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ALEXIAN VILLAGE OF TENNESSEE - SIGNAL MOUNTAIN, TN

 



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Address
671 ALEXIAN WAY
SIGNAL MOUNTAIN, TN, 37377
Phone (make sure to verify first before calling): (423) 886-0338

Number of Certified Beds: 114
Total Number of Residents: 100
Percent of Occupied Beds: 88%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare
Type of Ownership: Non profit - Church related
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Resident
Continuing Care Retirement Community?: Yes
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 3 Stars
Health Inspections Star Rating: 2 Stars
Nurse Staffing Star Rating: 2 Stars
Quality Measures Star Rating: 5 Stars
RN Only Star Rating: 3 Stars

Employment Full-Time Equivalent

Activities Professionals - Under Contract: 1.14
Administrative Staff - Full Time: 5.71
Certified Nurse Aides - Full Time: 41.63
Food Service Personnel - Full Time: 8.04
Housekeeping Personnel - Full Time: 11.57
Licensed Practical/ Vocational Nurses - Full Time: 14.60
Medical Directors - Under Contract: 0.14
Nurses With Administrative Duties - Full Time: 3.43
Physical Therapists - Under Contract: 1.14
Registered Nurses - Full Time: 1.16
Rn Director Of Nursing - Full Time: 1.14
Dentists - Under Contract: 0.04
Dietitians - Part Time: 0.34
Occupational Therapists - Under Contract: 1.14
Pharmacists - Under Contract: 0.11
Podiatrists - Under Contract: 0.06
Speech Pathologists - Under Contract: 0.91
Occupational Therapy Assistants - Under Contract: 1.21
Social Workers - Under Contract: 1.14
Physical Therapy Aide - Under Contract: 2.00

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Dental Services Are Provided Onsite To Residents
  • Dietary Services Are Provided Onsite To Residents
  • Housekeeping Services Are Provided Onsite To Residents
  • Nursing Services Are Provided Onsite To Residents
  • Occupational Therapy Services Are Provided Onsite To Non Residents
  • Occupational Therapy Services Are Provided Onsite To Residents
  • Pharmacy Services Are Provided Onsite To Residents
  • Physical Therapy Services Are Provided Onsite To Non Residents
  • Physical Therapy Services Are Provided Onsite To Residents
  • Physician Services Are Provided Onsite To Residents
  • Podiatry Services Are Provided Onsite To Residents
  • Social Work Services Are Provided Onsite To Residents
  • Speech/Language Pathology Services Are Provided Onsite To Non Residents
  • Speech/Language Pathology Services Are Provided Onsite To Residents

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased
This Nursing Home:

19.0%
State:

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%
Tennessee:

8.2%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Here:

3.7%
State:

4.1%
Percent of long-stay residents with a urinary tract infection
Here:

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%
State:

21.3%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

88.1%
Tennessee:

86.6%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

86.1%
Tennessee:

83.0%
Percent of short-stay residents who newly received an antipsychotic medication
This Nursing Home:

2.6%
Tennessee:

3.6%
Percent of long-stay residents who received an antipsychotic medication
Here:

21.1%
Tennessee:

29.9%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
Here:

0.550
Tennessee:

0.580
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
This Nursing Home:

0.720
Tennessee:

0.997
Total Number of Licensed Staff Hours Per Resident Per Day
This Nursing Home:

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: Few (Minimal harm or potential for actual harm)

Signs that state that exit doors are to be kept closed: Few (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm)

Corridors that are separated from common areas by walls constructed to limit the passage of smoke: Few (Minimal harm or potential for actual harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Few (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Few (Minimal harm or potential for actual harm)

No-smoking signs where oxygen is used: Few (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Many (Minimal harm or potential for actual harm)

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: Few (Minimal harm or potential for actual harm)

Allow the resident the right to participate in the planning or revision of the resident's care plan: Few (Minimal harm or potential for actual harm)

Make sure services provided by the nursing facility meet professional standards of quality: Some (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Immediate jeopardy to resident health or safety)

Make sure that residents are safe from serious medication errors: Few (Minimal harm or potential for actual harm)

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Few (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm)

Keep each resident free from physical restraints, unless needed for medical treatment: Few (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Few (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm)

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: Few (Minimal harm or potential for actual harm)

Keep each resident's personal and medical records private and confidential: Few (Minimal harm or potential for actual harm)

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: Few (Minimal harm or potential for actual harm)

Allow the resident the right to participate in the planning or revision of the resident's care plan: Few (Minimal harm or potential for actual harm)

Make sure services provided by the nursing facility meet professional standards of quality: Few (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Immediate jeopardy to resident health or safety)

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: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Minimal harm or potential for actual harm)

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses: Few (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Some (Minimal harm or potential for actual harm)

Quickly tell the resident's doctor the results of lab tests: Few (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm)

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