Signature Healthcare of Erin
278 Rocky Hollow Road, Erin, TN 37061


Signature Healthcare of Erin is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 445377. The address is 278 Rocky Hollow Road, Erin, TN 37061. The zip code is 37061. The phone number is 9312894141.


Signature Healthcare of Erin · 278 Rocky Hollow Road, Erin, TN 37061

Federal Provider Number 445377
Provider Name SIGNATURE HEALTHCARE OF ERIN
Address 278 ROCKY HOLLOW ROAD
ERIN, TN 37061
Phone Number 9312894141
SSA County Code 410
County Name Houston
Ownership Type For profit - Corporation
Certified Beds 164
Certified Beds Residents 128
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name LP ERIN LLC
Date First Approved to Provide Medicare Medicaid Services 07/01/1996
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 4
Quality Measure Rating 5
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.04844
Reported LPN Staffing Hours per Resident per Day 0.95078
Reported RN Staffing Hours per Resident per Day 0.66992
Reported Licensed Staffing Hours per Resident per Day 1.6207
Reported Total Nurse Staffing Hours per Resident per Day 3.66914
Reported Physical Therapist Staffing Hours per Resident Per Day 0.09805
Expected CNA Staffing Hours per Resident per Day 2.54002
Expected LPN Staffing Hours per Resident per Day 0.66809
Expected RN Staffing Hours per Resident per Day 1.0661
Expected Total Nurse Staffing Hours per Resident per Day 4.27421
Adjusted CNA Staffing Hours per Resident per Day 1.97883
Adjusted LPN Staffing Hours per Resident per Day 1.1812
Adjusted RN Staffing Hours per Resident per Day 0.46953
Adjusted Total Nurse Staffing Hours per Resident per Day 3.46028
Cycle 1 Total Number of Health Deficiencies 1
Cycle 1 Number of Standard Health Deficiencies 1
Cycle 1 Health Deficiency Score 8
Cycle 1 Standard Survey Health Date 06/07/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 8
Cycle 2 Total Number of Health Deficiencies 2
Cycle 2 Number of Standard Health Deficiencies 2
Cycle 2 Health Deficiency Score 8
Cycle 2 Standard Health Survey Date 03/30/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 8
Cycle 3 Total Number of Health Deficiencies 6
Cycle 3 Number of Standard Health Deficiencies 6
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 36
Cycle 3 Standard Health Survey Date 03/19/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 36
Total Weighted Health Survey Score 12.667
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Signature Healthcare of Erin

Owner Name Role Association Date
ADAMS, SANDRA (Individual) OFFICER since 11/01/2007
ASCHENBECK, JAMES (Individual) OPERATIONAL/MANAGERIAL CONTROL since 08/28/2014
COTTON, BARRY (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/31/2009
HARRISON, JOHN (Individual) OFFICER since 11/01/2007
JJLA LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2007
LP CR HOLDINGS LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 11/01/2007
LPSNF II, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/01/2016
SIGNATURE HEALTHCARE CLINICAL CONSULTING SERVICES LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 11/01/2007
SIGNATURE HEALTHCARE CONSULTING SERVICES LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 11/01/2007
SIGNATURE HEALTHCARE LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 11/01/2007
SIGNATURE HOLDINGS II, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/01/2016
SMEDRA, IRA (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2007
STEIER, E (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2007
WHEATEN LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2007
WINTNER, JACOB (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2007

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