| General |
| City |
| Church Hill |
Oneida |
| State attribute explanation |
| Tn |
Tn |
| Street |
| 701 West Main Blvd |
18805 Alberta Dr |
| Zip Code |
| 37,642 |
37,841 |
| Phone |
| 4,233,577,178 |
4,235,698,382 |
|
Overall Star Rating |
| 3 |
5 |
|
Health Inspections Star Rating |
| 4 |
5 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 4 |
4 |
|
RN Only Star Rating |
| 5 |
3 |
|
Number of Certified Beds |
| 124 |
56 |
|
Total Number of Residents |
| 116 |
47 |
|
Percent of Occupied Beds |
| 94 % |
84 % |
| Health Survey Date |
| 3/16/2011 |
3/21/2012 |
| Fire Survey Date |
| 3/14/2011 |
3/19/2012 |
| 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 |
Both |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
|
1 |
|
| Staff Information |
| Number of Residents |
| 114 |
47 |
| Number of RN Hours Per Resident Per Day |
| 0.76 |
0.67 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.7 |
1.27 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.46 |
1.94 |
| Number of CNA Hours Per Resident Per Day |
| 0.03 |
0.03 |
| Number Therapy Hours Per Resident Per Day |
| 0.03 |
0.03 |
| 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: 08/17/2011date Of Correction: 10/01/2011 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 29.1 % |
29.4 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 75.2 % |
75.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.2 % |
5.4 % |
| Percent of long-stay residents who lose too much weight |
| 7.8 % |
5.9 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 46.2 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.3 % |
9.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 2.9 % |
25.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 1.9 % |
1.9 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 75.2 % |
75.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 74.6 % |
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 66.2 % |
100 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 2.6 / 3 |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.7 % |
1.9 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 31.3 % |
28.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.3 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 75.2 % |
75.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 2.6 / 3 |
4.2 % |
| Percent of long-stay residents who lose too much weight |
| 7.6 % |
7.1 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 33 % |
18.4 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 7.5 % |
6.9 % |
| Percent of long-stay residents with a urinary tract infection |
| 4.3 % |
17.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 1.9 % |
5.4 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.5 % |
0.7 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 75.2 % |
3.9 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 78.8 % |
97.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 70.5 % |
27.3 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 15.7 % |
7.4 % |