| General |
| City |
| Bristol |
Jefferson City |
| State attribute explanation |
| Tn |
Tn |
| Street |
| 250 Bellebrook Rd |
336 West Old Andrew Johnson Hwy |
| Zip Code |
| 37,620 |
37,760 |
| Phone |
| 4,239,684,123 |
8,654,756,097 |
|
Overall Star Rating |
| 3 |
2 |
|
Health Inspections Star Rating |
| 4 |
2 |
|
Nurse Staffing Star Rating |
| 1 |
2 |
|
Quality Measures Star Rating |
| 4 |
4 |
|
RN Only Star Rating |
| 2 |
2 |
|
Number of Certified Beds |
| 130 |
121 |
|
Total Number of Residents |
| 121 |
114 |
|
Percent of Occupied Beds |
| 93 % |
94 % |
| Health Survey Date |
| 5/18/2011 |
6/21/2012 |
| Fire Survey Date |
| 5/18/2011 |
6/19/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Resident |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
|
3 |
|
| Staff Information |
| Number of Residents |
| 121 |
114 |
| Number of RN Hours Per Resident Per Day |
| 0.41 |
0.46 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.88 |
0.94 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.3 |
1.4 |
| Number of CNA Hours Per Resident Per Day |
| 0.05 |
0.2 |
| Number Therapy Hours Per Resident Per Day |
| 0.05 |
0.2 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: 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: 02/01/2012date Of Correction: 03/17/2012 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 02/01/2012date Of Correction: 03/17/2012 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.survey Date: 02/01/2012date Of Correction: 03/17/2012 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 29.2 % |
18.2:1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 9.5 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 75.2 % |
10.9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.9 % |
2.20 % |
| Percent of long-stay residents who lose too much weight |
| 18.8 % |
2.9 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
63.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3.4 % |
0.9 % |
| Percent of long-stay residents with a urinary tract infection |
| 2.8 % |
2.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 1.8 % |
12.9 (55.2) |
| Percent of long-stay residents who were physically restrained |
| 5.5 % |
5.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 75.2 % |
26 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 67.2 % |
79.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 65.7 % |
73.1 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.8 % |
1.9 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 30.7 % |
18.1:1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 8.5 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 75.2 % |
11.6:1 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5 % |
6.1 % |
| Percent of long-stay residents who lose too much weight |
| 16.1 % |
5.4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 42 % |
56.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.2 % |
1.6 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.1 % |
4.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 2.6 / 3 |
8.9 / 9.9 |
| Percent of long-stay residents who were physically restrained |
| 4.7 % |
10 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.3 % |
1.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 75.2 % |
27.9 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 67.3 % |
77.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 67.7 % |
63.1 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 18.3 % |
75.2 % |