Provider Name: WATERS OF BRISTOL A REHABILITATION AND NURSING
Address: 2830 HIGHWAY 394, BLOUNTVILLE, TN 37617
Phone: (423) 274-6191
County: Sullivan (810)
Ownership Type: For profit - Individual
Certified Beds: 120
Average Residents Per Day: 101. ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: WATERS OF BRISTOL A REHABILITATION & NURSING CENTER LLC
First Approved Date: March 6, 2018
Affiliated Entity: INFINITY HEALTHCARE MANAGEMENT (283)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Both
Sprinkler System Status: Yes
Overall Rating: 4 ()
Health Inspection Rating: 4 ()
QM Rating: 5 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 1 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.75861, LPN Staff Hours Per Day: 0.7877, RN Staff Hours Per Day: 0.3766, Licensed Staff Hours Per Day: 1.1644
Total Nurse Staff Hours Per Day, per resident: 2.92302
Weekend Nurse Staff Hours: 2.53171, Weekend RN Staff Hours: 0.1609
PT Staff Hours Per Day, per resident: 0.0630
Nurse Staff Turnover: 45.6, Nurse Turnover Note:
RN Turnover: 54.5, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.5261, Case Mix LPN Hours Per Day: 0.8764, Case Mix RN Hours Per Day: 0.4505
Adjusted Nurse Aide Hours Per Day, per resident: 1.41825, Adjusted LPN Hours Per Day: 0.6632, Adjusted RN Hours Per Day: 0.3150
Total Adjusted Nurse Hours Per Day, per resident: 2.39115
Adjusted Weekend Nurse Hours Per Day, per resident: 2.07104
Health Survey Dates and Scores: Cycle 1: 2020-03-18 (Score: 16), Cycle 2: 2019-03-06 (Score: 4), Cycle 3: 2018-03-06 (Score: 0)
Total Weighted Health Score: 9.333
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 655.14, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 2830 HIGHWAY 394,BLOUNTVILLE,TN,37617 (36.5201, -82.292)
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 2020-04-07
Type: Health, Deficiency: Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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 2019-03-29
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: