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Imperial Gardens Health And Rehabilitation
306 W DUE WEST AVE
Madison, TN 37115
(615) 865-5001
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 165 |
| Number of Residents: | 146 |
| 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? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: | |
| Nurse Staffing: |  |
| Quality Measures: |  |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20071102 | Health | Resident Rights Deficiencies | Let residents give themselves their drugs if they are able. | Isolated | Minimal harm or potential for actual harm | 20071217 |
| 20071102 | Health | Mistreatment Deficiencies | Keep each resident free from physical restraints, unless needed for medical treatment. | Isolated | Minimal harm or potential for actual harm | 20071217 |
| 20071102 | Health | Resident Assessment Deficiencies | Do a new assessment after any major change in a resident's physical or mental health. | Isolated | Minimal harm or potential for actual harm | 20071217 |
| 20071102 | Health | Quality Care Deficiencies | Give each resident enough fluids to keep them healthy and prevent dehydration. | Pattern | Minimal harm or potential for actual harm | 20071217 |
| 20080521 | Health | Pharmacy Service Deficiencies | Properly mark drugs and other similar products. | Isolated | Minimal harm or potential for actual harm | 20080705 |
| 20091008 | Health | Pharmacy Service Deficiencies | Properly mark drugs and other similar products. | Widespread | Minimal harm or potential for actual harm | 20091021 |
| 20091008 | 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 | 20091021 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 90 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 65 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 12 | |
| Percent of long-stay residents who have moderate to severe pain: | 2 | |
| Percent of high-risk long-stay residents who have pressure sores: | 13 | |
| Percent of low-risk long-stay residents who have pressure sores: | 3 | |
| Percent of long-stay residents who were physically restrained: | 13 | |
| Percent of long-stay residents who are more depressed or anxious: | 7 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 60 | |
| 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: | 3 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 4 | |
| Percent of long-stay residents who had a urinary tract infection: | 4 | |
| Percent of long-stay residents who lose too much weight: | 11 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 80 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 57 | |
| Percent of short-stay residents who have delirium: | 1 | |
| Percent of short-stay residents who had moderate to severe pain: | 16 | |
| Percent of short-stay residents who have pressure sores: | 8 | |
| # of Residents: | 146 |
| # RN Hours per Resident: | 0.63 |
| # LPN Hours per Resident: | 0.97 |
| # CNA Hours per Resident: | 1.9 |
| Total Staff Hours per Resident: | 1.6 |
