Provider Name: NHC HEALTHCARE, KINGSPORT
Address: 2300 PAVILION DRIVE, KINGSPORT, TN 37660
Phone: (423) 480-7048
County: Sullivan (810)
Ownership Type: For profit - Limited Liability company
Certified Beds: 90
Average Residents Per Day: 73.8 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: NHC HEALTHCARE-KINGSPORT, LLC
First Approved Date: December 23, 2014
Affiliated Entity: NATIONAL HEALTHCARE CORPORATION (364)
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: 4 ()
QM Rating: 5 ()
Long Stay QM Rating: 4 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.47672, LPN Staff Hours Per Day: 1.0174, RN Staff Hours Per Day: 1.0099, Licensed Staff Hours Per Day: 2.0273
Total Nurse Staff Hours Per Day, per resident: 4.50409
Weekend Nurse Staff Hours: 3.97438, Weekend RN Staff Hours: 0.4693
PT Staff Hours Per Day, per resident: 0.2351
Nurse Staff Turnover: 23.8, Nurse Turnover Note:
RN Turnover: 22.2, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.2230, Case Mix LPN Hours Per Day: 0.7931, Case Mix RN Hours Per Day: 0.4424
Adjusted Nurse Aide Hours Per Day, per resident: 2.26975, Adjusted LPN Hours Per Day: 0.9466, Adjusted RN Hours Per Day: 0.8601
Total Adjusted Nurse Hours Per Day, per resident: 4.10485
Adjusted Weekend Nurse Hours Per Day, per resident: 3.62209
Health Survey Dates and Scores: Cycle 1: 2023-09-07 (Score: 16), Cycle 2: 2020-01-08 (Score: 0), Cycle 3: 2018-12-18 (Score: 16)
Total Weighted Health Score: 10.667
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 2300 PAVILION DRIVE,KINGSPORT,TN,37660 (36.5523, -82.513)
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 2023-10-10
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 2019-01-31
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: 0754, Version: New
Description: Provide properly sized and located linen or trash receptacles.
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 2023-11-17