Provider Name: CHRISTIAN CARE CENTER OF BOLIVAR, LLC
Address: 10160 HIGHWAY 64W, BOLIVAR, TN 38008
Phone: (731) 212-4822
County: Hardeman (340)
Ownership Type: For profit - Individual
Certified Beds: 67
Average Residents Per Day: 59.1 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: CHRISTIAN CARE CENTER OF BOLIVAR LLC
First Approved Date: October 12, 2021
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: 3 ()
Health Inspection Rating: 4 ()
QM Rating: 3 ()
Long Stay QM Rating: 2 ()
Short Stay QM Rating: 4 ()
Staffing Rating: 1 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.79817, LPN Staff Hours Per Day: 0.9825, RN Staff Hours Per Day: 0.4525, Licensed Staff Hours Per Day: 1.4351
Total Nurse Staff Hours Per Day, per resident: 3.23329
Weekend Nurse Staff Hours: 2.88287, Weekend RN Staff Hours: 0.2109
PT Staff Hours Per Day, per resident: 0.0431
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: 1.9834, Case Mix LPN Hours Per Day: 0.7283, Case Mix RN Hours Per Day: 0.3762
Adjusted Nurse Aide Hours Per Day, per resident: 1.84693, Adjusted LPN Hours Per Day: 0.9956, Adjusted RN Hours Per Day: 0.4532
Total Adjusted Nurse Hours Per Day, per resident: 3.30032
Adjusted Weekend Nurse Hours Per Day, per resident: 2.94264
Health Survey Dates and Scores: Cycle 1: 2023-02-15 (Score: 16), Cycle 2: 2021-10-12 (Score: 0), Cycle 3: (Score: .)
Total Weighted Health Score: 9.600
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: 10160 HIGHWAY 64W,BOLIVAR,TN,38008 (35.2657, -89.004)
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: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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 2023-03-31
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 2023-03-31
Type: Health, Deficiency: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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 2023-03-31
Type: Health, Deficiency: Provide enough food/fluids to maintain a resident's health.
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 2023-03-31
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: 0341, Version: New
Description: Install a fire alarm system that can be heard throughout the facility.
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 2023-02-15
Type: Fire Safety, Tag: 0351, Version: New
Description: Install an approved automatic sprinkler system.
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 2023-03-31