Hillcrest Healthcare-north

5321 BEVERLY PARK CIRCLE
Knoxville, TN 37918
(865) 687-1321
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 271
Number of Residents: 264
Percent of Occupied Beds: 97%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non 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
Overall: 1 Star Overall Rating
Health Inspection: 1 Star Health Inspection Rating
Nurse Staffing: 2 Star Nurse Staffing Rating
Quality Measures: 3 Star Quality Measures Rating
RN Only: 1 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20070920 Health Resident Rights Deficiencies Try to resolve each resident's complaints quickly. Isolated Minimal harm or potential for actual harm 20071005
20070920 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20071005
20071026 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 Immediate jeopardy to resident health or safety 20071101
20071026 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 Immediate jeopardy to resident health or safety 20071101
20071026 Health Quality Care Deficiencies Provide social services for related medical problems to help each resident achieve the highest possible quality of life. Isolated Immediate jeopardy to resident health or safety 20071101
20071026 Health Resident Assessment Deficiencies Make a complete assessment that covers all questions for areas that are listed in official regulations. Isolated Immediate jeopardy to resident health or safety 20071101
20080116 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 Minimal harm or potential for actual harm 20080125
20080116 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 20080125
20080116 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Actual harm 20080125
20080221 Health Administration Deficiencies Set up or keep a group of people to review and ensure quality. Isolated Immediate jeopardy to resident health or safety 20080221
20080221 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Immediate jeopardy to resident health or safety 20070927
20080221 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Immediate jeopardy to resident health or safety 20080221
20080221 Health Quality Care Deficiencies Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated Actual harm 20080221
20080221 Health Pharmacy Service Deficiencies At least once a month, have a licensed pharmacist check the drugs that each resident takes. Isolated Immediate jeopardy to resident health or safety 20080221
20080221 Health Environmental Deficiencies Have a program to keep infection from spreading. Isolated Minimal harm or potential for actual harm 20080312
20080221 Health Administration Deficiencies Give or get lab tests to meet the needs of residents. Isolated Immediate jeopardy to resident health or safety 20080221
20080221 Health Resident Assessment Deficiencies Make a complete assessment that covers all questions for areas that are listed in official regulations. Isolated Minimal harm or potential for actual harm 20080312
20080815 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Pattern Minimal harm or potential for actual harm 20080822
20080918 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 20081004
20081014 Health Quality Care Deficiencies Give or get special rehabilitation if in the patient's plan of care. Isolated Minimal harm or potential for actual harm 20081102
20081114 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20081208
20090210 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20090220
20090210 Health Quality Care Deficiencies Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated Minimal harm or potential for actual harm 20090220
20090210 Health Quality Care Deficiencies Provide social services for related medical problems to help each resident achieve the highest possible quality of life. Isolated Minimal harm or potential for actual harm 20090220
20090210 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 20090220
20090903 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 Minimal harm or potential for actual harm 20090918
20090903 Health Quality Care Deficiencies Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated Minimal harm or potential for actual harm 20090918
20100611 Health Administration Deficiencies Keep accurate and appropriate medical records. Isolated Minimal harm or potential for actual harm 20100617
20100924 Health Quality Care Deficiencies Give or get special rehabilitation if in the patient's plan of care. Isolated Minimal harm or potential for actual harm 20101006
20100924 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 20101007
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 93
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 90
Percent of long-stay residents whose need for help with daily activities has increased: 13
Percent of long-stay residents who have moderate to severe pain: 3
Percent of high-risk long-stay residents who have pressure sores: 14
Percent of low-risk long-stay residents who have pressure sores: 3
Percent of long-stay residents who were physically restrained: 0
Percent of long-stay residents who are more depressed or anxious: 8
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 43
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 5
Percent of long-stay residents who spend most of their time in bed or in a chair: 6
Percent of long-stay residents whose ability to move about in and around their room got worse: 8
Percent of long-stay residents who had a urinary tract infection: 11
Percent of long-stay residents who lose too much weight: 8
Percent of short-stay residents given influenza vaccination during the flu season: 76
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 76
Percent of short-stay residents who have delirium: 1
Percent of short-stay residents who had moderate to severe pain: 15
Percent of short-stay residents who have pressure sores: 11
# of Residents: 264
# RN Hours per Resident: 0.36
# LPN Hours per Resident: 0.75
# CNA Hours per Resident: 2.77
Total Staff Hours per Resident: 1.11