Hickman Community Nursing Home
Hickman Community Nursing Home Information
| Facility Name | Hickman Community Nursing Home |
| Location | 135 E Swan St, Centerville, TN 37033 |
| County (SSA Code) | Hickman (400) |
| Phone Number | 931-729-3513 |
| Certification(s) | Medicaid |
| Number of Beds | 40 |
| Average Number of Residents | 22.2 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | Legal Business Name Not Available |
| Ownership Type | Non profit - Corporation |
| Date First Approved | 1974-03-31 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.3401 |
| Reported LPN Staffing Hours per Resident per Day | 1.29117 |
| Reported RN Staffing - Hours per Resident per Day | 0.54496 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.83613 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.17623 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.87563 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.61129 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.32623 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.81316 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.73298 |
| Total Weighted Health Survey Score for three cycles | 11.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-11-05 |
| Rating cycle 1 - Total Health Inspection Score | 24 |
| Date of Rating cycle 2 Standard Health Survey Date | 2019-01-03 |
| Rating cycle 2 - Health Deficiency Score | 24 |
| Date of Rating cycle 3 Standard Health Survey Date | 2018-03-28 |
| Rating cycle 3 - Health Deficiency Score | 20 |
| Rating cycle 3 - Total Health Inspection Score | 20 |
| Number of Facility-Reported Incidents | 1 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |