General Information: BRAKEBILL NURSING HOME INC.
Nursing home name BRAKEBILL NURSING HOME INC.
Address5837 LYONS VIEW PIKE
KNOXVILLE, TN 37919
Phone number (865) 584-3902
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 222
Total number of residents 157
Perc of occupied beds 70
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints32
Number of Fines4
Total Amount of Fines$419218
Total Number of Penalties1
Total Number of Penalties5
Ratings Summary: BRAKEBILL NURSING HOME INC.
Overall rating 1
1
Nursing Home Staffing 1
1
Registered Nurses only 1
1
Health Inspections 1
1
Quality Measures 3
3
Nursing Home Staffing Info: BRAKEBILL NURSING HOME INC.
National AverageTennessee AverageBRAKEBILL NURSING HOME INC.
Overall staff rating NA NA 1
1
Registered Nurses only rating NANA 1
1
Total Number of Residents NA NA 157
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 3.95 hours 3.34 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.7 hours 1.01 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.67 hours 0.18 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 1.03 hours 0.83 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.26 hours 2.32 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.1 hours 0.12 hours
Health Survey: BRAKEBILL NURSING HOME INC.
Heath Survey Summary on 2013-05-08
Total Number of Health Deficiencies 16
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-11-16
Total Number of Health Deficiencies 4
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Heath Survey Summary on 2010-08-26
Total Number of Health Deficiencies 3
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Health Survey Details: BRAKEBILL NURSING HOME INC.
Inspection Results: 05/08/2013
Corrected Deficiency Scope and Severity
06/21/2013 Conduct initial and periodic assessments of each resident's functional capacity. Isolated/Minimal harm or potential for actual harm
06/21/2013 Completely assess the resident at least every twelve months. Isolated/Minimal harm or potential for actual harm
06/21/2013 Assure that each residents assessment is updated at least once every 3 months. Isolated/Minimal harm or potential for actual harm
06/21/2013 Ensure each resident receives an accurate assessment by a qualified health professional. Isolated/Minimal harm or potential for actual harm
06/21/2013 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern/Minimal harm or potential for actual harm
06/21/2013 Allow residents the right to participate in the planning or revision of care and treatment. Pattern/Minimal harm or potential for actual harm
06/21/2013 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
06/21/2013 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
06/21/2013 Quickly tell the resident's doctor the results of laboratory tests. Isolated/Minimal harm or potential for actual harm
06/21/2013 Make sure that paid feeding assistants 1) completed training; 2) work under the supervision of a RN or LPN; and 3) feed only residents who have no complicated feeding problems. Pattern/Minimal harm or potential for actual harm
06/21/2013 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
06/21/2013 Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Isolated/Minimal harm or potential for actual harm
06/21/2013 Ensure residents maintain acceptable nutritional status. Pattern/Minimal harm or potential for actual harm
06/21/2013 Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated/Minimal harm or potential for actual harm
06/21/2013 Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated/Minimal harm or potential for actual harm
06/21/2013 Post nurse staffing information/data on a daily basis. Widespread/Potential for minimal harm
Inspection Results: 11/16/2011
Corrected Deficiency Scope and Severity
12/01/2011 Ensure each resident receives an accurate assessment by a qualified health professional. Isolated/Minimal harm or potential for actual harm
11/18/2011 Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated/Minimal harm or potential for actual harm
12/01/2011 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
12/01/2011 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
Inspection Results: 08/26/2010
Corrected Deficiency Scope and Severity
09/06/2010 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. Isolated/Minimal harm or potential for actual harm
09/06/2010 Ensure that residents are safe from serious medication errors. Isolated/Minimal harm or potential for actual harm
09/06/2010 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: BRAKEBILL NURSING HOME INC.
Fire Safety Survey Summary on 2013-04-29
Total Number of Fire SafetyDeficiencies 7
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-11-14
Total Number of Fire SafetyDeficiencies 2
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2010-08-26
Total Number of Fire SafetyDeficiencies 1
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey: BRAKEBILL NURSING HOME INC.
Fire Safety Survey Results: 04/29/2013
Corrected Deficiency Severity
06/22/2013 Corridors that are separated from use areas by walls constructed to limit the passage of smoke. Isolated/Minimal harm or potential for actual harm
06/22/2013 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm
06/22/2013 Proper backup exit lighting. Isolated/Minimal harm or potential for actual harm
06/22/2013 Exits that are free from obstructions and can be used at all times. Isolated/Minimal harm or potential for actual harm
06/22/2013 Automatic sprinkler systems that have been maintained in working order. Isolated/Minimal harm or potential for actual harm
06/22/2013 Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Isolated/Minimal harm or potential for actual harm
06/22/2013 Properly protected cooking facilities. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 11/14/2011
Corrected Deficiency Severity
11/17/2011 Approved construction type or materials. Isolated/Minimal harm or potential for actual harm
12/30/2011 Automatic sprinkler systems that have been maintained in working order. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 08/26/2010
Corrected Deficiency Severity
09/03/2010 Weekly inspections and monthly testing of generators. Isolated/Minimal harm or potential for actual harm

