General Information: THE BRIDGE AT HIGHLAND
Nursing home name THE BRIDGE AT HIGHLAND
Address215 HIGHLAND CIRCLE DRIVE
PORTLAND, TN 37148
Phone number (615) 325-9263
Located within a hospital No
Type of ownership For 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 112
Total number of residents 108
Perc of occupied beds 96
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints1
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: THE BRIDGE AT HIGHLAND
Overall rating 4
4
Nursing Home Staffing 4
4
Registered Nurses only 4
4
Health Inspections 3
3
Quality Measures 4
4
Nursing Home Staffing Info: THE BRIDGE AT HIGHLAND
National AverageTennessee AverageTHE BRIDGE AT HIGHLAND
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 4
4
Total Number of Residents NA NA 108
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 3.95 hours 3.86 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.7 hours 1.7 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.67 hours 0.74 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 1.03 hours 0.96 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.26 hours 2.16 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.1 hours 0.06 hours
Health Survey: THE BRIDGE AT HIGHLAND
Heath Survey Summary on 2013-04-25
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 2012-01-25
Total Number of Health Deficiencies 2
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Heath Survey Summary on 2010-10-27
Total Number of Health Deficiencies 13
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Health Survey Details: THE BRIDGE AT HIGHLAND
Inspection Results: 04/25/2013
Corrected Deficiency Scope and Severity
05/27/2013 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated/Minimal harm or potential for actual harm
05/27/2013 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
05/27/2013 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
05/27/2013 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
05/27/2013 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
05/27/2013 Store, cook, and serve food in a safe and clean way. Isolated/Minimal harm or potential for actual harm
05/27/2013 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
Inspection Results: 01/25/2012
Corrected Deficiency Scope and Severity
02/25/2012 Ensure that residents are safe from serious medication errors. Isolated/Minimal harm or potential for actual harm
02/25/2012 Store, cook, and serve food in a safe and clean way. Isolated/Minimal harm or potential for actual harm
Inspection Results: 10/27/2010
Corrected Deficiency Scope and Severity
11/26/2010 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
11/26/2010 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
11/26/2010 Ensure each resident receives an accurate assessment by a qualified health professional. Isolated/Minimal harm or potential for actual harm
11/26/2010 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated/Minimal harm or potential for actual harm
11/26/2010 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
11/26/2010 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
11/26/2010 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
11/26/2010 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated/Minimal harm or potential for actual harm
11/26/2010 Ensure that residents are safe from serious medication errors. Isolated/Minimal harm or potential for actual harm
11/26/2010 Store, cook, and serve food in a safe and clean way. Isolated/Minimal harm or potential for actual harm
11/26/2010 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
11/26/2010 Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Isolated/Minimal harm or potential for actual harm
11/26/2010 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: THE BRIDGE AT HIGHLAND
Fire Safety Survey Summary on 2013-04-23
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 2012-01-23
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 2010-10-24
Total Number of Fire SafetyDeficiencies 6
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey: THE BRIDGE AT HIGHLAND
Fire Safety Survey Results: 04/23/2013
Corrected Deficiency Severity
05/31/2013 Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Isolated/Minimal harm or potential for actual harm
05/31/2013 Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 01/23/2012
Corrected Deficiency Severity
02/25/2012 Walls that prevent smoke from passing through and would resist fire for at least one hour. Isolated/Minimal harm or potential for actual harm
02/25/2012 Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 10/24/2010
Corrected Deficiency Severity
11/26/2010 Exits that are accessible at all times. Isolated/Minimal harm or potential for actual harm
11/26/2010 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
12/18/2010 Corridors or aisles that are unobstructed and are at least 8 feet in width. Widespread /Minimal harm or potential for actual harm
12/18/2010 Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm
11/26/2010 Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Isolated/Minimal harm or potential for actual harm
12/18/2010 Properly protected cooking facilities. Isolated/Minimal harm or potential for actual harm

Resident Complaints: THE BRIDGE AT HIGHLAND
Date Complaint Substantiated: 03/25/2014
CorrectedCategoryDeficiencySeverity
04/18/2014Allow residents the right to participate in the planning or revision of care and treatment. D

Quality Measures: THE BRIDGE AT HIGHLAND
Quality Measures National Average Tennessee Average THE BRIDGE AT HIGHLAND
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% 21.2%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 6.9% 2.3%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 5.2% 3.5%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 8.2% 6.9%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 45.6% 44.3%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.3% 0.0%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 7.8% 8.4%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 3.4% 0.0%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 2.7% 4.3%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.5% 3.2%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 93.4% 86.9%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 93.5% 97.2%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 24.3% 39.4%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 17.8% 13.7%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 0.8% 1.4%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 85.4% 96.7%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 82.6% 89.7%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 3.1% 2.5%

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