Life Care Center of Sparta
508 Mose Drive, Sparta, TN 38583


Life Care Center of Sparta is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 445421. The address is 508 Mose Drive, Sparta, TN 38583. The zip code is 38583. The phone number is 9317389430.


Life Care Center of Sparta · 508 Mose Drive, Sparta, TN 38583

Federal Provider Number 445421
Provider Name LIFE CARE CENTER OF SPARTA
Address 508 MOSE DRIVE
SPARTA, TN 38583
Phone Number 9317389430
SSA County Code 920
County Name White
Ownership Type For profit - Corporation
Certified Beds 100
Certified Beds Residents 70
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name SPARTA MEDICAL INVESTORS LIMITED PARTNERSHIP
Date First Approved to Provide Medicare Medicaid Services 10/18/2000
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 5
Health Inspection Rating 5
Quality Measure Rating 4
Staffing Rating 3
RN Staffing Rating 2
Reported CNA Staffing Hours per Resident per Day 2.73786
Reported LPN Staffing Hours per Resident per Day 1.42143
Reported RN Staffing Hours per Resident per Day 0.485
Reported Licensed Staffing Hours per Resident per Day 1.90643
Reported Total Nurse Staffing Hours per Resident per Day 4.64429
Reported Physical Therapist Staffing Hours per Resident Per Day 0.065
Expected CNA Staffing Hours per Resident per Day 2.7394
Expected LPN Staffing Hours per Resident per Day 0.69773
Expected RN Staffing Hours per Resident per Day 1.17565
Expected Total Nurse Staffing Hours per Resident per Day 4.61278
Adjusted CNA Staffing Hours per Resident per Day 2.45232
Adjusted LPN Staffing Hours per Resident per Day 1.6909
Adjusted RN Staffing Hours per Resident per Day 0.30825
Adjusted Total Nurse Staffing Hours per Resident per Day 4.05843
Cycle 1 Standard Survey Health Date 12/14/2016
Cycle 2 Total Number of Health Deficiencies 2
Cycle 2 Number of Standard Health Deficiencies 2
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 8
Cycle 2 Standard Health Survey Date 12/02/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 8
Cycle 3 Total Number of Health Deficiencies 1
Cycle 3 Number of Standard Health Deficiencies 1
Cycle 3 Health Deficiency Score 4
Cycle 3 Standard Health Survey Date 10/01/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 4
Total Weighted Health Survey Score 3.333
Number of Substantiated Complaints 1
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Life Care Center of Sparta

Owner Name Role Association Date
CROSS, CINDY (Individual) OFFICER since 02/03/1994
DEVELOPERS INVESTMENT COMPANY INC (Organization) PARTNERSHIP INTEREST since 03/12/1993
HOWE, CATHY (Individual) MANAGING EMPLOYEE since 05/07/2012
LIFE CARE CENTERS OF AMERICA, INC. (Organization) OPERATIONAL/MANAGERIAL CONTROL since 03/03/2000
PRESTON, FORREST (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
99%
since 03/12/1993
PRESTON, FORREST (Individual) PARTNERSHIP INTEREST since 03/12/1993
THURMOND, JOAN (Individual) OFFICER since 09/21/2000

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