BROOKEWOOD NURSING CENTER, INC - DECATUR, TN

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Address

332 RIVER ROAD
DECATUR, TN, 37322

Phone (make sure to verify first before calling): (423) 334-3002

Number of Certified Beds: 88
Total Number of Residents: 83
Percent of Occupied Beds: 94%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
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: 4 Stars
Quality Measures Star Rating: 2 Stars
RN Only Star Rating: 3 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 1.14
Dietitians - Under Contract: 0.11
Licensed Practical/ Vocational Nurses - Full Time: 9.77
Medical Directors - Under Contract: 0.11
Mental Health Services Personnel - Under Contract: 0.11
Nurses With Administrative Duties - Full Time: 1.14
Physical Therapists - Under Contract: 0.11
Registered Nurses - Full Time: 1.60
Rn Director Of Nursing - Full Time: 1.14
Occupational Therapists - Under Contract: 0.09
Pharmacists - Under Contract: 0.06
Food Service Personnel - Under Contract: 7.57
Housekeeping Personnel - Under Contract: 7.93
Nurse Aides In Training - Full Time: 21.39
Physician Extenders - Under Contract: 0.11
Occupational Therapy Assistants - Under Contract: 1.11
Physical Therapy Aide - Under Contract: 0.09
Medication Aides/ Technicians - Full Time: 3.20

Provided Services

Clinical Laboratory Services Are Provided Onsite To Residents
Dental Services Are Provided Onsite To Residents
Diagnostic Xray Services Are Provided Onsite To Residents
Dietary Services Are Provided Onsite To Residents
Housekeeping Services Are Provided Onsite To Residents
Mental Health Services Are Provided Onsite To Residents
Nursing Services Are Provided Onsite To Residents
Occupational Therapy Services Are Provided Onsite To Residents
Pharmacy Services Are Provided Onsite To Residents
Physical Therapy Services Are Provided Onsite To Residents
Physician Extender Services Are Provided Onsite To Residents
Physician Services Are Provided Onsite To Residents
Podiatry Services Are Provided Onsite To Residents
Speech/Language Pathology Services Are Provided Onsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.510
State:	0.580

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

Here:	0.840
Tennessee:	0.997

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.350
State:	1.565

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.010
Tennessee:	0.081

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.010
State:	0.085

Quality Measures

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

This Nursing Home:	11.3%
State:	14.8%

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

This Nursing Home:	8.3%
State:	9.9%

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

This Nursing Home:	5.1%
Tennessee:	5.9%

Percent of long-stay residents who lose too much weight

Here:	8.2%
State:	8.2%

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

This Nursing Home:	48.4%
State:	41.7%

Percent of long-stay residents with a urinary tract infection

Here:	9.8%
Tennessee:	8.6%

Percent of long-stay residents who have depressive symptoms

Here:	21.1%
State:	3.7%

Percent of long-stay residents who were physically restrained

This Nursing Home:	1.6%
Tennessee:	4.1%

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

Here:	6.3%
Tennessee:	3.5%

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

This Nursing Home:	98.4%
Tennessee:	95.8%

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

Here:	98.4%
State:	92.9%

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

This Nursing Home:	81.8%
State:	83.0%

Percent of long-stay residents who received an antipsychotic medication

Here:	46.0%
State:	29.9%

Complaint Deficiency

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Minimal harm or potential for actual harm)

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Few (Minimal harm or potential for actual harm)

A two-hour-resistant firewall in common walls: Few (Minimal harm or potential for actual harm)

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Few (Minimal harm or potential for actual harm)

Portable fire extinguishers: Few (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: Many (Minimal harm or potential for actual harm)

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

Properly protected cooking facilities: Few (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: 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 the right treatment and services to residents who have mental or psychosocial problems adjusting: Few (Minimal harm or potential for actual harm)

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%: 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 accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: 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 protected cooking facilities: Few (Minimal harm or potential for actual harm)

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

Keep each resident's personal and medical records private and confidential: Some (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)

Make sure each resident receives an accurate assessment by a qualified health professional: 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)

Provide necessary care and services to maintain the highest well being of each resident : 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)

1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: 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)

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

Corridor and hallway doors that block 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)

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

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

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 (Immediate jeopardy to resident health or safety)

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: Few (Minimal harm or potential for actual harm)

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