| General |
| City |
| Lewisburg |
Smyrna |
| State attribute explanation |
| Tn |
Tn |
| Street |
| 244 Oakwood Dr |
200 Mayfield Drive |
| Zip Code |
| 37,091 |
37,167 |
| Phone |
| 9,313,593,563 |
6,153,550,350 |
|
Overall Star Rating |
| 3 |
1 |
|
Health Inspections Star Rating |
| 3 |
2 |
|
Nurse Staffing Star Rating |
| 2 |
3 |
|
Quality Measures Star Rating |
| 2 |
1 |
|
RN Only Star Rating |
| 3 |
4 |
|
Number of Certified Beds |
| 60 |
125 |
|
Total Number of Residents |
| 56 |
113 |
|
Percent of Occupied Beds |
| 93 % |
90 % |
| Health Survey Date |
| 10/21/2011 |
9/28/2011 |
| Fire Survey Date |
| 10/17/2011 |
9/26/2011 |
| 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 |
| Resident |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| Yes |
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 |
6 |
|
| Staff Information |
| Number of Residents |
| 56 |
113 |
| Number of RN Hours Per Resident Per Day |
| 0.77 |
0.78 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.81 |
0.78 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.58 |
1.56 |
| Number of CNA Hours Per Resident Per Day |
| 0.08 |
0.09 |
| Number Therapy Hours Per Resident Per Day |
| 0.08 |
0.09 |
| Environmental Deficiencies |
| Deficiency #1 |
|
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: 02/24/2012date Of Correction: 03/23/2012 |
| Deficiency #2 |
|
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: 09/28/2011date Of Correction: 11/10/2011 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Try To Resolve Each Resident's Complaints Quickly.survey Date: 02/24/2012date Of Correction: 03/23/2012 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 02/24/2012date Of Correction: 03/30/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 06/11/2009date Of Correction: 07/15/2009 |
| 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: 02/24/2012date Of Correction: 03/30/2012 |
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: 1) Provide 3 Meals At Regular Times; 2) Serve Breakfast Within 14 Hours After Dinner; Or 3) Offer A Snack At Bedtime Each Day.survey Date: 03/20/2012date Of Correction: 04/18/2012 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 33.3 % |
34.4 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.3 % |
0.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 75.2 % |
25 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.6:1 |
7 % |
| Percent of long-stay residents who lose too much weight |
| 2.6 / 3 |
1.1 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
53.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.6:1 |
1.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 2.6 / 3 |
20.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 2.7 % |
4.3 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
2.1 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 9.8 % |
40.4 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 54.7 % |
85.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 45.3 % |
100 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 6 % |
5.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 7.9:1 |
6.3 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 26.5 % |
34.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 3.5 % |
1.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 13 % |
24.9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.6 % |
8.2 % |
| Percent of long-stay residents who lose too much weight |
| 4.3 % |
2.8 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 41 % |
55.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.8 % |
1.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 9.6 % |
13.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 2.7 % |
8.1 / 8.8 |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
2.1 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 7.8 % |
5.9 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 22.2:1 |
35.9 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 31 % |
82.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 25.9 % |
99 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 18.9 % |
4.8 % |