Whitehaven Community Living
1076 Chambliss Road, Memphis, TN 38116


Whitehaven Community Living is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 445233. The address is 1076 Chambliss Road, Memphis, TN 38116. The zip code is 38116. The phone number is 9013968470.


Whitehaven Community Living · 1076 Chambliss Road, Memphis, TN 38116

Federal Provider Number 445233
Provider Name WHITEHAVEN COMMUNITY LIVING
Address 1076 CHAMBLISS ROAD
MEMPHIS, TN 38116
Phone Number 9013968470
SSA County Code 780
County Name Shelby
Ownership Type For profit - Corporation
Certified Beds 88
Certified Beds Residents 59
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name CLC OF WHITEHAVEN, LLC
Date First Approved to Provide Medicare Medicaid Services 09/13/1989
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 Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 1
Health Inspection Rating 1
Quality Measure Rating 3
Staffing Rating 2
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 1.51949
Reported LPN Staffing Hours per Resident per Day 0.92034
Reported RN Staffing Hours per Resident per Day 0.60847
Reported Licensed Staffing Hours per Resident per Day 1.52881
Reported Total Nurse Staffing Hours per Resident per Day 3.0483
Reported Physical Therapist Staffing Hours per Resident Per Day 0.51356
Expected CNA Staffing Hours per Resident per Day 2.4584
Expected LPN Staffing Hours per Resident per Day 0.61804
Expected RN Staffing Hours per Resident per Day 0.97036
Expected Total Nurse Staffing Hours per Resident per Day 4.0468
Adjusted CNA Staffing Hours per Resident per Day 1.51659
Adjusted LPN Staffing Hours per Resident per Day 1.23598
Adjusted RN Staffing Hours per Resident per Day 0.46854
Adjusted Total Nurse Staffing Hours per Resident per Day 3.03632
Cycle 1 Total Number of Health Deficiencies 15
Cycle 1 Number of Standard Health Deficiencies 15
Cycle 1 Number of Complaint Health Deficiencies 3
Cycle 1 Health Deficiency Score 112
Cycle 1 Standard Survey Health Date 06/28/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 112
Cycle 2 Total Number of Health Deficiencies 16
Cycle 2 Number of Standard Health Deficiencies 16
Cycle 2 Number of Complaint Health Deficiencies 5
Cycle 2 Health Deficiency Score 88
Cycle 2 Standard Health Survey Date 06/10/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 88
Cycle 3 Total Number of Health Deficiencies 8
Cycle 3 Number of Standard Health Deficiencies 8
Cycle 3 Health Deficiency Score 36
Cycle 3 Standard Health Survey Date 03/19/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 36
Total Weighted Health Survey Score 91.333
Number of Substantiated Complaints 5
Number of Fines 1
Total Amount of Fines in Dollars $153160.00
Number of Payment Denials 1
Total Number of Penalties 2
Processing Date 08/01/2017

Owner or Manager · Whitehaven Community Living

Owner Name Role Association Date
COMMUNITY ELDERCARE SERVICES, LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 04/01/2000
COMMUNITY LIVING CENTERS, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 04/01/2000
STRICKLAND, FELIX (Individual) MANAGING EMPLOYEE since 03/21/2016
WRIGHT, DOUGLAS (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/01/2000

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