Good Samaritan Health And Rehab Center
Good Samaritan Health And Rehab Center Information
| Facility Name | Good Samaritan Health And Rehab Center |
| Location | 500 Hickory Hollow Terrace, Antioch, TN 37013 |
| County (SSA Code) | Davidson (180) |
| Phone Number | 615-731-7130 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 110 |
| Average Number of Residents | 94.7 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short 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 | EBENEZER HOME OF TENNESSEE INC |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1985-01-16 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.21824 |
| Reported LPN Staffing Hours per Resident per Day | 0.9059 |
| Reported RN Staffing - Hours per Resident per Day | 0.61121 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.51711 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.73535 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.11039 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.20186 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.70107 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.3031 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.20604 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.71455 |
| Total Weighted Health Survey Score for three cycles | 67.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-05-02 |
| Rating cycle 1 - Health Deficiency Score | 2 |
| Rating cycle 1 - Total Health Inspection Score | 132 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-04-18 |
| Rating cycle 2 - Health Deficiency Score | 132 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-02-16 |
| Rating cycle 3 - Health Deficiency Score | 80 |
| Rating cycle 3 - Total Health Inspection Score | 80 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Fines | 2 |
| Total Amount of Fines (in Dollars) | 51876 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 3 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |