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Universal Health Care / Nashville
1022 EASTERN AVENUE
Nashville, NC 27856
(252) 459-3014
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 60 |
| Number of Residents: | 53 |
| Percent of Occupied Beds: | 88% |
| 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? | Yes |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: | |
| Nurse Staffing: | |
| Quality Measures: | |
| RN Only: |  |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20071017 | Health | Mistreatment Deficiencies | Keep each resident free from physical restraints, unless needed for medical treatment. | Isolated | Minimal harm or potential for actual harm | 20071109 |
| 20071017 | Health | Resident Assessment Deficiencies | Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | Isolated | Minimal harm or potential for actual harm | 20071109 |
| 20071017 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Pattern | Potential for minimal harm | 20071109 |
| 20071017 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Isolated | Minimal harm or potential for actual harm | 20071109 |
| 20080418 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Isolated | Minimal harm or potential for actual harm | 20080515 |
| 20080418 | Health | Quality Care Deficiencies | Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | Pattern | Potential for minimal harm | 20080515 |
| 20080418 | Health | Mistreatment Deficiencies | 1) Hire only people who have 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. | Isolated | Minimal harm or potential for actual harm | 20080515 |
| 20080418 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm | 20080515 |
| 20080820 | Health | Environmental Deficiencies | Provide needed housekeeping and maintenance. | Pattern | Minimal harm or potential for actual harm | 20080917 |
| 20081023 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm | 20081118 |
| 20081023 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20081118 |
| 20081023 | Health | Quality Care Deficiencies | Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Isolated | Minimal harm or potential for actual harm | 20081118 |
| 20090319 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm | 20090411 |
| 20090319 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Actual harm | 20090411 |
| 20090319 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Actual harm | 20090411 |
| 20090319 | Health | Quality Care Deficiencies | Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | Isolated | Minimal harm or potential for actual harm | 20090411 |
| 20091013 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm | 20091028 |
| 20100114 | Health | Quality Care Deficiencies | Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | Isolated | Minimal harm or potential for actual harm | 20100316 |
| 20100810 | Health | Quality Care Deficiencies | Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | Isolated | Minimal harm or potential for actual harm | 20100827 |
| 20100810 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Actual harm | 20100827 |
| 20100810 | Health | Quality Care Deficiencies | Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | Pattern | Actual harm | 20100827 |
| 20100810 | Health | Quality Care Deficiencies | Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. | Isolated | Actual harm | 20100827 |
| 20100810 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm | 20100827 |
| 20100810 | Health | Mistreatment Deficiencies | 1) Hire only people who have 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. | Isolated | Minimal harm or potential for actual harm | 20100827 |
| 20100810 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm | 20100827 |
| 20100810 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Actual harm | 20100827 |
| 20100810 | Health | Resident Assessment Deficiencies | 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | Isolated | Actual harm | 20100827 |
| 20100810 | Health | Quality Care Deficiencies | Make sure that each resident's nutritional needs were met. | Isolated | Actual harm | 20100827 |
| 20100810 | Health | Quality Care Deficiencies | Give each resident enough fluids to keep them healthy and prevent dehydration. | Isolated | Actual harm | 20100827 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 95 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 92 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 15 | |
| Percent of long-stay residents who have moderate to severe pain: | 8 | |
| Percent of high-risk long-stay residents who have pressure sores: | 24 | |
| Percent of low-risk long-stay residents who have pressure sores: | 3 | |
| Percent of long-stay residents who were physically restrained: | 5 | |
| Percent of long-stay residents who are more depressed or anxious: | 9 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 57 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 8 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 7 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 10 | |
| Percent of long-stay residents who had a urinary tract infection: | 16 | |
| Percent of long-stay residents who lose too much weight: | 13 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 81 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 81 | |
| Percent of short-stay residents who have delirium: | 4 | |
| Percent of short-stay residents who had moderate to severe pain: | 13 | |
| Percent of short-stay residents who have pressure sores: | 14 | |
| # of Residents: | 53 |
| # RN Hours per Resident: | 0.5 |
| # LPN Hours per Resident: | 0.74 |
| # CNA Hours per Resident: | 1.83 |
| Total Staff Hours per Resident: | 1.24 |
