVY HALL NURSING HOME
Address: 301 WATAUGA AVE, ELIZABETHTON, TN 37643
Phone: (423) 542-6512
County: Carter (090)
Ownership Type: For profit - Individual
Certified Beds: 101
Average Residents Per Day: 73.7 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: IVY HALL INC
First Approved Date: December 1, 2002
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Both
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 4 ()
Long Stay QM Rating: 2 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 2 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.74760, LPN Staff Hours Per Day: 1.0806, RN Staff Hours Per Day: 0.6335, Licensed Staff Hours Per Day: 1.7142
Total Nurse Staff Hours Per Day, per resident: 4.46186
Weekend Nurse Staff Hours: 3.83300, Weekend RN Staff Hours: 0.3592
PT Staff Hours Per Day, per resident: 0.0678
Nurse Staff Turnover: , Nurse Turnover Note: 6
RN Turnover: , RN Turnover Note: 6
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 2.3449, Case Mix LPN Hours Per Day: 0.8437, Case Mix RN Hours Per Day: 0.4995
Adjusted Nurse Aide Hours Per Day, per resident: 2.38704, Adjusted LPN Hours Per Day: 0.9452, Adjusted RN Hours Per Day: 0.4779
Total Adjusted Nurse Hours Per Day, per resident: 3.81319
Adjusted Weekend Nurse Hours Per Day, per resident: 3.27575
Health Survey Dates and Scores: Cycle 1: 2022-02-16 (Score: 8), Cycle 2: 2019-05-15 (Score: 0), Cycle 3: 2018-07-11 (Score: 0)
Total Weighted Health Score: 4.000
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: 301 WATAUGA AVE,ELIZABETHTON,TN,37643 (36.3448, -82.223)
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: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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 2022-03-15
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 2022-03-15
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: 0911, Version: New
Description: Meet requirements for the installation and maintenance of electrical systems.
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 2018-07-20