General Information: BEVERLY PARK PLACE HEALTH AND REHAB
Nursing home name BEVERLY PARK PLACE HEALTH AND REHAB
Address5321 BEVERLY PARK CIRCLE
KNOXVILLE, TN 37918
Phone number (865) 687-1321
Located within a hospital No
Type of ownership Non profit - Corporation
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 271
Total number of residents 247
Perc of occupied beds 91
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints4
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: BEVERLY PARK PLACE HEALTH AND REHAB
Overall rating 3
3
Nursing Home Staffing 2
2
Registered Nurses only 2
2
Health Inspections 3
3
Quality Measures 4
4
Nursing Home Staffing Info: BEVERLY PARK PLACE HEALTH AND REHAB
National AverageTennessee AverageBEVERLY PARK PLACE HEALTH AND REHAB
Overall staff rating NA NA 2
2
Registered Nurses only rating NANA 2
2
Total Number of Residents NA NA 247
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 3.95 hours 3.57 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.7 hours 1.28 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.67 hours 0.46 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 1.03 hours 0.82 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.26 hours 2.29 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.1 hours 0.02 hours
Health Survey: BEVERLY PARK PLACE HEALTH AND REHAB
Heath Survey Summary on 2013-05-20
Total Number of Health Deficiencies 1
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-09-08
Total Number of Health Deficiencies 7
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Heath Survey Summary on 2010-08-10
Total Number of Health Deficiencies 8
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: BEVERLY PARK PLACE HEALTH AND REHAB
Inspection Results: 05/20/2013
Corrected Deficiency Scope and Severity
05/24/2013 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated/Minimal harm or potential for actual harm
Inspection Results: 09/08/2011
Corrected Deficiency Scope and Severity
09/23/2011 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
09/23/2011 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
09/23/2011 1) 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. Isolated/Minimal harm or potential for actual harm
09/23/2011 Ensure that residents are safe from serious medication errors. Isolated/Minimal harm or potential for actual harm
09/23/2011 Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. Isolated/Minimal harm or potential for actual harm
09/23/2011 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
09/23/2011 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
Inspection Results: 08/10/2010
Corrected Deficiency Scope and Severity
08/30/2010 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated/Minimal harm or potential for actual harm
08/30/2010 Develop 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. Isolated/Minimal harm or potential for actual harm
08/30/2010 Reasonably accommodate the needs and preferences of each resident. Pattern/Minimal harm or potential for actual harm
08/30/2010 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
08/30/2010 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
08/30/2010 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated/Minimal harm or potential for actual harm
08/30/2010 Keep all essential equipment working safely. Isolated/Minimal harm or potential for actual harm
08/30/2010 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: BEVERLY PARK PLACE HEALTH AND REHAB
Fire Safety Survey Summary on 2013-05-20
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-09-06
Total Number of Fire SafetyDeficiencies 4
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2010-08-09
Total Number of Fire SafetyDeficiencies 1
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey: BEVERLY PARK PLACE HEALTH AND REHAB
Fire Safety Survey Results: 05/20/2013
Corrected Deficiency Severity
05/21/2013 Walls that prevent smoke from passing through and would resist fire for at least one hour. Isolated/Minimal harm or potential for actual harm
06/28/2013 Automatic sprinkler systems that have been maintained in working order. Widespread /Minimal harm or potential for actual harm
06/28/2013 Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Results: 09/06/2011
Corrected Deficiency Severity
09/23/2011 Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm
09/23/2011 Proper backup exit lighting. Pattern/Minimal harm or potential for actual harm
10/03/2011 Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Widespread /Minimal harm or potential for actual harm
09/23/2011 Other fire safety features required by fire safety codes. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 08/09/2010
Corrected Deficiency Severity
08/30/2010 Approved construction type or materials. Pattern/Minimal harm or potential for actual harm

Resident Complaints: BEVERLY PARK PLACE HEALTH AND REHAB
Date Complaint Substantiated: 10/22/2013
CorrectedCategoryDeficiencySeverity
11/04/2013Have a program that investigates, controls and keeps infection from spreading. D
11/04/2013Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
11/04/2013Ensure services provided by the nursing facility meet professional standards of quality. D

Quality Measures: BEVERLY PARK PLACE HEALTH AND REHAB
Quality Measures National Average Tennessee Average BEVERLY PARK PLACE HEALTH AND REHAB
Overall quality rating NA NA 4
4
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 15.5% 18.6%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 6.9% 6.2%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 5.2% 4.4%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 8.2% 6.7%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 45.6% 51.3%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.3% 2.4%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 7.8% 9.9%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 3.4% 5.0%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 2.7% 0.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.5% 1.4%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 93.4% 95.9%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 93.5% 99.7%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 24.3% 18.0%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 17.8% 22.4%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 0.8% 2.3%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 85.4% 90.0%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 82.6% 89.1%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 3.1% 2.1%

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