GRACE HEALTHCARE OF CLARKSVILLE - CLARKSVILLE, TN

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Address

111 USSERY ROAD
CLARKSVILLE, TN, 37043

Phone (make sure to verify first before calling): (931) 647-0269

Number of Certified Beds: 122
Total Number of Residents: 112
Percent of Occupied Beds: 92%
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: 2 Stars
Nurse Staffing Star Rating: 1 Star
Quality Measures Star Rating: 2 Stars
RN Only Star Rating: 2 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 6.14
Certified Nurse Aides - Full Time: 37.53
Certified Nurse Aides - Part Time: 4.56
Dietitians - Under Contract: 0.23
Food Service Personnel - Full Time: 13.14
Housekeeping Personnel - Full Time: 9.46
Licensed Practical/ Vocational Nurses - Full Time: 6.96
Licensed Practical/ Vocational Nurses - Part Time: 2.31
Medical Directors - Under Contract: 0.04
Mental Health Services Personnel - Under Contract: 0.60
Nurses With Administrative Duties - Full Time: 3.11
Occupational Therapy Aides - Full Time: 0.14
Registered Nurses - Full Time: 2.40
Rn Director Of Nursing - Full Time: 1.36
Social Workers - Full Time: 0.96
Activities Professionals - Full Time: 1.30
Occupational Therapists - Part Time: 0.49
Pharmacists - Under Contract: 0.10
Physical Therapists - Part Time: 0.17
Speech Pathologists - Under Contract: 0.11
Sppech Pathologists - Full Time: 0.19
Registered Nurses - Part Time: 0.49
Occupational Therapy Assistants - Under Contract: 0.03
Housekeeping Personnel - Part Time: 4.64
Occupational Therapists - Full Time: 1.11
Physical Therapists - Full Time: 0.63
Physical Therapy Aide - Full Time: 0.57

Provided Services

Activities Services Are Provided Onsite To Residents
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 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

Quality Measures

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

Here:	7.5%
State:	14.8%

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

Here:	7.2%
State:	9.9%

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

Here:	13.2%
Tennessee:	5.9%

Percent of long-stay residents who lose too much weight

Here:	12.6%
Tennessee:	8.2%

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

Here:	45.8%
State:	41.7%

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

This Nursing Home:	3.0%
Tennessee:	4.1%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	12.8%
Tennessee:	8.6%

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

This Nursing Home:	6.3%
Tennessee:	3.5%

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

This Nursing Home:	94.7%
Tennessee:	95.8%

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

This Nursing Home:	93.7%
Tennessee:	92.9%

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

Here:	21.7%
State:	21.3%

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

This Nursing Home:	1.0%
State:	1.5%

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

Here:	93.4%
State:	86.6%

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

Here:	89.4%
State:	83.0%

Percent of short-stay residents who newly received an antipsychotic medication

This Nursing Home:	4.9%
State:	3.6%

Percent of long-stay residents who received an antipsychotic medication

Here:	29.9%
Tennessee:	29.9%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.440
State:	0.580

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

This Nursing Home:	0.740
State:	0.997

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.180
State:	1.565

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.030
Tennessee:	0.081

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.030
State:	0.085

Complaint Deficiency

Corridor and hallway doors that block smoke: Many (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)

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

Record of quarterly fire drills for each shift under varying conditions: Many (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)

Weekly inspections and monthly testing of generators: Some (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: 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)

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

A fire alarm system that can be heard throughout the facility: Some (Minimal harm or potential for actual harm)

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

Other fire safety features required by fire safety codes: Some (Minimal harm or potential for actual harm)

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

Try to resolve each resident's complaints quickly: Many (Minimal harm or potential for actual harm)

Reasonably accommodate the needs and preferences of each 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)

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 : 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)

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%: 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)

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public: Many (Minimal harm or potential for actual harm)

1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews: 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: 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)

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)

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)

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)

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: 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 (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)

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)

Store, cook, and serve food in a safe and clean way: 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)

Other nearby hospitals and nursing homes

(CLOSED) GATEWAY HEALTH SYSTCU (0.54 miles)
CLARKSVILLE DIALYSIS (0.26 miles)
DCI CUMBERLAND (0.34 miles)
GATEWAY HOME HEALTH CLARKSVILLE (3.46 miles)
GATEWAY HOSPICE (0.54 miles)

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