MABRY HEALTH CARE (GAINESBORO, TN) Detailed Nursing Home Profile

Quality Measures

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

This Nursing Home:	14.5%
Tennessee:	14.8%

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

This Nursing Home:	33.6%
State:	9.9%

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

This Nursing Home:	6.7%
Tennessee:	5.9%

Percent of long-stay residents who lose too much weight

Here:	7.7%
State:	8.2%

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

This Nursing Home:	7.9%
Tennessee:	4.1%

Percent of long-stay residents with a urinary tract infection

Here:	3.1%
State:	8.6%

Percent of long-stay residents who were physically restrained

Here:	7.7%
Tennessee:	4.1%

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

Here:	6.2%
State:	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

Here:	41.4%
State:	21.3%

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

This Nursing Home:	90.5%
State:	86.6%

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

Here:	61.8%
Tennessee:	83.0%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	42.9%
State:	29.9%

Complaint Deficiency

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: Some
Review or revise the resident's care plan after any major change in a resident's physical or mental health
- Harm: Minimal harm or potential for actual harm
- 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
At least two compartments on every floor to protect residents from smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- 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
Give notice to the resident before a room or roommate change
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Hire a qualified full-time social worker in a facility with more than 120 beds
- 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
Use a registered nurse at least 8 hours a day, 7 days a week
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Hire a qualified dietician
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action
- Harm: Minimal harm or potential for actual harm
- Scope: Many

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.490
State:	0.580

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

This Nursing Home:	0.770
Tennessee:	0.997

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.260
Tennessee:	1.565

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.020
State:	0.081

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.020
Tennessee:	0.085

MABRY HEALTH CARE - GAINESBORO, TN

Quality Measures

Complaint Deficiency

Staff Information

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