| General |
| City |
| Madison |
Erwin |
| State attribute explanation |
| Tn |
Tn |
| Street |
| 306 W Due West Ave |
100 Stalling Lane |
| Zip Code |
| 37,115 |
37,650 |
| Phone |
| 6,158,655,001 |
4,237,434,131 |
|
Overall Star Rating |
| 2 |
3 |
|
Health Inspections Star Rating |
| 1 |
2 |
|
Nurse Staffing Star Rating |
| 5 |
4 |
|
Quality Measures Star Rating |
| 2 |
2 |
|
RN Only Star Rating |
| 5 |
4 |
|
Number of Certified Beds |
| 165 |
125 |
|
Total Number of Residents |
| 101 |
111 |
|
Percent of Occupied Beds |
| 61 % |
89 % |
| Health Survey Date |
| 2/14/2012 |
5/11/2011 |
| Fire Survey Date |
| 2/12/2012 |
5/9/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Partnership |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
No |
| Resident and Family Councils |
| Resident |
Both |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| Yes |
No |
| Civil Money Penalty Count |
| 4 |
75.2 |
| Total Enforcement Actions Count |
| 6 |
75.2 |
| # of deficiencies |
| 15 |
5 |
|
| Staff Information |
| Number of Residents |
| 129 |
111 |
| Number of RN Hours Per Resident Per Day |
| 0.43 |
0.86 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.92 |
1.04 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.35 |
1.91 |
| Number of CNA Hours Per Resident Per Day |
| 0.06 |
0.06 |
| Number Therapy Hours Per Resident Per Day |
| 0.06 |
0.06 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 08/20/2011date Of Correction: 09/12/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 08/31/2011date Of Correction: 09/30/2011 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: 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: 08/20/2011date Of Correction: 09/12/2011 |
Scope: Manylevel Of Harm: 2deficiency: Follow Policies And Procedures To Convey The Resident's Personal Funds To The Appropriate Party Responsible After The Resident's Death.survey Date: 12/02/2010date Of Correction: 12/17/2010 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: 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: 08/03/2011date Of Correction: 09/06/2011 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: 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: 10/08/2009date Of Correction: 10/21/2009 |
|
| 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: 06/01/2012date Of Correction: 06/11/2012 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 05/11/2011date Of Correction: 06/20/2011 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 04/26/2012date Of Correction: 05/24/2012 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 08/20/2011date Of Correction: 09/12/2011 |
|
| Deficiency #4 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 01/06/2011date Of Correction: 02/14/2011 |
|
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 08/03/2011date Of Correction: 09/06/2011 |
|
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 4deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 01/06/2011date Of Correction: 02/14/2011 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 4deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 08/20/2011date Of Correction: 09/12/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 05/11/2011date Of Correction: 06/20/2011 |
| Deficiency #2 |
| Scope: Somelevel 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: 04/27/2011date Of Correction: 05/12/2011 |
Scope: Somelevel 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: 05/11/2011date Of Correction: 06/20/2011 |
| Deficiency #3 |
| 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: 01/06/2011date Of Correction: 02/14/2011 |
|
| Deficiency #4 |
| Scope: Somelevel Of Harm: 4deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 01/06/2011date Of Correction: 02/14/2011 |
|
| Deficiency #5 |
| Scope: Manylevel Of Harm: 2deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 10/08/2009date Of Correction: 10/21/2009 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 18.9 % |
47.1 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.7 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 18 % |
9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 8.8 % |
2.9 % |
| Percent of long-stay residents who lose too much weight |
| 8.7 % |
6.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 37.8 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.2 % |
2 % |
| Percent of long-stay residents with a urinary tract infection |
| 12 % |
11.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 1.1 % |
12.5 % |
| Percent of long-stay residents who were physically restrained |
| 5.4 % |
5.7 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 23.5 % |
39.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 61.9 % |
98 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 63.2 % |
98 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 2.5 % |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.3 % |
5.7 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 17.3:1 |
50.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.4 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 12.6:1 |
12.9 (55.2) |
| Percent of long-stay high-risk residents with pressure ulcers |
| 8.8 % |
5.5 % |
| Percent of long-stay residents who lose too much weight |
| 11.9 % |
5.5 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 40.3 % |
47.9 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.1 % |
3 % |
| Percent of long-stay residents with a urinary tract infection |
| 14.9-28 |
10 % |
| Percent of long-stay residents who have depressive symptoms |
| 2.3 % |
7.4 % |
| Percent of long-stay residents who were physically restrained |
| 11 % |
4.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.4 % |
6.4 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 26 % |
36.4 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 79.9 % |
97.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 79.5 % |
32.1 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 10.4 % |
10 % |