United States: Tennessee CON Report - January 2014

I. January 2014—Tennessee Certificate of Need Meeting

At the January meeting of the Tennessee Health Services Development Agency, Jeff Ockerman gave an update on the development of the new nursing home and home health standards. The home health standards are currently being reviewed by TennCare, and the nursing home standards have been sent to TennCare for review. Both the home health and nursing home standards will be circulated for public comment soon.

The agency approved the following applications during the January meeting.

A. Certificate of Need Review

1. MUA of Middle Tennessee, LLC, Nashville (Davidson County), Tennessee (CN1308-031). The addition of interventional pain management services to a single specialty ambulatory surgical treatment center (ASTC) with one procedure room that is currently authorized to provide only manipulation under anesthesia (MUA) services, which are manual, not operative, surgical procedures. The estimated project cost is $113,000.

2. Smoky Mountain Ambulatory Surgery Center, LLC, Knoxville (Knox County), Tennessee (CN1308-032): The addition of interventional pain management services at its ASTC, which currently provides MUA services, to be provided in the same procedure room that is currently licensed, at an estimated project cost of $53,000.

3. Woodridge of West Tennessee, LLC, Jackson (Madison County), Tennessee (CN1309-035): Establishment of a new 16-bed geriatric inpatient psychiatric facility located at 49 Old Hickory Boulevard, Jackson, Tennessee. The estimated project cost is $1,158,737.

4. The Village at Germantown Skilled Nursing Facility, Germantown (Shelby County), Tennessee (CN1310-039): The addition of 20* Medicare-certified skilled nursing facility beds to the existing 30-bed facility at an estimated project cost of $5,641,539. *These beds are subject to the 2013-14 Nursing Home Bed Pool.

B. General Counsel's Report

1. Parkridge Valley Hospital, Chattanooga (Hamilton County), Tennessee (CN1202-006A). Request for modification to the certificate of need by increasing the project cost by $566,006 from $140,000 to $706,006. This project was approved on May 23, 2012, with an expiration date of July 1, 2015, for the addition of 16 additional child and adolescent psychiatric beds and the relocation of all 48 of its licensed adult psychiatric beds to a new campus site.

2. Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville (Davidson County), Tennessee (CN0710-075A). Request for modifications and a four-year extension of expiration date from March 1, 2014, to March 1, 2018. Modifications include a change in the floor plan, which will result in a decrease in square footage from 372,140 square feet to 210,000 square feet of new construction and a $128,326,286 decrease of the total project cost from $248,326,286 to $120,000,000. On January 23, 2008, this project was approved for the expansion of the existing hospital through an adjacent building connected to the hospital and the addition of 105 beds.

The next agency meeting will be held on February 26, 2014, at 8:30 a.m.

II. Certificate of Need Program Report—Filings Since December 2013 Meeting

A. Letters of Intent

1. Hospice Alpha, Inc., Nashville (Davidson County), Tennessee (Void). The establishment of a hospice agency to serve residents of Dickson, Montgomery, Robertson, Rutherford, Sumner, Williamson, and Wilson Counties at an estimated project cost of $100,000. The letter of intent is void as it did not meet the regulatory requirement that the parent office of a home health organization be in a county that is licensed by the organization as specified in Tenn. Code Ann. § 68-11-1607 and Agency Rule 0720-10-.03.

2. Uplands Wellness Center, Pleasant Hill (Cumberland County), Tennessee (Void): The relocation of 31 of the current 62 licensed intermediate care facility/skilled nursing facility beds from Wharton Nursing Home at 880 West Main Street to Uplands Wellness Center, a 4,808 square foot facility located at 55 West Lake Road in Pleasant Hill, Tennessee. The vacated beds at Wharton Nursing Home will become an Alzheimer's assisted living unit (ALU). The estimated project cost is $5,100,000. This letter of intent is void as a certificate of need application was not filed within the time frame set forth by Agency Rule 0720-10-.03.

3. Wharton Nursing Home, Pleasant Hill (Cumberland County), Tennessee (Withdrawn): The renovation of an adjacent building for relocation of 31 nursing home beds to Wharton Nursing Home located at 880 West Main Street, Pleasant Hill, Tennessee, and the conversion of 31 nursing home beds at Upland Village to a new 31-bed Alzheimer's ALU at 55 West Lake Road in Pleasant Hill, Tennessee. The estimated project cost is $5,100,000. This letter of intent was withdrawn.

B. Applications for CON

1. Select Specialty Hospital—North Knoxville, Powell (Knox County), Tennessee (CN1312-047): The relocation of 33 long-term acute care beds from 900 East Oak Hill Ave., 4th Floor, Knoxville, Tennessee, to leased space at North Knoxville Medical Center, Physicians Plaza B, 1st Floor, Knoxville, Tennessee. The estimated project cost is $13,910,744.

