| General |
| City |
| Madison |
Rutledge |
| State attribute explanation |
| Tn |
Tn |
| Street |
| 431 Larkin Spring Rd |
Po Box 26 Coffey Lane |
| Zip Code |
| 37,115 |
37,861 |
| Phone |
| 6,158,658,520 |
8,658,285,295 |
|
Overall Star Rating |
| 1 |
3 |
|
Health Inspections Star Rating |
| 2 |
4 |
|
Nurse Staffing Star Rating |
| 3 |
1 |
|
Quality Measures Star Rating |
| 1 |
3 |
|
RN Only Star Rating |
| 3 |
2 |
| Number of Certified Beds |
| 102 |
132 |
|
Total Number of Residents |
| 94 |
119 |
|
Percent of Occupied Beds |
| 92 % |
90 % |
| Health Survey Date |
| 8/10/2011 |
6/29/2011 |
| Fire Survey Date |
| 8/9/2011 |
6/29/2011 |
| 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 |
| Both |
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 |
| 8 |
1 |
|
| Staff Information |
| Number of Residents |
| 94 |
119 |
| Number of RN Hours Per Resident Per Day |
| 0.69 |
0.38 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.8 |
0.91 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.49 |
1.29 |
| Number of CNA Hours Per Resident Per Day |
| 0.11 |
0.05 |
| Number Therapy Hours Per Resident Per Day |
| 0.11 |
0.05 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.survey Date: 05/13/2009date Of Correction: 06/12/2009 |
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: 09/26/2011date Of Correction: 10/14/2011 |
| 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: 08/10/2011date Of Correction: 09/16/2011 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 08/10/2011date Of Correction: 09/16/2011 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 07/15/2010date Of Correction: 08/17/2010 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 05/13/2009date Of Correction: 06/12/2009 |
|
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 08/10/2011date Of Correction: 09/16/2011 |
|
| Deficiency #2 |
| 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: 05/13/2009date Of Correction: 06/12/2009 |
|
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 07/15/2010date Of Correction: 08/17/2010 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 43.8 % |
27.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 3.5 % |
4.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 28.3 % |
4.4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 11.8:1 |
5.3 % |
| Percent of long-stay residents who lose too much weight |
| 5.3 % |
6.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 42.4 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3.1 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.3 % |
5.6:1 |
| Percent of long-stay residents who have depressive symptoms |
| 6.4 % |
1.8 % |
| Percent of long-stay residents who were physically restrained |
| 2.6 / 3 |
5.4 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 29.7 % |
27.6 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 84.8 % |
100 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 74 % |
100 % |
| 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 |
| 3.8 % |
5.4 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 41.1 % |
33.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.6 / 3 |
4.6 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 25.7 % |
5.6:1 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 14.2 % |
2.7 % |
| Percent of long-stay residents who lose too much weight |
| 6.1 % |
7.4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 43.3 % |
23.1 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 7 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.5 % |
8.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 6.8 % |
2.1 % |
| Percent of long-stay residents who were physically restrained |
| 2.1 % |
11.8:1 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3 % |
5.6:1 |
| Percent of short-stay residents who self-report moderate to severe pain |
| 35 % |
21.2:1 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 88.4 % |
98.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 74.6 % |
100 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 19.3 % |
7.7 % |