Pleasant View Health Care Center
214 North Water Street, Bolivar, TN 38008


Pleasant View Health Care Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 445352. The address is 214 North Water Street, Bolivar, TN 38008. The zip code is 38008. The phone number is 7316585287.


Pleasant View Health Care Center · 214 North Water Street, Bolivar, TN 38008

Federal Provider Number 445352
Provider Name PLEASANT VIEW HEALTH CARE CENTER
Address 214 NORTH WATER STREET
BOLIVAR, TN 38008
Phone Number 7316585287
SSA County Code 340
County Name Hardeman
Ownership Type For profit - Corporation
Certified Beds 67
Certified Beds Residents 47
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name CORNERSTONE HEALTH CARE OF BOLIVAR INC
Date First Approved to Provide Medicare Medicaid Services 07/01/1995
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 2
Quality Measure Rating 2
Staffing Rating 1
RN Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 2.75851
Reported LPN Staffing Hours per Resident per Day 0.36489
Reported RN Staffing Hours per Resident per Day 0.12128
Reported Licensed Staffing Hours per Resident per Day 0.48617
Reported Total Nurse Staffing Hours per Resident per Day 3.24468
Expected CNA Staffing Hours per Resident per Day 2.29897
Expected LPN Staffing Hours per Resident per Day 0.58093
Expected RN Staffing Hours per Resident per Day 0.86432
Expected Total Nurse Staffing Hours per Resident per Day 3.74422
Adjusted CNA Staffing Hours per Resident per Day 2.94417
Adjusted LPN Staffing Hours per Resident per Day 0.52134
Adjusted RN Staffing Hours per Resident per Day 0.10485
Adjusted Total Nurse Staffing Hours per Resident per Day 3.49312
Cycle 1 Total Number of Health Deficiencies 4
Cycle 1 Number of Standard Health Deficiencies 4
Cycle 1 Health Deficiency Score 16
Cycle 1 Standard Survey Health Date 06/08/2017
Cycle 1 Total Health Score 16
Cycle 2 Total Number of Health Deficiencies 5
Cycle 2 Number of Standard Health Deficiencies 5
Cycle 2 Health Deficiency Score 40
Cycle 2 Standard Health Survey Date 03/23/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 40
Cycle 3 Total Number of Health Deficiencies 21
Cycle 3 Number of Standard Health Deficiencies 21
Cycle 3 Health Deficiency Score 176
Cycle 3 Standard Health Survey Date 03/12/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 176
Total Weighted Health Survey Score 50.667
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Pleasant View Health Care Center

Owner Name Role Association Date
CORNERSTONE HEALTH SERVICES GROUP INC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2005
HAYS, JANICE (Individual) MANAGING EMPLOYEE since 07/25/2014
KYLE, KATHY (Individual) MANAGING EMPLOYEE since 01/01/2005
KYLE, KATHY (Individual) OFFICER since 01/01/2005
MAYFIELD, AMBER (Individual) MANAGING EMPLOYEE since 03/31/2014
MILENSKI, CYNTHIA (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
75%
since 01/01/2005
MILENSKI, CYNTHIA (Individual) OFFICER since 01/01/2005
SIMONTON, JOHN (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
since 01/01/2005
SIMONTON, JOHN (Individual) OFFICER since 01/01/2005

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