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MOUNTAIN CITY CARE & REHABILITATION CENTER

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MOUNTAIN CITY CARE & REHABILITATION CENTER VS
All other Nursing Homes USA
General
City MOUNTAIN CITY   vs 0% Nursing Homes USA have MOUNTAIN CITY
State attribute explanation TN   vs 2.1% Nursing Homes USA have TN
Street 919 MEDICAL PARK DRIVE  
Zip Code 37683  
Phone 4237277800  
Overall Star Rating
(1.89 higher than average)
vs
3.11

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

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

Quality Measures Star Rating
(0.31 lower than average)
vs
3.31

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

Number of Certified Beds
120  (11.06 higher than average)
vs
108.94

Total Number of Residents
112  (20.75 higher than average)
vs
91.25

Percent of Occupied Beds
93 % (9.35 % higher than average)
vs
83.65 %

Health Survey Date 8/24/2011  
Fire Survey Date 8/24/2011  
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
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
(6.48 lower than average)
vs
7.48

Staff Information
Number of Residents
112  (20.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.64  (0.13 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.03  (0.19 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.68  (0.09 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

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Specialized Rehabilitative Services Per The Patient's Assessment Or Plan Of Care.
survey Date: 01/07/2011
date Of Correction: 02/18/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
25.5 % (0.41 % 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
4.8 % (11.86 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
4.8 % (7.78 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
9.5 % (2.33 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
20.6 % (23.94 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
15.3 % (0.33 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
2.1 % (11.36 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
9.1 % (19.28 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
1 % (42.68 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
30.8 % (5.78 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
80.9 % (3.74 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
81.4 % (2.54 % lower 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
1 % (14.52 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
24 % (1.39 % 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
6.7 % (7.4 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
5.9 % (3.32 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
8.4 % (0.1 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder 17.3:1 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
14.9-28 % (4.25 % higher than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
6.8 % (2.78 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms 7.9:1 % 
Percent of long-stay residents who were physically restrained
3.3 % (35.23 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
1.3 % (9.43 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
21.7 % (3.06 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
83.7 % (2.26 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
80.2 % (5.45 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2 % (57.86 % higher than average)
vs
17.34 %



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