Oakwood Community Living Center
1636 Woodlawn, Dyersburg, TN 38024


Oakwood Community Living Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 445335. The address is 1636 Woodlawn, Dyersburg, TN 38024. The zip code is 38024. The phone number is 7312856400.


Oakwood Community Living Center · 1636 Woodlawn, Dyersburg, TN 38024

Federal Provider Number 445335
Provider Name OAKWOOD COMMUNITY LIVING CENTER
Address 1636 WOODLAWN
DYERSBURG, TN 38024
Phone Number 7312856400
SSA County Code 220
County Name Dyer
Ownership Type For profit - Corporation
Certified Beds 50
Certified Beds Residents 39
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name CLC OF DYERSBURG, LLC
Date First Approved to Provide Medicare Medicaid Services 09/01/1994
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 5
Health Inspection Rating 3
Quality Measure Rating 5
Staffing Rating 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 4.48333
Reported LPN Staffing Hours per Resident per Day 2.11154
Reported RN Staffing Hours per Resident per Day 1.66795
Reported Licensed Staffing Hours per Resident per Day 3.77949
Reported Total Nurse Staffing Hours per Resident per Day 8.26282
Reported Physical Therapist Staffing Hours per Resident Per Day 0.01154
Expected CNA Staffing Hours per Resident per Day 2.47443
Expected LPN Staffing Hours per Resident per Day 0.57299
Expected RN Staffing Hours per Resident per Day 0.91065
Expected Total Nurse Staffing Hours per Resident per Day 3.95806
Adjusted CNA Staffing Hours per Resident per Day 4.44577
Adjusted LPN Staffing Hours per Resident per Day 3.05867
Adjusted RN Staffing Hours per Resident per Day 1.36858
Adjusted Total Nurse Staffing Hours per Resident per Day 8.41487
Cycle 1 Total Number of Health Deficiencies 7
Cycle 1 Number of Standard Health Deficiencies 7
Cycle 1 Health Deficiency Score 28
Cycle 1 Standard Survey Health Date 12/07/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 28
Cycle 2 Total Number of Health Deficiencies 6
Cycle 2 Number of Standard Health Deficiencies 6
Cycle 2 Health Deficiency Score 24
Cycle 2 Standard Health Survey Date 06/08/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 24
Cycle 3 Total Number of Health Deficiencies 10
Cycle 3 Number of Standard Health Deficiencies 9
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 52
Cycle 3 Standard Health Survey Date 12/16/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 52
Total Weighted Health Survey Score 30.667
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Oakwood Community Living Center

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
NO PERCENTAGE PROVIDED
since 04/01/2000
GRIFFIN, RICKEY (Individual) MANAGING EMPLOYEE since 11/03/2016
WRIGHT, DOUGLAS (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 04/01/2000

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