Signature Health of Portland Rehab & Wellness Cent
215 Highland Circle Drive, Portland, TN 37148


Signature Health of Portland Rehab & Wellness Cent is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 445306. The address is 215 Highland Circle Drive, Portland, TN 37148. The zip code is 37148. The phone number is 6153259263.


Signature Health of Portland Rehab & Wellness Cent · 215 Highland Circle Drive, Portland, TN 37148

Federal Provider Number 445306
Provider Name SIGNATURE HEALTH OF PORTLAND REHAB & WELLNESS CENT
Address 215 HIGHLAND CIRCLE DRIVE
PORTLAND, TN 37148
Phone Number 6153259263
SSA County Code 820
County Name Sumner
Ownership Type For profit - Corporation
Certified Beds 112
Certified Beds Residents 97
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name LP PORTLAND, LLC
Date First Approved to Provide Medicare Medicaid Services 01/01/1993
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 3
Health Inspection Rating 2
Quality Measure Rating 5
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 1.9634
Reported LPN Staffing Hours per Resident per Day 0.96237
Reported RN Staffing Hours per Resident per Day 0.6567
Reported Licensed Staffing Hours per Resident per Day 1.61907
Reported Total Nurse Staffing Hours per Resident per Day 3.58247
Reported Physical Therapist Staffing Hours per Resident Per Day 0.12835
Expected CNA Staffing Hours per Resident per Day 2.61411
Expected LPN Staffing Hours per Resident per Day 0.6482
Expected RN Staffing Hours per Resident per Day 1.03991
Expected Total Nurse Staffing Hours per Resident per Day 4.30222
Adjusted CNA Staffing Hours per Resident per Day 1.84292
Adjusted LPN Staffing Hours per Resident per Day 1.23228
Adjusted RN Staffing Hours per Resident per Day 0.47185
Adjusted Total Nurse Staffing Hours per Resident per Day 3.35654
Cycle 1 Total Number of Health Deficiencies 8
Cycle 1 Number of Standard Health Deficiencies 8
Cycle 1 Number of Complaint Health Deficiencies 2
Cycle 1 Health Deficiency Score 52
Cycle 1 Standard Survey Health Date 11/02/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 52
Cycle 2 Total Number of Health Deficiencies 5
Cycle 2 Number of Standard Health Deficiencies 5
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 32
Cycle 2 Standard Health Survey Date 09/03/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 32
Cycle 3 Total Number of Health Deficiencies 3
Cycle 3 Number of Standard Health Deficiencies 3
Cycle 3 Health Deficiency Score 12
Cycle 3 Standard Health Survey Date 07/22/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 12
Total Weighted Health Survey Score 38.667
Number of Facility Reported Incidents 6
Number of Substantiated Complaints 1
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Signature Health of Portland Rehab & Wellness Cent

Owner Name Role Association Date
ADAMS, SANDRA (Individual) OFFICER since 12/15/2014
ASCHENBECK, JAMES (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/15/2014
HARRISON, JOHN (Individual) OFFICER since 12/15/2014
JJLA LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/15/2014
LAS PALMAS SNF LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/15/2014
LPSNF LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/15/2014
MCCHURCH, CONNOR (Individual) OPERATIONAL/MANAGERIAL CONTROL since 06/30/2017
SHC LP HOLDINGS LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 12/15/2014
SIGNATURE HEALTHCARE CLINICAL CONSULTING SERVICES LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 12/15/2014
SIGNATURE HEALTHCARE CONSULTING SERVICES LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 12/15/2014
SIGNATURE HEALTHCARE LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/15/2014
SMEDRA, IRA (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/15/2014
STEIER, E (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/15/2014
WHEATEN LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/15/2014
WINTNER, JACOB (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/15/2014

Portland · Nursing Home

Barron Center 1145 Brighton Ave, Portland, ME 04102
Marquis Vermont Hills 6010 Sw Shattuck Road, Portland, OR 97221
St Joseph's Rehabilitation and Residence 1133 Washington Ave, Portland, ME 04103
Avamere Crestview of Portland 6530 Sw 30th Avenue, Portland, OR 97239
Glisan Care Center 9750 Ne Glisan Street, Portland, OR 97220
Persimmon Ridge Rehabilitation Centre 200 N Park St, Portland, IN 47371
Laurelhurst Village Rehabilitation Center 3060 Se Stark Street, Portland, OR 97214
Trisun Care Center-coastal Palms 221 Cedar Dr, Portland, TX 78374
Gateway Care and Retirement 39 Ne 102nd Avenue, Portland, OR 97220
Portland Care & Rehab Center 333 Main St, Portland, CT 06480
Rose City Nursing Home 34 Ne 20th Avenue, Portland, OR 97232
Fernhill Estates 5737 Ne 37th Avenue, Portland, OR 97211
West Hills Health & Rehabilitation Center 5701 Sw Multnomah Blvd, Portland, OR 97219
Marquis Autumn Hills Memory Care 6630 Sw Bvtrn-hills Hwy, Portland, OR 97225
Robison Jewish Health Center 6125 Sw Boundary Street, Portland, OR 97221
Seaside Rehab & Health Care 850 Baxter Boulevard, Portland, ME 04103
Park Forest Care Center 8643 Ne Beech Street, Portland, OR 97220
Cornerstone Care Option 12640 Se Bush, Portland, OR 97236
Mirabella Portland 3550 Sw Bond Ave, Portland, OR 97239
Providence Child Center 830 Ne 47th Avenue, Portland, OR 97213
Gracelen Terrace Nf 10948 S.e. Boise, Portland, OR 97266
Holladay Park Plaza 1300 Ne 16th Avenue, Portland, OR 97232
Portland Health & Rehabilitation Center 12441 Se Stark Street, Portland, OR 97233
Cedars Nursing Care Center 630 Ocean Avenue, Portland, ME 04112
Friendship Health Center 3320 Se Holgate, Portland, OR 97202
Marquis Centennial Post Acute Rehab 725 Se 202nd Avenue, Portland, OR 97233
Creekside Rehabilitation and Nursing 812 Se 48th Avenue, Portland, OR 97215
Marquis Mill Park 1475 Se 100th Avenue, Portland, OR 97216
Marquis Piedmont Post Acute Rehab 319 Ne Russet, Portland, OR 97211
Porthaven Healthcare Center 5330 Ne Prescott Street, Portland, OR 97218
Cascade Terrace 5601 Se 122nd Avenue, Portland, OR 97236
Prestige Care and Rehabilitation - Menlo Park 745 Ne 122nd Avenue, Portland, OR 97230
Care Center East Hlth 11325 Ne Weidler, Portland, OR 97220
Secora Rehabilitation of Cascadia 10435 Se Cora Street, Portland, OR 97266
Healthcare At Foster Creek 6003 Se 136th Avenue, Portland, OR 97236
Prestige Care and Rehabilitation of Reedwood 3540 Se Francis Street, Portland, OR 97202
Marquis Mt Tabor 6040 Se Belmont Street, Portland, OR 97215

