The legal business name is Ebenezer Home Of Tennessee Inc. This facility was first approved to provide Medicare and Medicaid services on 01/16/1985. It does not belong to a continuing care retirement community. The affiliated entity name is not listed. This facility has a Resident and Family Council.
The overall rating is 1 stars, with a health inspection rating of 1 stars, a quality measures rating of 2 stars, a long-stay QM rating of 2 stars, a short-stay QM rating of N/A stars, and a staffing rating of 1 stars.
The facility has reported 11 facility-related incidents, 12 substantiated complaints, no citations from infection control inspections, and 4 fines, with the total amount of fines in dollars being $36,706. The number of payment denials is 0, and the total number of penalties is 4.
| Good Samaritan Health And Rehab Center Phone: (615) 731-7130 |
| Good Samaritan Health And Rehab Center Address: 500 Hickory Hollow Terrace |
| City: Antioch |
| State: TN |
| ZIP Code: 37013 |
| County: Davidson |
| Overall Rating | |
| Health Inspection Rating | |
| QM Rating | |
| Long-Stay QM Rating | |
| Short-Stay QM Rating | |
| Staffing Rating |
| Number of Certified Beds | 110 |
| Average Number of Residents per Day | 84.4 |
| Legal Business Name | Ebenezer Home Of Tennessee Inc |
| Affiliated Entity Name | |
| Ownership Type | For profit – Corporation |
| Provider Type | Medicare and Medicaid |
| Provider Resides in Hospital | N |
| Legal Business Name | EBENEZER HOME OF TENNESSEE INC |
| Date First Approved to Provide Medicare and Medicaid Services | 1/16/1985 |
| Affiliated Entity Name | |
| Continuing Care Retirement Community | N |
| Most Recent Health Inspection More Than 2 Years Ago | N |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Reported Total Nurse Staffing Hours per Resident per Day | |
| Reported Nurse Aide Staffing Hours per Resident per Day | |
| Reported LPN Staffing Hours per Resident per Day | |
| Reported RN Staffing Hours per Resident per Day | |
| Reported Licensed Staffing Hours per Resident per Day | |
| Total number of nurse staff hours per resident per day on the weekend | |
| Registered Nurse hours per resident per day on the weekend | |
| Reported Physical Therapist Staffing Hours per Resident Per Day |
| Number of Facility Reported Incidents | 11 |
| Number of Substantiated Complaints | 12 |
| Number of Citations from Infection Control Inspections | |
| Number of Fines | 4 |
| Total Amount of Fines in Dollars | $36,706 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 4 |
* Data is based on CMS Nursing homes including rehab services dataset.