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Starr Regional Health & Rehabilitation

886 Hwy 411 North, Etowah, TN 37331
4232633646
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Overall CMS Rating

3.0/5

vs State Average: 3.0 stars

3.0/5

Health Inspections

vs State Average: 2.8/5

4.0/5

Staffing Level

vs State Average: 2.5/5

4.0/5

Quality Measures

vs State Average: 3.5/5

2 penalties in last 3 years
Penalties
vs State Average: 0.7 penalties

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Ratings Deep Dive

Score
3.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
2 Penalties in last 3 years
2 Fines issued
Citation Date Description Severity
Feb 6, 2024 Ensure each resident receives an accurate assessment. D
Feb 6, 2024 PASARR screening for Mental disorders or Intellectual Disabilities D
Feb 6, 2024 Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. D
Feb 6, 2024 Post nurse staffing information every day. D
Feb 6, 2024 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F
Score
4.0
State Average
2.5
National Average
2.9
0.8 RN Hours / Resident / Day
3.6 Total Nurse Hours / Resident / Day
9.1% RN Turnover Rate
Score
4.0
State Average
3.5
National Average
3.6
3.0 Long-Stay QM Rating
5.0 Short-Stay QM Rating
59.1 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST LIFEPOINT HOLDINGS 2 LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST DSB ACQUISITION LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST HISTORIC LIFEPOINT HOSPITALS, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST LEGACY LIFEPOINT HEALTH LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST LIFEPOINT HEALTH INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST LIFEPOINT HOSPITALS HOLDINGS LLC
OPERATIONAL/MANAGERIAL CONTROL LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP
OPERATIONAL/MANAGERIAL CONTROL COE, SHARON
OPERATIONAL/MANAGERIAL CONTROL HUDGINS, CRYSTAL
OPERATIONAL/MANAGERIAL CONTROL LAPINSKI, EVAN
Recent Penalties
Date Type Fine
Feb 6, 2024 Fine $4,017
Feb 6, 2024 Fine $4,680

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