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MCKENDREE VILLAGE INC

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MCKENDREE VILLAGE INC VS
Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 75.2 % 
City HERMITAGE   0% Nursing Homes USA have HERMITAGE
State attribute explanation TN   2.1% Nursing Homes USA have TN
Street 4347 LEBANON ROAD  
Zip Code 37076  
Phone 6158718200  
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
150 
108.94
Total Number of Residents
134 
91.25
Percent of Occupied Beds
89 %
83.65 %
Health Survey Date 3/9/2011  
Fire Survey Date 3/7/2011  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and 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? Yes  9.1% Nursing Homes USA 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
7.48
Staff Information
Number of Residents
134 
91.38
Number of RN Hours Per Resident Per Day
0.23 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.23 
1.59
Number of CNA Hours Per Resident Per Day
0.05 
5.49
Number Therapy Hours Per Resident Per Day
0.05 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 02/24/2010
date Of Correction: 03/31/2010 
Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 03/09/2011
date Of Correction: 03/31/2011 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 06/22/2011
date Of Correction: 07/22/2011 
Deficiency #2 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: 02/24/2010
date Of Correction: 03/31/2010 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 02/24/2010
date Of Correction: 03/31/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
22.9 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
0.4 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
7.6 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
6.7 %
12.58 %
Percent of long-stay residents who lose too much weight
10.8 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.9 %
15.63 %
Percent of long-stay residents with a urinary tract infection
8.8 %
13.46 %
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 short-stay residents who self-report moderate to severe pain
5.9 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
98.1 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
98.1 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
1.3 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
1.9 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
21 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
0.3 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
6.5 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
6.4 %
9.22 %
Percent of long-stay residents who lose too much weight
5.3 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
47.7 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6 %
10.65 %
Percent of long-stay residents with a urinary tract infection
17.9 (64.2) %
9.58 %
Percent of long-stay residents who have depressive symptoms
0.9 %
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
1.2 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
4.7 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
99 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
98.5 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
11.4 %
17.34 %

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