Nhc Healthcare, Cookeville
815 South Walnut Avenue, Cookeville, TN 38501


Nhc Healthcare, Cookeville is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 445110. The address is 815 South Walnut Avenue, Cookeville, TN 38501. The zip code is 38501. The phone number is 9315285516.


Nhc Healthcare, Cookeville · 815 South Walnut Avenue, Cookeville, TN 38501

Federal Provider Number 445110
Provider Name NHC HEALTHCARE, COOKEVILLE
Address 815 SOUTH WALNUT AVENUE
COOKEVILLE, TN 38501
Phone Number 9315285516
SSA County Code 700
County Name Putnam
Ownership Type For profit - Corporation
Certified Beds 94
Certified Beds Residents 91
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name NATIONAL HEALTH CORPORATION
Date First Approved to Provide Medicare Medicaid Services 01/28/1976
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 4
Quality Measure Rating 5
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.16319
Reported LPN Staffing Hours per Resident per Day 0.77582
Reported RN Staffing Hours per Resident per Day 0.70714
Reported Licensed Staffing Hours per Resident per Day 1.48297
Reported Total Nurse Staffing Hours per Resident per Day 3.64615
Reported Physical Therapist Staffing Hours per Resident Per Day 0.14121
Expected CNA Staffing Hours per Resident per Day 2.57031
Expected LPN Staffing Hours per Resident per Day 0.60852
Expected RN Staffing Hours per Resident per Day 1.03819
Expected Total Nurse Staffing Hours per Resident per Day 4.21703
Adjusted CNA Staffing Hours per Resident per Day 2.06505
Adjusted LPN Staffing Hours per Resident per Day 1.05819
Adjusted RN Staffing Hours per Resident per Day 0.50894
Adjusted Total Nurse Staffing Hours per Resident per Day 3.48522
Cycle 1 Total Number of Health Deficiencies 1
Cycle 1 Number of Standard Health Deficiencies 1
Cycle 1 Health Deficiency Score 4
Cycle 1 Standard Survey Health Date 03/15/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 4
Cycle 2 Total Number of Health Deficiencies 1
Cycle 2 Number of Standard Health Deficiencies 1
Cycle 2 Health Deficiency Score 16
Cycle 2 Standard Health Survey Date 03/09/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 16
Cycle 3 Total Number of Health Deficiencies 2
Cycle 3 Number of Standard Health Deficiencies 2
Cycle 3 Health Deficiency Score 20
Cycle 3 Standard Health Survey Date 03/11/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 20
Total Weighted Health Survey Score 10.667
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Nhc Healthcare, Cookeville

Owner Name Role Association Date
ADAMS, ROBERT (Individual) OFFICER since 11/01/2004
NATIONAL HEALTH CORP LEVERAGED EMPLOYEE STOCK OWNERSHIP TRUST (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 10/30/1986
NATIONAL HEALTHCARE CORPORATION (Organization) OPERATIONAL/MANAGERIAL CONTROL since 09/26/1997
SMITH, JEFFREY (Individual) OFFICER since 12/15/2008
STONER, JEREMY (Individual) MANAGING EMPLOYEE since 06/01/1998

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