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JOHN M REED NURSING HOME

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JOHN M REED NURSING HOME VS
Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 75.2 % 
City LIMESTONE   0% Nursing Homes USA have LIMESTONE
State attribute explanation TN   2.1% Nursing Homes USA have TN
Street 124 JOHN REED HOME RD  
Zip Code 37681  
Phone 4232576122  
Overall Star Rating
3.11
Health Inspections Star Rating
2.83
Nurse Staffing Star Rating
3.17
Quality Measures Star Rating
3.31
RN Only Star Rating
3.17
Number of Certified Beds
63 
108.94
Total Number of Residents
58 
91.25
Percent of Occupied Beds
92 %
83.65 %
Health Survey Date 1/5/2012  
Fire Survey Date 1/3/2012  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicaid  3.5% Nursing Homes USA have Medicaid
Type of Ownership Non Profit - Corporation  18.7% Nursing Homes USA have Non profit - Corporation
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? No  68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies
31 
7.48
Staff Information
Number of Residents
58 
91.38
Number of RN Hours Per Resident Per Day
0.66 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.98 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.64 
1.59
Number of CNA Hours Per Resident Per Day
75.2 
5.49
Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: Be Designed, Built, Equipped, Or Well Kept To Protect The Health And Safety Of Residents, Workers, And The Public.
survey Date: 01/20/2012
date Of Correction: 01/21/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 01/20/2012
date Of Correction: 02/10/2012 
Deficiency #3 Scope: Many
level Of Harm: 4
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 06/21/2010
date Of Correction: 07/06/2010 
Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 02/11/2010
date Of Correction: 02/26/2010 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 02/11/2010
date Of Correction: 02/26/2010 
Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 01/20/2012
date Of Correction: 02/10/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Determine If It Is Safe For The Resident To Self-administer Drugs.
survey Date: 01/20/2012
date Of Correction: 02/09/2012 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: 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: 01/20/2012
date Of Correction: 02/17/2012 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 01/20/2012
date Of Correction: 02/12/2012 
Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 01/20/2012
date Of Correction: 02/11/2012 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 06/21/2010
date Of Correction: 07/06/2010 
Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 01/20/2012
date Of Correction: 02/09/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 06/21/2010
date Of Correction: 07/06/2010 
Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: 1) Review The Work Of Each Nurse Aide Every Year; And 2) Give Regular In-service Training Based Upon These Reviews.
survey Date: 01/20/2012
date Of Correction: 02/09/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 06/21/2010
date Of Correction: 07/09/2010 
Deficiency #3 Scope: Many
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 06/21/2010
date Of Correction: 07/06/2010 
Automatic Sprinkler Systems Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Portable Fire Extinguishers.
survey Date: 01/17/2012
date Of Correction: 01/30/2012 
Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: Automatic Sprinkler Systems That Have Been Maintained In Working Order.
survey Date: 01/17/2012
date Of Correction: 02/17/2012 
Hazardous Area Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Properly Installed Hallway Dispensers For Alcohol-based Hand Rub.
survey Date: 01/17/2012
date Of Correction: 01/18/2012 
Smoking Regulations Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Posted ""no-smoking"" Signs In Areas Where Smoking Is Not Permitted Or Did Not Provide Ashtrays Where Smoking Was Allowed.
survey Date: 01/17/2012
date Of Correction: 02/06/2012 
Exits and Egress Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Corridors Or Aisles That Are Unobstructed And Are At Least 8 Feet In Width.
survey Date: 01/17/2012
date Of Correction: 02/09/2012 
Deficiency #2 Scope: Some
level Of Harm: 4
deficiency: Exits That Are Accessible At All Times.
survey Date: 01/17/2012
date Of Correction: 01/18/2012 
Fire Alarm Systems Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: An Approved Installation, Maintenance And Testing Program For Fire Alarm Systems.
survey Date: 01/17/2012
date Of Correction: 01/19/2012 
Electrical Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Weekly Inspections And Monthly Testing Of Generators.
survey Date: 01/17/2012
date Of Correction: 02/18/2012 
Emergency Plans and Fire Drills Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Record Of Quarterly Fire Drills For Each Shift Under Varying Conditions.
survey Date: 01/17/2012
date Of Correction: 01/27/2012 
Building Service Equipment Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Properly Protected Cooking Facilities.
survey Date: 01/17/2012
date Of Correction: 02/02/2012 
Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: Heating And Ventilation Systems That Have Been Properly Installed According To The Manufacturer's Instructions.
survey Date: 01/17/2012
date Of Correction: 02/10/2012 
Furnishings and Decorations Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Exits That Are Free From Obstructions And Can Be Used At All Times.
survey Date: 01/17/2012
date Of Correction: 02/01/2012 
Smoke Compartmentation and Control Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Walls Or Barriers That Prevent Smoke From Passing Through And Would Resist Fire For At Least One Hour.
survey Date: 01/17/2012
date Of Correction: 01/27/2012 
Miscellaneous Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Other Fire Safety Features Required By Fire Safety Codes.
survey Date: 01/17/2012
date Of Correction: 02/09/2012 
Corridor Walls and Doors Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Corridor And Hallway Doors That Block Smoke.
survey Date: 01/17/2012
date Of Correction: 02/18/2012 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
42.6 %
25.09 %
Percent of long-stay residents who self-report moderate to severe pain
5 %
16.66 %
Percent of long-stay residents who lose too much weight
7.4 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder 2.6 / 3 % 
Percent of long-stay residents with a urinary tract infection 5.6:1 % 
Percent of long-stay residents who have depressive symptoms
75.2 %
28.38 %
Percent of long-stay residents who were physically restrained
75.2 %
43.68 %
Percent of long-stay residents experiencing one or more falls with major injury
9.3 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
45.7 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
9.2 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
4.1 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
14.9-28 %
9.22 %
Percent of long-stay residents who lose too much weight
6.8 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
3.2 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.3 %
10.65 %
Percent of long-stay residents with a urinary tract infection
6.8 %
9.58 %
Percent of long-stay residents who have depressive symptoms
1.9 %
19.86 %
Percent of long-stay residents who were physically restrained
75.2 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
21 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
9.5 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
100 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
100 %
74.75 %

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