Contact Information

BAILEY PARK CLC
CLC OF HUMBOLDT, LLC
2400 MITCHELL STREET
HUMBOLDT, TN 38343
(731) 784-5183
For profit - Corporation
Medicare certification date2: November 02, 1994
The is the date the nursing home was certified to participate in the Medicare program.

1 Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities.

2 Agencies that are Medicare Certified are able to participate in Medicare related programs.


Nursing Home Information

  42 residents

  50 certified beds

  Participates in Medicare and Medicaid

  Continuing Care Retirement Community

  In hospital

  Resident Council only

  Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints None
Facility reported incidents None
Number of fines 1
Number of penalties 2
Number of payment denials 1

Staffing

Staffing for 42 residents Tennessee Average National Average
Hours by Registered Nurse (RN) per resident per day 28 minutes 35 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 1 hour, 11 minutes 1 hour, 7 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 5 minutes 2 hours, 8 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day n/a 7 minutes 7 minutes

Staffing hours per resident is the total number of hours worked by the staff divided by the total number of residents. It doesn't necessarily show the number of nursing staff present at any given time or the amount of care given to any one resident.

Ownership

5% OR GREATER DIRECT OWNERSHIP INTEREST

  • COMMUNITY LIVING CENTERS, LLC

5% OR GREATER INDIRECT OWNERSHIP INTEREST

  • WRIGHT, DOUGLAS

OPERATIONAL/MANAGERIAL CONTROL

  • COMMUNITY ELDERCARE SERVICES, LLC
  • HICKERSON, JAMES
  • WRIGHT, DOUGLAS

Nursing Home Report

In 2016, BAILEY PARK CLC charged a total of $2,244,129 for 84 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 79.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 20% Alzheimer's 68%
Asthma 38% Cancer 19%
Congestive Heart Failure 55% Kidney Disease 73%
COPD 38% Depression 62%
Diabetes 50% Hyperlipidemia n/a
Hypertension n/a Ischemic Heart Disease 74%
Osteoporosis 26% RA / OA 71%
Schizophrenia 14% Stroke 15%
Demographics
Medicare Beneficiaries 84 Average Age 79
Male 31 Female 53
White 71
Black 13
Asian 0
Hispanic 0
American Indian 0
Other 0

Health & Fire Inspection

Most recent health inspection: Apr 11, 2018; fire safety inspection: Apr 10, 2018

Health Deficiencies as of 04/11/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care 3
Resident Assessment and Care Planning None
Nursing and Physician Services None
Resident Rights 1
Nutrition and Dietary Deficiencies None
Pharmacy Service None
Environmental Deficiencies 1
Administration Deficiencies None
Fire Deficiencies as of 04/10/2018
Emergency Preparedness 3
Automatic Sprinkler Systems None
Construction Deficiencies None
Services Deficiencies None
Corridor Walls and Doors None
Egress Deficiencies None
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies 2
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems None
Hazardous Area None
Illumination and Emergency Power None
Laboratories Deficiencies None
Medical Gases and Anesthetizing Areas None
Smoking Regulations None
Miscellaneous Regulations None

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See also