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CLAIBORNE AND HUGHES HLTH CNTR

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CLAIBORNE AND HUGHES HLTH CNTR VS
All other Nursing Homes USA
General
City FRANKLIN   vs 0.1% Nursing Homes USA have FRANKLIN
State attribute explanation TN   vs 2.1% Nursing Homes USA have TN
Street 200 STRAHL STREET  
Zip Code 37064  
Phone 6157911103  
Overall Star Rating
(0.11 lower than average)
vs
3.11

Health Inspections Star Rating
(0.83 lower than average)
vs
2.83

Nurse Staffing Star Rating
(0.83 higher than average)
vs
3.17

Quality Measures Star Rating
(0.69 higher than average)
vs
3.31

RN Only Star Rating
(0.17 lower than average)
vs
3.17

Number of Certified Beds
157  (48.06 higher than average)
vs
108.94

Total Number of Residents
113  (21.75 higher than average)
vs
91.25

Percent of Occupied Beds
72 % (11.65 % lower than average)
vs
83.65 %

Health Survey Date 6/6/2012  
Fire Survey Date 6/4/2012  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  vs 91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership Non Profit - Corporation  vs 18.7% Nursing Homes USA have Non profit - Corporation
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  vs 45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   vs 66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  vs 90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? No  vs 68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? No  vs 99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
(57.16 lower than average)
vs
58.16

Total Enforcement Actions Count
(55.31 lower than average)
vs
56.31

# of deficiencies
(3.48 lower than average)
vs
7.48

Staff Information
Number of Residents
113  (21.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.59  (0.18 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.28  (0.44 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.87  (0.28 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.05  (5.44 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.05  (0.05 lower than average)
vs
0.10

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 03/09/2011
date Of Correction: 04/08/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.
survey Date: 03/09/2011
date Of Correction: 04/08/2011 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.
survey Date: 03/09/2011
date Of Correction: 04/08/2011 

Corridor Walls and Doors Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Corridor And Hallway Doors That Block Smoke.
survey Date: 12/13/2010
date Of Correction: 01/13/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
30.8 % (5.71 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
5.5 % (27.45 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain 9.4 / 10.4 % 
Percent of long-stay high-risk residents with pressure ulcers
7 % (5.58 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
6.1 % (5.73 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
32.5 % (12.04 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.4 % (12.23 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
0.9 % (12.56 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
5.3 % (23.08 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
75.2 % (31.52 % higher than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
14.9-28 % (10.12 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
82.4 % (2.24 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
88.2 % (4.26 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2  (29.3 higher than average)
vs
45.90

Percent of long-stay residents experiencing one or more falls with major injury
0.9 % (14.62 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
34.2 % (8.81 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
6.4 % (17.3 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
11.4 % (2.7 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
5.3 % (3.92 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
9.6 % (1.1 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
31 % (12.38 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.5 % (7.15 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
2.1 % (7.48 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
2.7 % (17.16 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
75.2 % (36.67 % higher than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
1.50 % (9.23 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain 13.9 / 15.3 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
80.9 % (0.54 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
90.2 % (15.45 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication 23.8:1 % 


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