Shannondale of Maryville Health Care Center
803 Shannondale Way, Maryville, TN 37803


Shannondale of Maryville Health Care Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 445472. The address is 803 Shannondale Way, Maryville, TN 37803. The zip code is 37803. The phone number is 8659824599.


Shannondale of Maryville Health Care Center · 803 Shannondale Way, Maryville, TN 37803

Federal Provider Number 445472
Provider Name SHANNONDALE OF MARYVILLE HEALTH CARE CENTER
Address 803 SHANNONDALE WAY
MARYVILLE, TN 37803
Phone Number 8659824599
SSA County Code 40
County Name Blount
Ownership Type Non profit - Corporation
Certified Beds 44
Certified Beds Residents 40
Provider Type Medicare
Resides in Hospital false
Legal Business Name PRESBYTERIAN HOMES OF TENNESSEE INC
Date First Approved to Provide Medicare Medicaid Services 07/07/2003
Continuing Care Retirement Community true
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council None
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating Footnote Rating Not Displayed
Health Inspection Rating 5
Quality Measure Rating 5
Staffing Rating Footnote Rating Not Displayed
RN Staffing Rating Footnote Rating Not Displayed
Reported CNA Staffing Hours per Resident per Day 4.15375
Reported LPN Staffing Hours per Resident per Day 2.2575
Reported RN Staffing Hours per Resident per Day 1.72125
Reported Licensed Staffing Hours per Resident per Day 3.97875
Reported Total Nurse Staffing Hours per Resident per Day 8.1325
Reported Physical Therapist Staffing Hours per Resident Per Day 0.57875
Expected CNA Staffing Hours per Resident per Day 2.53775
Expected LPN Staffing Hours per Resident per Day 0.50363
Expected RN Staffing Hours per Resident per Day 0.72488
Expected Total Nurse Staffing Hours per Resident per Day 3.76625
Adjusted CNA Staffing Hours per Resident per Day 4.01619
Adjusted LPN Staffing Hours per Resident per Day 3.72045
Adjusted RN Staffing Hours per Resident per Day 1.77425
Adjusted Total Nurse Staffing Hours per Resident per Day 8.70396
Cycle 1 Standard Survey Health Date 08/24/2016
Cycle 2 Standard Health Survey Date 08/26/2015
Cycle 3 Standard Health Survey Date 05/14/2014
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Shannondale of Maryville Health Care Center

Owner Name Role Association Date
BEALS, CATHERINE (Individual) DIRECTOR since 01/01/1997
BURKETT, HOLLY (Individual) DIRECTOR since 01/01/2011
COLQUITT, JOE (Individual) DIRECTOR since 01/01/2004
DALTON, ROY (Individual) DIRECTOR since 01/01/2009
HURT, WILLIAM (Individual) DIRECTOR since 01/01/2009
JARVIS, STUART (Individual) DIRECTOR since 01/01/2010
JONES, DEBORAH (Individual) DIRECTOR since 01/01/2009
KEASLING, DALE (Individual) DIRECTOR since 01/01/1974
KILLEFER, ROBERT (Individual) DIRECTOR since 01/01/1997
MARTIN, SANDRA (Individual) DIRECTOR since 01/01/1996
MAXWELL, DAVID (Individual) MANAGING EMPLOYEE since 07/07/2003
MILLER, MICHAEL (Individual) DIRECTOR since 01/01/2011
MYERS, FRANK (Individual) DIRECTOR since 01/01/1986
OVERBEY, JAMES (Individual) DIRECTOR since 01/01/2009
PITTENGER, GAINES (Individual) DIRECTOR since 01/01/2008
REEVES, WILLIAM (Individual) DIRECTOR since 01/01/2000
THOMAS, WILLIAM (Individual) DIRECTOR since 07/07/2003
TUCKER, MARY (Individual) DIRECTOR since 01/01/1999
WEST, CHARLES (Individual) DIRECTOR since 01/01/2007

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