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FOUR OAKS HEALTH CARE CENTER

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FOUR OAKS HEALTH CARE CENTER VS
All other Nursing Homes USA
General
City JONESBOROUGH   vs 0% Nursing Homes USA have JONESBOROUGH
State attribute explanation TN   vs 2.1% Nursing Homes USA have TN
Street 1101 PERSIMMON RIDGE RD  
Zip Code 37659  
Phone 4237538711  
Overall Star Rating
(0.11 lower than average)
vs
3.11

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

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

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

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

Number of Certified Beds
84  (24.94 lower than average)
vs
108.94

Total Number of Residents
81  (10.25 lower than average)
vs
91.25

Percent of Occupied Beds
96 % (12.35 % higher than average)
vs
83.65 %

Health Survey Date 11/2/2011  
Fire Survey Date 11/2/2011  
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 Both  vs 29.8% Nursing Homes USA have Both
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
(2.48 lower than average)
vs
7.48

Staff Information
Number of Residents
81  (10.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.48  (0.29 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.88  (0.04 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.35  (0.24 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.04  (5.45 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.04  (0.06 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 05/31/2012
date Of Correction: 06/02/2012 

Deficiency #2 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: 09/01/2010
date Of Correction: 10/08/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 04/14/2009
date Of Correction: 04/22/2009 

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: 04/14/2009
date Of Correction: 04/22/2009 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 1) Provide 3 Meals At Regular Times; 2) Serve Breakfast Within 14 Hours After Dinner; Or 3) Offer A Snack At Bedtime Each Day.
survey Date: 11/02/2011
date Of Correction: 11/11/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
27.8 (82.0) % (2.71 % higher 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
4.6 % (12.06 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
4.6 % (7.98 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
9.2 % (2.63 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.2 % (14.43 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
15.8 % (2.34 % 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
3.9 % (39.78 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
11.5 % (13.52 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
87.5 % (2.86 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
84.8 % (0.86 % 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 2.6 / 3 % 
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
24.2 % (1.19 % lower than average)
vs
25.39 %

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
3.8 % (10.3 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
3.4 % (5.82 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
6.1 % (2.4 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
72.9 % (29.52 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.3 % (9.35 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
16.5 % (6.92 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
1.4 % (18.46 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
3.8 % (34.73 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
1.9 % (8.83 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
18.4 % (6.36 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
94.1 % (12.66 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
82.9 % (8.15 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
8.8 % (8.54 % lower than average)
vs
17.34 %



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