Cambridge House, The
250 Bellebrook Rd, Bristol, TN 37620


Cambridge House, The is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 445190. The address is 250 Bellebrook Rd, Bristol, TN 37620. The zip code is 37620. The phone number is 4239684123.


Cambridge House, The · 250 Bellebrook Rd, Bristol, TN 37620

Federal Provider Number 445190
Provider Name CAMBRIDGE HOUSE, THE
Address 250 BELLEBROOK RD
BRISTOL, TN 37620
Phone Number 4239684123
SSA County Code 810
County Name Sullivan
Ownership Type For profit - Corporation
Certified Beds 130
Certified Beds Residents 70
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name FRANKLIN CAMBRIDGE OPERATIONS LLC
Date First Approved to Provide Medicare Medicaid Services 10/02/1986
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 1
Health Inspection Rating 1
Quality Measure Rating 1
Staffing Rating 3
RN Staffing Rating 2
Reported CNA Staffing Hours per Resident per Day 2.255
Reported LPN Staffing Hours per Resident per Day 1.19571
Reported RN Staffing Hours per Resident per Day 0.36071
Reported Licensed Staffing Hours per Resident per Day 1.55643
Reported Total Nurse Staffing Hours per Resident per Day 3.81142
Reported Physical Therapist Staffing Hours per Resident Per Day 0.02143
Expected CNA Staffing Hours per Resident per Day 2.56402
Expected LPN Staffing Hours per Resident per Day 0.60082
Expected RN Staffing Hours per Resident per Day 0.89777
Expected Total Nurse Staffing Hours per Resident per Day 4.06261
Adjusted CNA Staffing Hours per Resident per Day 2.15797
Adjusted LPN Staffing Hours per Resident per Day 1.65182
Adjusted RN Staffing Hours per Resident per Day 0.30021
Adjusted Total Nurse Staffing Hours per Resident per Day 3.78167
Cycle 1 Total Number of Health Deficiencies 7
Cycle 1 Number of Standard Health Deficiencies 7
Cycle 1 Number of Complaint Health Deficiencies 6
Cycle 1 Health Deficiency Score 329
Cycle 1 Standard Survey Health Date 03/02/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 329
Cycle 2 Total Number of Health Deficiencies 10
Cycle 2 Number of Standard Health Deficiencies 7
Cycle 2 Number of Complaint Health Deficiencies 5
Cycle 2 Health Deficiency Score 44
Cycle 2 Standard Health Survey Date 02/24/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 44
Cycle 3 Total Number of Health Deficiencies 10
Cycle 3 Number of Standard Health Deficiencies 10
Cycle 3 Number of Complaint Health Deficiencies 3
Cycle 3 Health Deficiency Score 56
Cycle 3 Standard Health Survey Date 02/11/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 56
Total Weighted Health Survey Score 188.5
Number of Facility Reported Incidents 1
Number of Substantiated Complaints 10
Total Amount of Fines in Dollars $0.00
Number of Payment Denials 1
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Cambridge House, The

Owner Name Role Association Date
MEDICOM INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
99%
since 10/01/2015
MITTLEIDER, DOUG (Individual) OPERATIONAL/MANAGERIAL CONTROL since 10/01/2015
MITTLEIDER, JULIE (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
since 10/01/2015
RICH, SUZANNE (Individual) MANAGING EMPLOYEE since 10/01/2015

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