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SERENE MANOR MEDICAL CTR.

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SERENE MANOR MEDICAL CTR. VS
All other Nursing Homes USA
General
City KNOXVILLE   vs 0.1% Nursing Homes USA have KNOXVILLE
State attribute explanation TN   vs 2.1% Nursing Homes USA have TN
Street 970  
Zip Code 37917  
Phone 8655239171  
Overall Star Rating
(1.11 lower than average)
vs
3.11

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

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

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

RN Only Star Rating
(0.83 higher than average)
vs
3.17

Number of Certified Beds
79  (29.94 lower than average)
vs
108.94

Total Number of Residents
75  (16.25 lower than average)
vs
91.25

Percent of Occupied Beds
95 % (11.35 % higher than average)
vs
83.65 %

Health Survey Date 8/10/2011  
Fire Survey Date 8/9/2011  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicaid  vs 3.5% Nursing Homes USA have Medicaid
Type of Ownership Non Profit - Other  vs 1.9% Nursing Homes USA have Non profit - Other
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 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
(1.52 higher than average)
vs
7.48

Staff Information
Number of Residents
75  (16.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.53  (0.24 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.76  (0.08 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.29  (0.3 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.01  (5.48 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.01  (0.09 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 01/25/2010
date Of Correction: 01/29/2010 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.
survey Date: 01/05/2012
date Of Correction: 01/20/2012 

Deficiency #2 Scope: Few
level Of Harm: 4
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 01/25/2010
date Of Correction: 01/29/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 01/05/2012
date Of Correction: 02/19/2012 

Deficiency #2 Scope: Few
level Of Harm: 4
deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.
survey Date: 01/25/2010
date Of Correction: 01/29/2010 

Resident Assessment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 01/25/2010
date Of Correction: 01/29/2010 

Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 4
deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.
survey Date: 01/25/2010
date Of Correction: 01/29/2010 

Deficiency #2 Scope: Many
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 01/25/2010
date Of Correction: 01/29/2010 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 01/05/2012
date Of Correction: 01/20/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
50 % (24.91 % higher than average)
vs
25.09 %

Percent of long-stay residents who self-report moderate to severe pain
40.3 % (23.64 % higher than average)
vs
16.66 %

Percent of long-stay residents who lose too much weight
4.1 % (7.73 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
15.8 % (28.74 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder 5.6:1 % 
Percent of long-stay residents with a urinary tract infection
6.8 % (6.66 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
1.3 % (27.08 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
5.3 % (38.38 % lower than average)
vs
43.68 %

Percent of long-stay residents experiencing one or more falls with major injury
2.7 % (12.82 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
44.3 % (18.91 % higher 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
39.7 % (25.6 % higher 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
1.9 % (6.6 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
15 % (28.38 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.8 % (8.85 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection 5.6:1 % 
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
4.5 % (34.03 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
23.5 % (12.77 % higher than average)
vs
10.73 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
100 % (18.56 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
97.1 % (22.35 % higher than average)
vs
74.75 %



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