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JEFFERSON COUNTY NURSING HOME
NPI 1285624361
Skilled Nursing Facility in Dandridge, TN

Active since October 28, 2005CLIA 44D0659186 · Waiver
3/5
Overall Rating
914 INDUSTRIAL PARK RD, DANDRIDGE, TN 37725(865) 397-3163(865) 397-4225 Get Directions Write a Review

NPPES record last updated: August 29, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jefferson County Nursing Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFERSON COUNTY NURSING HOME (NPI 1285624361) is a healthcare organization registered as a skilled nursing facility in Dandridge, Tennessee and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Roger L Mynatt, Administrator, as its authorized official.

NPPES Registry Identity

NPI1285624361
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameJEFFERSON COUNTY NURSING HOME
Location Address914 INDUSTRIAL PARK RDDandridge, TN 37725-4700
Mailing Address914 Industrial Park RdDandridge, TN 37725-4700 · (865) 397-3163 · Fax (865) 397-4225
Phone(865) 397-3163
Fax(865) 397-4225
Organization SubpartNo
Authorized OfficialRoger L MynattAdministrator · (865) 397-3163
Enumeration DateOctober 28, 2005
Last NPPES UpdateAugust 29, 2007
✔ NPI 1285624361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in TN · 138
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
914 INDUSTRIAL PARK RD, Dandridge, TN 37725
Open in Google Maps ↗

Other Identifiers 2

Medicare OSCAR/certification445473TN
Medicaid7440105TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D0659186

Jefferson County Nursing Home · Dandridge, TN
Active · expires Aug 31, 2026
CLIA Number44D0659186
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorArnolene D. Seahorn
Laboratory Phone(423) 397-3163
Laboratory LocationJefferson County Nursing Home914 Industrial Park Rd, Dandridge, TN 37725
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Jefferson County Nursing Home (CMS certification number 445473), from CMS Care Compare.

Jefferson County Nursing Home

Nursing home · Dandridge, TN
3/5 CMS Overall Rating
OwnershipGovernment - City/county
CMS Certification Number445473
Certified Beds160 beds145 residents per day on average
Medicare & Medicaid Participant SinceJanuary 22, 2004
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
33.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.69 · LPN 1.08 · RN 0.36
4.14 hrs per resident per day
Weekend Nurse Staffing
3.28 hrs per resident per day
Physical Therapist Staffing
0.04 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
43.2%
Registered Nurse Turnover
41.2%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
3
Infection-Control Citations
0
Fines
3 totaling $13,541.45
Medicare Payment Denials
0
Total Penalties
3
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHYLLIS PERDUE
Physical Therapy Assistant
914 INDUSTRIAL PARK RD
DANDRIDGE, TN 37725
Jefferson County (865) 397-3711
SARAH HOOSE
Physical Therapy Assistant
914 INDUSTRIAL PARK RD
DANDRIDGE, TN 37725
Jefferson County (865) 397-3711
MRS. BRANDY JEAN DICKSON OTA
Occupational Therapy Assistant
914 INDUSTRIAL PARK RD
DANDRIDGE, TN 37725
Jefferson County (865) 397-3711
MAHLA BELL
Occupational Therapy Assistant
914 INDUSTRIAL PARK RD
DANDRIDGE, TN 37725
Jefferson County (865) 397-3333
MRS. ROBIN HERRON CONARD PT
Physical Therapist
914 INDUSTRIAL PARK RD
DANDRIDGE, TN 37725
Jefferson County (865) 397-3333
MR. JUSTIN BLAKE TAYLOR PTA
Physical Therapy Assistant
914 INDUSTRIAL PARK RD
DANDRIDGE, TN 37725
Jefferson County (865) 397-3333
JANELL BRADY
Physical Therapist
914 INDUSTRIAL PARK RD
DANDRIDGE, TN 37725
Jefferson County (865) 397-3163
SHELIA BROCK
Physical Therapy Assistant
914 INDUSTRIAL PARK RD
DANDRIDGE, TN 37725
Jefferson County (865) 397-3711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jefferson County Nursing Home's NPI number?

The NPI number for Jefferson County Nursing Home is 1285624361. It was assigned to this organization in the NPPES registry on October 28, 2005.

Where is Jefferson County Nursing Home located?

Jefferson County Nursing Home is located at 914 Industrial Park Rd, Dandridge, TN 37725. The listed phone number is (865) 397-3163.

What is Jefferson County Nursing Home's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Jefferson County Nursing Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0659186) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Jefferson County Nursing Home a Medicare-certified nursing home?

Yes. Jefferson County Nursing Home is a Medicare-certified nursing home with 160 certified beds.

What quality rating does Jefferson County Nursing Home have?

CMS rates Jefferson County Nursing Home 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Jefferson County Nursing Home accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Jefferson County Nursing Home as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jefferson County Nursing Home was last updated on August 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.