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CUMBERLAND MANOR NURSING CENTER - NASHVILLE, TN

 



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Address
4343 ASHLAND CITY HWY
NASHVILLE, TN, 37218
Phone (make sure to verify first before calling): (615) 726-0492

Number of Certified Beds: 124
Total Number of Residents: 119
Percent of Occupied Beds: 96%
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: 4 Stars
Health Inspections Star Rating: 3 Stars
Nurse Staffing Star Rating: 3 Stars
Quality Measures Star Rating: 5 Stars
RN Only Star Rating: 3 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 5.27
Certified Nurse Aides - Full Time: 45.57
Certified Nurse Aides - Part Time: 1.49
Dietitians - Under Contract: 0.23
Food Service Personnel - Full Time: 11.41
Housekeeping Personnel - Full Time: 11.17
Licensed Practical/ Vocational Nurses - Full Time: 21.21
Medical Directors - Under Contract: 0.09
Mental Health Services Personnel - Under Contract: 0.04
Nurses With Administrative Duties - Full Time: 2.29
Persons Not Included In Any Other Categories - Full Time: 3.67
Physical Therapists - Under Contract: 1.04
Registered Nurses - Full Time: 0.64
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.19
Activities Professionals - Full Time: 1.14
Occupational Therapists - Under Contract: 1.10
Podiatrists - Under Contract: 0.09
Speech Pathologists - Under Contract: 0.40
Other Physicians - Under Contract: 0.26
Physician Extenders - Under Contract: 0.17
Registered Nurses - Part Time: 1.71
Occupational Therapy Aides - Under Contract: 0.07

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Clinical Laboratory 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
  • Social Work 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:

0.580
Tennessee:

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

0.910
State:

0.997
Total Number of Licensed Staff Hours Per Resident Per Day
Here:

1.490
Tennessee:

1.565
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Here:

0.030
Tennessee:

0.081
Number Therapy Hours Per Resident Per Day
This Nursing Home:

0.030
State:

0.085

Quality Measures

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

5.1%
Tennessee:

14.8%
Percent of long-stay residents who self-report moderate to severe pain
Here:

1.2%
State:

9.9%
Percent of long-stay high-risk residents with pressure ulcers
Here:

6.6%
State:

5.9%
Percent of long-stay residents who lose too much weight
Here:

5.8%
Tennessee:

8.2%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Here:

37.0%
State:

41.7%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Here:

0.9%
State:

4.1%
Percent of long-stay residents with a urinary tract infection
This Nursing Home:

2.9%
Tennessee:

8.6%
Percent of long-stay residents who have depressive symptoms
This Nursing Home:

5.3%
Tennessee:

3.7%
Percent of long-stay residents who were physically restrained
Here:

7.6%
Tennessee:

4.1%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

94.3%
Tennessee:

95.8%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

99.0%
Tennessee:

92.9%
Percent of short-stay residents who self-report moderate to severe pain
This Nursing Home:

8.3%
State:

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

67.7%
Tennessee:

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

89.6%
State:

83.0%
Percent of short-stay residents who newly received an antipsychotic medication
Here:

7.9%
Tennessee:

3.6%
Percent of long-stay residents who received an antipsychotic medication
This Nursing Home:

21.2%
Tennessee:

29.9%

Complaint Deficiency

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

Review or revise the resident's care plan after any major change in a resident's physical or mental health: Few (Minimal harm or potential for actual harm)

Proper backup exit lighting: Few (Minimal harm or potential for actual harm)

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed: Few (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Minimal harm or potential for actual harm)

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

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Few (Minimal harm or potential for actual harm)

Proper construction of ducts through walls designed to prevent smoke passage: 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: 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)

Allow the resident the right to participate in the planning or revision of the resident's care plan: Some (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)

Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible: Few (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Few (Minimal harm or potential for actual harm)

An approved installation, maintenance and testing program for fire alarm systems: Few (Minimal harm or potential for actual harm)

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

Determine if it is safe for the resident to self-administer drugs: 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)

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)

Provide necessary care and services to maintain the highest well being of each resident : Few (Minimal harm or potential for actual harm)

Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible: 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)

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%: Some (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)

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)

Exits that are free from obstructions and can be used at all times: Few (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Some (Minimal harm or potential for actual harm)

Conduct initial and periodic assessments of each resident's functional capacity: Few (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Minimal harm or potential for actual harm)

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