Resident Complaints: BRAKEBILL NURSING HOME INC.
Date Complaint Substantiated: 11/19/2013
CorrectedCategoryDeficiencySeverity
01/02/2014Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. E
01/02/2014Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. E
01/02/2014Provide medically-related social services to help each resident achieve the highest possible quality of life. D
01/02/2014Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. E
Date Complaint Substantiated: 08/06/2013
CorrectedCategoryDeficiencySeverity
09/19/2013Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. D
09/19/2013Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
09/19/20131) 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. D
09/19/2013Provide necessary care and services to maintain or improve the highest well being of each resident . D
Date Complaint Substantiated: 03/12/2013
CorrectedCategoryDeficiencySeverity
04/22/2013Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. D
04/22/2013Keep each resident free from physical restraints, unless needed for medical treatment. L
04/22/2013Reasonably accommodate the needs and preferences of each resident. D
04/22/2013Keep all essential equipment working safely. E
04/22/2013Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. K
04/22/2013Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. D
04/22/20131) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. F
04/22/2013Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. D
Date Complaint Substantiated: 08/09/2012
CorrectedCategoryDeficiencySeverity
08/24/2012Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. D
08/24/2012Ensure services provided by the nursing facility meet professional standards of quality. D
08/24/20121) 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. D
08/24/2012Allow residents to self-administer drugs if determined safe. D
Date Complaint Substantiated: 07/19/2012
CorrectedCategoryDeficiencySeverity
08/30/2012Assure that each residents assessment is updated at least once every 3 months. D
08/30/2012Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. D
Date Complaint Substantiated: 05/31/2012
CorrectedCategoryDeficiencySeverity
06/07/2012Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. D
06/07/2012Ensure services provided by the nursing facility meet professional standards of quality. D
Date Complaint Substantiated: 05/16/2012
CorrectedCategoryDeficiencySeverity
05/25/2012Ensure services provided by the nursing facility meet professional standards of quality. D
Date Complaint Substantiated: 05/01/2012
CorrectedCategoryDeficiencySeverity
05/07/2012Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. D
Date Complaint Substantiated: 03/06/2012
CorrectedCategoryDeficiencySeverity
03/15/2012Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. J
03/15/2012Protect each resident from all abuse, physical punishment, and involuntary separation from others. J
03/15/2012Provide necessary care and services to maintain or improve the highest well being of each resident . J
03/13/2012Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . J
Date Complaint Substantiated: 05/20/2011
CorrectedCategoryDeficiencySeverity
06/01/2011Ensure services provided by the nursing facility meet professional standards of quality. D

Quality Measures: BRAKEBILL NURSING HOME INC.
Quality Measures National Average Tennessee Average BRAKEBILL NURSING HOME INC.
Overall quality rating NA NA 3
3
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 15.5% 36.8%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 6.9% 17.1%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 5.2% 4.7%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 8.2% 8.3%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 45.6% 42.2%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.3% 2.7%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 7.8% 7.1%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 3.4% 7.7%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 2.7% 2.1%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.5% 4.7%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 93.4% 99.3%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 93.5% 98.8%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 24.3% 33.8%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 17.8% 22.1%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 0.8% 0.6%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 85.4% 96.6%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 82.6% 87.0%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 3.1% 6.0%

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