TN · Nursing Home

Meadowbrook Nursing Center 1245 E College St, Pulaski, TN 38478
Manchester Health Care Center 395 Interstate Drive, Manchester, TN 37355
Nhc Healthcare, Murfreesboro 420 N University St, Murfreesboro, TN 37130
Asbury Place At Kingsport 100 Netherland Lane, Kingsport, TN 37660
Adamsville Healthcare and Rehabilitation Center 409 Park Avenue, Adamsville, TN 38310
Glen Oaks Health and Rehabilitation 1101 Glen Oaks Road, Shelbyville, TN 37160
Harbert Hills Academy N H 3575 Lonesome Pine Road, Savannah, TN 38372
Life Care Center of Gray 791 Old Gray Station Road, Gray, TN 37615
Center On Aging and Health 880 South Mohawk Drive, Erwin, TN 37650
Rainbow Rehabilitation and Healthcare Center, LLC 8119 Memphis-arlington Road, Memphis, TN 38133
Beech Tree Manor 240 Hospital Lane, Po Box 300, Jellico, TN 37762
Millington Healthcare Center 5081 Easley Avenue, Millington, TN 38053
Ardmore Health and Rehabilitation Center 25385 Main Street, Ardmore, TN 38449
Pleasant View Health Care Center 214 North Water Street, Bolivar, TN 38008
Nhc Healthcare, Milan 8017 Dogwood Lane P O Box A, Milan, TN 38358
Alamo Nursing and Rehabilitation Center 580 W Main Street, Alamo, TN 38001
Waynesboro Health and Rehabilitation Center 104 J V Mangubat Drive, Po Box 510, Waynesboro, TN 38485
Laurelwood Healthcare Center 200 Birch St, Jackson, TN 38301
Life Care Center of Greeneville 725 Crum Street, Greeneville, TN 37743
Kindred Health and Rehabilitation-northhaven 3300 Broadway Ne, Knoxville, TN 37917
Life Care Center of Cleveland 3530 Keith St Nw, Cleveland, TN 37311
Madisonville Health and Rehab Center 465 Isbill Rd, Madisonville, TN 37354
Southern Tenn Medical Center Snf 629 Hospital Road, Winchester, TN 37398
The Waters of Clinton, LLC 220 Longmire Rd, Clinton, TN 37716
Humboldt Healthcare and Rehab Center, Inc 2031 Avondale Rd Pbox 446, Humboldt, TN 38343
Cornerstone Village 2012 Sherwood Drive, Johnson City, TN 37601
Nhc Healthcare, Pulaski 993 E College St, Pulaski, TN 38478
Harbor View Nursing and Rehabilitation Center, Inc 1513 N 2nd Street, Memphis, TN 38107
Community Care of Rutherford 901 County Farm Rd, Murfreesboro, TN 37127
Life Care Center of Crossville 80 Justice St, Crossville, TN 38555
Baptist Health Care Center 700 Williams Ferry Rd, Lenoir City, TN 37771
Cambridge House, The 250 Bellebrook Rd, Bristol, TN 37620
Vanayer Healthcare and Rehab Center, Inc 460 Hannings Lane, Martin, TN 38237
Blount Memorial Trans Care Ctr 2320 East Lamar Alexander Pkwy, Maryville, TN 37804
Covington Care Nursing & Rehabilitation Center Inc 765 Bert Johnston Ave P O Box 544, Covington, TN 38019
Brigadier General Wendell H Gilbert Tn State Veter 250 Arrowood Drive, Clarksville, TN 37042
Laurel Manor Health Care 902 Buchanan Rd, New Tazewell, TN 37825
Bledsoe County Nursing Home 107 Wheelertown Avenue, Pikeville, TN 37367
Norris Health and Rehabilitation Center 3382 Andersonville Highway, Andersonville, TN 37705
Life Care Center of Rhea County 10055 Rhea County Highway, Dayton, TN 37321