BRIDGE AT MONTEAGLE (THE) (MONTEAGLE, TN) Detailed Nursing Home Profile

Quality Measures

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

This Nursing Home:	12.4%
State:	14.8%

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

Here:	9.2%
State:	9.9%

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

Here:	5.1%
State:	5.9%

Percent of long-stay residents who lose too much weight

Here:	4.5%
Tennessee:	8.2%

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

This Nursing Home:	49.0%
State:	41.7%

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

This Nursing Home:	2.5%
State:	4.1%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	11.6%
Tennessee:	8.6%

Percent of long-stay residents who have depressive symptoms

Here:	1.9%
Tennessee:	3.7%

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

Here:	3.5%
Tennessee:	3.5%

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

This Nursing Home:	90.2%
Tennessee:	95.8%

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

This Nursing Home:	81.6%
State:	92.9%

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

This Nursing Home:	6.5%
Tennessee:	21.3%

Percent of short-stay residents with Pressure ulcers that are new or worsened

Here:	2.2%
Tennessee:	1.5%

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

This Nursing Home:	75.0%
Tennessee:	83.0%

Percent of long-stay residents who received an antipsychotic medication

Here:	54.4%
Tennessee:	29.9%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.530
Tennessee:	0.580

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

This Nursing Home:	0.810
State:	0.997

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.330
Tennessee:	1.565

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.040
Tennessee:	0.081

Number Therapy Hours Per Resident Per Day

Here:	0.040
Tennessee:	0.085

Complaint Deficiency

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
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Portable fire extinguishers
- Harm: Potential for minimal harm
- Scope: Many
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions
- Harm: Potential for minimal harm
- Scope: Many
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed electrical wiring and equipment
- Harm: Potential for minimal harm
- Scope: Many
Reasonably accommodate the needs and preferences of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
Provide necessary care and services to maintain the highest well being of each resident
- 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
Be administered in an acceptable way that maintains the well-being of each resident
- Harm: Immediate jeopardy to resident health or safety
- 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
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: Many
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Other fire safety features required by fire safety codes
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Reasonably accommodate the needs and preferences of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- 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
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
Corridors or aisles that are unobstructed and are at least 8 feet in width
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Record of quarterly fire drills for each shift under varying conditions
- 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: Some
Portable fire extinguishers
- 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
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
Determine if it is safe for the resident to self-administer drugs
- 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
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

BRIDGE AT MONTEAGLE (THE) - MONTEAGLE, TN

Quality Measures

Staff Information

Complaint Deficiency

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