GRACE HEALTHCARE OF TUCKER (TUCKER, GA) Detailed Nursing Home Profile

Quality Measures

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

This Nursing Home:	10.8%
Georgia:	15.5%

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

This Nursing Home:	1.1%
State:	12.0%

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

This Nursing Home:	4.1%
Georgia:	7.3%

Percent of long-stay residents who lose too much weight

Here:	5.2%
State:	8.1%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

This Nursing Home:	64.3%
State:	45.1%

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

This Nursing Home:	0.8%
State:	2.7%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	0.9%
State:	7.6%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	2.7%
State:	10.7%

Percent of long-stay residents who were physically restrained

This Nursing Home:	2.6%
Georgia:	1.6%

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

Here:	1.7%
Georgia:	3.6%

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

This Nursing Home:	90.6%
State:	96.0%

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

Here:	95.7%
State:	95.5%

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

This Nursing Home:	17.2%
Georgia:	22.0%

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

Here:	86.0%
Georgia:	87.1%

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

Here:	86.7%
Georgia:	84.7%

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

Here:	11.8%
State:	3.9%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	25.0%
State:	28.2%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.370
State:	0.470

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

Here:	0.950
State:	1.015

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.330
State:	1.482

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.070
State:	0.071

Number Therapy Hours Per Resident Per Day

Here:	0.070
State:	0.074

Complaint Deficiency

Approved construction type or materials
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Exits that are accessible at all times
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Conduct initial and periodic assessments of each resident's functional capacity
- 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: Immediate jeopardy to resident health or safety
- Scope: Few
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion
- 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
Develop policies and procedures for influenza and pneumococcal immunizations
- 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: 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
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Corridor and hallway doors that block 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
Proper backup exit lighting
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Portable fire extinguishers
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Other fire safety features required by fire safety codes
- Harm: Potential for minimal harm
- Scope: Many
Make sure medically necessary lab services/tests are ordered by the attending physician
- Harm: Minimal harm or potential for actual harm
- Scope: Few

GRACE HEALTHCARE OF TUCKER - TUCKER, GA

Quality Measures

Staff Information

Complaint Deficiency

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