2. Ave Maria Home, Bartlett (Shelby County), Tennessee (CN1312-048): The replacement of 35 of the current 75 skilled nursing beds at 2805 Charles Bryan Road, Bartlett, Tennessee, and the addition of 30 Medicare-certified skilled nursing beds at 2840 Charles Bryan Road, Bartlett, Tennessee. If approved, the facility will have a total of 105 beds. The estimated project cost is $7,999,960.

3. SBH-Kingsport, LLC, Kingsport (Sullivan County), Tennessee (CN1312-050): The establishment of a new inpatient psychiatric hospital and initiation of inpatient psychiatric hospital services with 72 new licensed psychiatric beds (18 adult beds, 16 geriatric beds, 28 child and adolescent beds, and 10 chemical dependency beds). The estimated project cost is $11,717,915.

4. Saint Thomas Midtown Hospital, Nashville (Davidson County), Tennessee (CN1401-001): The renovation of surgical suites, patient care areas, and support space for the realignment and consolidation of total joint replacement services in 94,337 square feet of space and without new construction. The number of licensed beds will not change, and the estimated project cost is $25,832,609.

5. East Tennessee Children's Hospital, Knoxville (Knox County), Tennessee (CN1401-002): The renovation and expansion of the neonatal intensive care unit, the neonatal abstinence syndrome unit, perioperative services, and specialty clinic located on the hospital's campus. There will be no change in the number or complement of licensed beds, no services initiated, and no major medical equipment purchased. The estimated project cost is $75,300,000.

III. Projects Deemed Complete for Review at February 2014 Meeting

A. Consent Calendar

1. Professional Home Health Care, LLC d/b/a CareAll Home Care Services, Brownsville (Haywood County), Tennessee (CN1312-049): The relocation of the home health agency's parent office from 901 Highway 51 South, Covington (Tipton County), Tennessee, to 1151 Tammbell Street, Brownsville (Haywood County), Tennessee. The home health agency's service area is comprised of Benton, Carroll, Chester, Crockett, Decatur, Dyer, Fayette, Gibson, Hardeman, Hardin, Haywood, Henderson, Henry, Lauderdale, McNairy, Madison, Obion, Tipton, and Weakley Counties. The estimated project cost is $59,300.

B. Certificate of Need Review

1. Love Ones, Memphis (Shelby County), Tennessee (CN1309-033): The establishment of a home care organization and the initiation of home health services in Fayette, Shelby, and Tipton Counties. The parent office will be located at 2502 Mount Moriah, Suite A-148, Memphis, Tennessee. The estimated project cost is $177,800.

2. Crestwyn Behavioral Health, Germantown (Shelby County), Tennessee (CN1310-040): The establishment of a 60-bed mental health psychiatric hospital to be constructed on an unaddressed tract of land on the east side of Crestwyn Hills Drive, Germantown, and offer 15 beds for psychiatric care of adolescents, 30 beds for adults of all ages, and 15 beds for adult chemical dependency care. The estimated project cost is $26,875,862.

3. Methodist Healthcare—Memphis Hospitals d/b/a Le Bonheur Children's Hospital, Memphis (Shelby County), Tennessee (CN1311-042): The establishment of a pediatric outpatient center to include the acquisition of magnetic resonance imaging (MRI) and computed tomography (CT) equipment and initiation of those services to be operated as an outpatient department of the children's hospital. The facility will be located at 100 North Humphreys Boulevard, Memphis, Tennessee. The estimated project cost is $26,798,857.

4. Methodist Healthcare—Memphis Hospital d/b/a West Cancer Center, Germantown, (Shelby County), Tennessee (CN1311-043): The establishment of a comprehensive cancer center, the relocation of linear accelerator (LA), positron emission tomography (PET), CT, MRI services and equipment, the replacement of an MRI and acquisition of an additional LA, and the establishment of ambulatory operating rooms. The center will be operated as an off-campus outpatient department of the hospital. The estimated project cost is $60,554,193.

5. The Farms at Bailey Station, Collierville (Shelby County), Tennessee (CN1311-045): The addition of 30* skilled nursing facility beds, certified for Medicare participation, to be part of the 30-bed skilled nursing facility approved by CN1303-008A, for a total of 60 skilled nursing facility beds as part of a continuing care retirement community. The estimated project cost is $6,306,575. *These beds are subject to the 2013-14 Nursing Home Bed Pool.

6. Karing Hearts Cardiology, PLLC, Johnson City (Washington County), Tennessee (CN1311-046): The acquisition of a cardiac PET scanner and initiation of PET services at 701 State of Franklin Road, Suite 2, Johnson City, Tennessee, at an estimated project cost of $391,585.

