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LEBANON CENTER FOR REHABILITATION AND HEALING, LLC Inspection Report, Violations & Safety Grade (LEBANON, Tennessee)

731 CASTLE HEIGHTS COURT, LEBANON, Tennessee 37087

Phone: 6154444319

CMS Overall:5/5

Overview & Bed Count

Certified Beds
60
Avg Residents/Day
53.8
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Wilson
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health4/5
Staffing2/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityTennessee AvgDifference
RN Hours per Resident per Day0.620.60+0.02
Total Nurse Hours per Resident per Day4.283.82+0.46
CMS Staffing Rating2/52.5/5-
Nursing Staff Turnover58.3%48.6%-

Health Citation History

4 health citations on record

DateCategoryDescriptionSeverity
2022-08-17Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2018-10-03Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2018-10-03Nursing and Physician Services DeficienciesObtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.D – Moderate Harm Potential
2018-10-03Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential

Fire Safety Citation History

9 fire safety citations on record

DateCategoryDescriptionSeverity
2019-10-01Egress DeficienciesInstall proper backup exit lighting.D – Moderate Harm Potential
2019-10-01Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.D – Moderate Harm Potential
2019-10-01Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2019-10-01Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.D – Moderate Harm Potential
2018-10-03Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.D – Moderate Harm Potential
2018-10-03Egress DeficienciesProvide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.D – Moderate Harm Potential
2018-10-03Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.D – Moderate Harm Potential
2018-10-03Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2018-10-03Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the installation and maintenance of electrical systems.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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