GRACE HEALTHCARE OF CORDOVA - CORDOVA, TN
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Address 955 GERMANTOWN PKWYPhone (make sure to verify first before calling): (901) 754-1393 Number of Certified Beds: 284 Total Number of Residents: 200 Percent of Occupied Beds: 70% 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: Both Continuing Care Retirement Community?: No Quality Indicator Survey?: No Special Focus Facility?: No Type: Skilled Nursing Facilities Overall Star Rating: 1 Star Health Inspections Star Rating: 1 Star Nurse Staffing Star Rating: 1 Star Quality Measures Star Rating: 4 Stars RN Only Star Rating: 1 Star Employment Full-Time EquivalentAdministrative Staff - Full Time: 1.14Certified Nurse Aides - Full Time: 91.43 Certified Nurse Aides - Part Time: 7.54 Food Service Personnel - Full Time: 24.00 Food Service Personnel - Part Time: 2.74 Housekeeping Personnel - Full Time: 24.00 Licensed Practical/ Vocational Nurses - Full Time: 43.43 Licensed Practical/ Vocational Nurses - Part Time: 6.86 Medical Directors - Under Contract: 0.23 Nurses With Administrative Duties - Full Time: 8.00 Occupational Therapy Aides - Full Time: 1.14 Persons Not Included In Any Other Categories - Full Time: 26.29 Registered Nurses - Full Time: 6.86 Rn Director Of Nursing - Full Time: 1.14 Social Workers - Full Time: 2.29 Activities Professionals - Full Time: 1.14 Dietitians - Full Time: 2.29 Sppech Pathologists - Full Time: 2.29 Persons Not Included In Any Other Categories - Part Time: 2.51 Registered Nurses - Part Time: 1.03 Social Workers - Part Time: 0.57 Occupational Therapists - Full Time: 3.43 Physical Therapists - Full Time: 0.86 Occupational Therapy Assistants - Full Time: 1.14 Physical Therapy Aide - Full Time: 1.14 Provided Services
Quality MeasuresPercent of long-stay residents whose need for help with daily activities has increased
Percent of long-stay residents who self-report moderate to severe pain
Percent of long-stay high-risk residents with pressure ulcers
Percent of long-stay residents who lose too much weight
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Percent of long-stay residents with a urinary tract infection
Percent of long-stay residents who were physically restrained
Percent of long-stay residents experiencing one or more falls with major injury
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Percent of short-stay residents who self-report moderate to severe pain
Percent of short-stay residents with Pressure ulcers that are new or worsened
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Percent of short-stay residents who newly received an antipsychotic medication
Percent of long-stay residents who received an antipsychotic medication
Staff InformationNumber of Registered Nurses Hours Per Resident Per Day
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Total Number of Licensed Staff Hours Per Resident Per Day
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Number Therapy Hours Per Resident Per Day
Complaint DeficiencyRestrictions on the use of flammable curtains: Few (Minimal harm or potential for actual harm)Restrictions on the use of portable space heaters: 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) 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) Exits that are accessible at all times: Few (Immediate jeopardy to resident health or safety) Automatic sprinkler systems that have been maintained in working order: 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) Provide care by qualified persons according to each resident's written plan of care: Few (Minimal harm or potential for actual harm) Provide necessary care and services to maintain the highest well being of each resident : Some (Minimal harm or potential for actual harm) Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: Few (Minimal harm or potential for actual harm) Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: 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) 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) Store, cook, and serve food in a safe and clean way: Many (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) Provide bedrooms that don't allow residents to see each other when privacy is needed: Many (Minimal harm or potential for actual harm) Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public: Few (Minimal harm or potential for actual harm) Make sure there is a pest control program to prevent/deal with mice, insects, or other pests: Some (Minimal harm or potential for actual harm) Corridor and hallway doors that block smoke: Few (Minimal harm or potential for actual harm) At least two compartments on every floor to protect residents from smoke: Few (Minimal harm or potential for actual harm) Exits that are accessible at all times: 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) 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents: 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) Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%: Few (Minimal harm or potential for actual harm) Develop policies and procedures for influenza and pneumococcal immunizations: Few (Minimal harm or potential for actual harm) Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: 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) Give or get quality lab services/tests in a timely manner to meet the needs of residents: Some (Minimal harm or potential for actual harm) Corridor and hallway doors that block smoke: Few (Minimal harm or potential for actual harm) Properly maintained smoke detectors: Few (Minimal harm or potential for actual harm) An approved automatic sprinkler system connected to the fire alarm system: Some (Minimal harm or potential for actual harm) Honor all of the resident's rights as a resident of the nursing home, free of coercion and reprisal, and as a citizen or resident of the United States: 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) Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Few (Minimal harm or potential for actual harm) Maintain comfortable sound levels: Some (Minimal harm or potential for actual harm) Provide care by qualified persons according to each resident's written plan of care: 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) Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so: Few (Minimal harm or potential for actual harm) Make sure that residents are safe from serious medication errors: 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) Give or get quality lab services/tests in a timely manner to meet the needs of residents: Some (Minimal harm or potential for actual harm) Make sure medically necessary lab services/tests are ordered by the attending physician: 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) Other nearby nursing homes
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