The content of this article is intended to provide a general guide to the subject matter. Specialist advice should be sought about your specific circumstances.

To print this article, all you need is to be registered on Mondaq.com.

Click to Login as an existing user or Register so you can print this article.

Authors
Similar Articles
Relevancy Powered by MondaqAI
Bradley Arant Boult Cummings LLP
Bradley Arant Boult Cummings LLP
Bradley Arant Boult Cummings LLP
Bradley Arant Boult Cummings LLP
Bradley Arant Boult Cummings LLP
 
In association with
Related Topics
 
Similar Articles
Relevancy Powered by MondaqAI
Bradley Arant Boult Cummings LLP
Bradley Arant Boult Cummings LLP
Bradley Arant Boult Cummings LLP
Bradley Arant Boult Cummings LLP
Bradley Arant Boult Cummings LLP
Related Articles
 
Related Video
Up-coming Events Search
Tools
Print
Font Size:
Translation
Channels
Mondaq on Twitter
 
Register for Access and our Free Biweekly Alert for
This service is completely free. Access 250,000 archived articles from 100+ countries and get a personalised email twice a week covering developments (and yes, our lawyers like to think you’ve read our Disclaimer).
 
Email Address
Company Name
Password
Confirm Password
Position
Mondaq Topics -- Select your Interests
 Accounting
 Anti-trust
 Commercial
 Compliance
 Consumer
 Criminal
 Employment
 Energy
 Environment
 Family
 Finance
 Government
 Healthcare
 Immigration
 Insolvency
 Insurance
 International
 IP
 Law Performance
 Law Practice
 Litigation
 Media & IT
 Privacy
 Real Estate
 Strategy
 Tax
 Technology
 Transport
 Wealth Mgt
Regions
Africa
Asia
Asia Pacific
Australasia
Canada
Caribbean
Europe
European Union
Latin America
Middle East
U.K.
United States
Worldwide Updates
Registration (you must scroll down to set your data preferences)

Mondaq Ltd requires you to register and provide information that personally identifies you, including your content preferences, for three primary purposes (full details of Mondaq’s use of your personal data can be found in our Privacy and Cookies Notice):

  • To allow you to personalize the Mondaq websites you are visiting to show content ("Content") relevant to your interests.
  • To enable features such as password reminder, news alerts, email a colleague, and linking from Mondaq (and its affiliate sites) to your website.
  • To produce demographic feedback for our content providers ("Contributors") who contribute Content for free for your use.

Mondaq hopes that our registered users will support us in maintaining our free to view business model by consenting to our use of your personal data as described below.

Mondaq has a "free to view" business model. Our services are paid for by Contributors in exchange for Mondaq providing them with access to information about who accesses their content. Once personal data is transferred to our Contributors they become a data controller of this personal data. They use it to measure the response that their articles are receiving, as a form of market research. They may also use it to provide Mondaq users with information about their products and services.

Details of each Contributor to which your personal data will be transferred is clearly stated within the Content that you access. For full details of how this Contributor will use your personal data, you should review the Contributor’s own Privacy Notice.

Please indicate your preference below:

Yes, I am happy to support Mondaq in maintaining its free to view business model by agreeing to allow Mondaq to share my personal data with Contributors whose Content I access
No, I do not want Mondaq to share my personal data with Contributors

Also please let us know whether you are happy to receive communications promoting products and services offered by Mondaq:

Yes, I am happy to received promotional communications from Mondaq
No, please do not send me promotional communications from Mondaq
Terms & Conditions

Mondaq.com (the Website) is owned and managed by Mondaq Ltd (Mondaq). Mondaq grants you a non-exclusive, revocable licence to access the Website and associated services, such as the Mondaq News Alerts (Services), subject to and in consideration of your compliance with the following terms and conditions of use (Terms). Your use of the Website and/or Services constitutes your agreement to the Terms. Mondaq may terminate your use of the Website and Services if you are in breach of these Terms or if Mondaq decides to terminate the licence granted hereunder for any reason whatsoever.

Use of www.mondaq.com

To Use Mondaq.com you must be: eighteen (18) years old or over; legally capable of entering into binding contracts; and not in any way prohibited by the applicable law to enter into these Terms in the jurisdiction which you are currently located.

You may use the Website as an unregistered user, however, you are required to register as a user if you wish to read the full text of the Content or to receive the Services.

You may not modify, publish, transmit, transfer or sell, reproduce, create derivative works from, distribute, perform, link, display, or in any way exploit any of the Content, in whole or in part, except as expressly permitted in these Terms or with the prior written consent of Mondaq. You may not use electronic or other means to extract details or information from the Content. Nor shall you extract information about users or Contributors in order to offer them any services or products.

