ALEXIAN VILLAGE OF TENNESSEE (SIGNAL MOUNTAIN, TN) Detailed Nursing Home Profile

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

Here:	19.0%
Tennessee:	14.8%

Percent of long-stay residents who self-report moderate to severe pain

This Nursing Home:	6.8%
State:	9.9%

Percent of long-stay high-risk residents with pressure ulcers

Here:	6.9%
Tennessee:	5.9%

Percent of long-stay residents who lose too much weight

Here:	5.3%
State:	8.2%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

This Nursing Home:	3.7%
State:	4.1%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	1.3%
State:	8.6%

Percent of long-stay residents who have depressive symptoms

Here:	2.7%
State:	3.7%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	2.6%
Tennessee:	3.5%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	100.0%
State:	95.8%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	100.0%
State:	92.9%

Percent of short-stay residents who self-report moderate to severe pain

This Nursing Home:	11.1%
Tennessee:	21.3%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	88.1%
Tennessee:	86.6%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	86.1%
State:	83.0%

Percent of short-stay residents who newly received an antipsychotic medication

Here:	2.6%
Tennessee:	3.6%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	21.1%
Tennessee:	29.9%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.550
Tennessee:	0.580

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	0.720
Tennessee:	0.997

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.270
Tennessee:	1.565

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.060
Tennessee:	0.081

Number Therapy Hours Per Resident Per Day

Here:	0.060
Tennessee:	0.085

Complaint Deficiency

A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Signs that state that exit doors are to be kept closed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Corridors that are separated from common areas by walls constructed to limit the passage of smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
No-smoking signs where oxygen is used
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Make sure that residents are safe from serious medication errors
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep each resident free from physical restraints, unless needed for medical treatment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep each resident's personal and medical records private and confidential
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure each resident has the right to have a choice over activities, their schedules and health care according to his or her interests, assessment, and plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Quickly tell the resident's doctor the results of lab tests
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few

ALEXIAN VILLAGE OF TENNESSEE - SIGNAL MOUNTAIN, TN

Quality Measures

Staff Information

Complaint Deficiency

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