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DONELSON PLACE CARE & REHABILITATION CENTER

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DONELSON PLACE CARE & REHABILITATION CENTER VS
All other Nursing Homes USA
General
City NASHVILLE   vs 0.1% Nursing Homes USA have NASHVILLE
State attribute explanation TN   vs 2.1% Nursing Homes USA have TN
Street 2733 MCCAMPBELL AVENUE  
Zip Code 37214  
Phone 6158850483  
Overall Star Rating
(1.89 higher than average)
vs
3.11

Health Inspections Star Rating
(0.17 higher than average)
vs
2.83

Nurse Staffing Star Rating
(0.17 lower than average)
vs
3.17

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

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

Number of Certified Beds
124  (15.06 higher than average)
vs
108.94

Total Number of Residents
106  (14.75 higher than average)
vs
91.25

Percent of Occupied Beds
85 % (1.35 % higher than average)
vs
83.65 %

Health Survey Date 3/24/2011  
Fire Survey Date 3/22/2011  
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 For Profit - Corporation  vs 56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  vs 54.9% Nursing Homes USA 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
75.2  (17.04 higher than average)
vs
58.16

Total Enforcement Actions Count
75.2  (18.89 higher than average)
vs
56.31

# of deficiencies
(3.48 lower than average)
vs
7.48

Staff Information
Number of Residents
106  (14.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.56  (0.21 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.14  (0.3 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.69  (0.1 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.17  (5.32 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.17  (0.07 higher than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 08/04/2011
date Of Correction: 08/18/2011 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 11/17/2011
date Of Correction: 11/30/2011 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 11/17/2011
date Of Correction: 11/30/2011 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 08/05/2009
date Of Correction: 09/11/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
24.1 % (0.99 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (42.25 % higher than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
2.5 % (14.16 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
1.6 % (10.98 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
12 % (0.17 % higher than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
25.8 % (18.74 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
10.9 % (4.73 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
16.9-24 % (3.44 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
75.2 % (46.82 % higher 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 8.1 / 8.8 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
100 % (15.36 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
99.1 % (15.16 % 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
75.2 % (59.68 % higher than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication 22.2:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (51.5 % higher than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
1.8 % (12.3 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
1.6 % (7.62 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
11.2-20 % (2.7 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
43.7 % (0.32 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
8 % (2.65 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
17 % (7.42 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
1.2 % (18.66 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
0.4 % (38.13 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
0.8 % (9.93 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain 8.1 / 8.8 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
99.2 % (17.76 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
98.2 % (23.45 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
0.5 - 2.0 % (16.84 % lower than average)
vs
17.34 %



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