In your use of the Website and/or Services you shall: comply with all applicable laws, regulations, directives and legislations which apply to your Use of the Website and/or Services in whatever country you are physically located including without limitation any and all consumer law, export control laws and regulations; provide to us true, correct and accurate information and promptly inform us in the event that any information that you have provided to us changes or becomes inaccurate; notify Mondaq immediately of any circumstances where you have reason to believe that any Intellectual Property Rights or any other rights of any third party may have been infringed; co-operate with reasonable security or other checks or requests for information made by Mondaq from time to time; and at all times be fully liable for the breach of any of these Terms by a third party using your login details to access the Website and/or Services

however, you shall not: do anything likely to impair, interfere with or damage or cause harm or distress to any persons, or the network; do anything that will infringe any Intellectual Property Rights or other rights of Mondaq or any third party; or use the Website, Services and/or Content otherwise than in accordance with these Terms; use any trade marks or service marks of Mondaq or the Contributors, or do anything which may be seen to take unfair advantage of the reputation and goodwill of Mondaq or the Contributors, or the Website, Services and/or Content.

Mondaq reserves the right, in its sole discretion, to take any action that it deems necessary and appropriate in the event it considers that there is a breach or threatened breach of the Terms.

Mondaq’s Rights and Obligations

Unless otherwise expressly set out to the contrary, nothing in these Terms shall serve to transfer from Mondaq to you, any Intellectual Property Rights owned by and/or licensed to Mondaq and all rights, title and interest in and to such Intellectual Property Rights will remain exclusively with Mondaq and/or its licensors.

Mondaq shall use its reasonable endeavours to make the Website and Services available to you at all times, but we cannot guarantee an uninterrupted and fault free service.

Mondaq reserves the right to make changes to the services and/or the Website or part thereof, from time to time, and we may add, remove, modify and/or vary any elements of features and functionalities of the Website or the services.

Mondaq also reserves the right from time to time to monitor your Use of the Website and/or services.

Disclaimer

The Content is general information only. It is not intended to constitute legal advice or seek to be the complete and comprehensive statement of the law, nor is it intended to address your specific requirements or provide advice on which reliance should be placed. Mondaq and/or its Contributors and other suppliers make no representations about the suitability of the information contained in the Content for any purpose. All Content provided "as is" without warranty of any kind. Mondaq and/or its Contributors and other suppliers hereby exclude and disclaim all representations, warranties or guarantees with regard to the Content, including all implied warranties and conditions of merchantability, fitness for a particular purpose, title and non-infringement. To the maximum extent permitted by law, Mondaq expressly excludes all representations, warranties, obligations, and liabilities arising out of or in connection with all Content. In no event shall Mondaq and/or its respective suppliers be liable for any special, indirect or consequential damages or any damages whatsoever resulting from loss of use, data or profits, whether in an action of contract, negligence or other tortious action, arising out of or in connection with the use of the Content or performance of Mondaq’s Services.

General

Mondaq may alter or amend these Terms by amending them on the Website. By continuing to Use the Services and/or the Website after such amendment, you will be deemed to have accepted any amendment to these Terms.

These Terms shall be governed by and construed in accordance with the laws of England and Wales and you irrevocably submit to the exclusive jurisdiction of the courts of England and Wales to settle any dispute which may arise out of or in connection with these Terms. If you live outside the United Kingdom, English law shall apply only to the extent that English law shall not deprive you of any legal protection accorded in accordance with the law of the place where you are habitually resident ("Local Law"). In the event English law deprives you of any legal protection which is accorded to you under Local Law, then these terms shall be governed by Local Law and any dispute or claim arising out of or in connection with these Terms shall be subject to the non-exclusive jurisdiction of the courts where you are habitually resident.

You may print and keep a copy of these Terms, which form the entire agreement between you and Mondaq and supersede any other communications or advertising in respect of the Service and/or the Website.

No delay in exercising or non-exercise by you and/or Mondaq of any of its rights under or in connection with these Terms shall operate as a waiver or release of each of your or Mondaq’s right. Rather, any such waiver or release must be specifically granted in writing signed by the party granting it.

If any part of these Terms is held unenforceable, that part shall be enforced to the maximum extent permissible so as to give effect to the intent of the parties, and the Terms shall continue in full force and effect.

Mondaq shall not incur any liability to you on account of any loss or damage resulting from any delay or failure to perform all or any part of these Terms if such delay or failure is caused, in whole or in part, by events, occurrences, or causes beyond the control of Mondaq. Such events, occurrences or causes will include, without limitation, acts of God, strikes, lockouts, server and network failure, riots, acts of war, earthquakes, fire and explosions.

By clicking Register you state you have read and agree to our Terms and Conditions