Pine Meadows Health Care
Pine Meadows Health Care Information
| Facility Name | Pine Meadows Health Care |
| Location | 700 Nuckolls Road, Bolivar, TN 38008 |
| County (SSA Code) | Hardeman (340) |
| Phone Number | 731-658-4707 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 134 |
| Average Number of Residents | 123.5 |
| 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 | BOLIVAR OPERATOR LLC |
| Ownership Type | For profit - Limited Liability company |
| Date First Approved | 1989-09-06 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.27726 |
| Reported LPN Staffing Hours per Resident per Day | 0.95495 |
| Reported RN Staffing - Hours per Resident per Day | 0.44186 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.39681 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.67407 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.03524 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.1755 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.72837 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.34491 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.24878 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.60555 |
| Total Weighted Health Survey Score for three cycles | 14 |
| Rating cycle 1 Standard Survey Health Date | 2019-04-11 |
| Rating cycle 1 - Health Deficiency Score | 1 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-06-06 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-05-18 |
| Rating cycle 3 - Health Deficiency Score | 72 |
| Rating cycle 3 - Total Health Inspection Score | 72 |
| Number of Facility-Reported Incidents | 0 |
| 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 |