US Nursing Home Finder™: BAILEY PARK CLC HUMBOLDT TN

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General Info of BAILEY PARK CLC
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Fire Safety Inspections of BAILEY PARK CLC
Resident Complaints of BAILEY PARK CLC
Quality Measures of BAILEY PARK CLC

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General Information: BAILEY PARK CLC
Nursing home name	BAILEY PARK CLC
Address	2400 MITCHELL STREET HUMBOLDT, TN 38343
Phone number	(731) 784-5183
Located within a hospital	No
Type of ownership	For profit - Individual
Owner operates multiple homes	Yes
Accept Medicare or Medicaid	Medicare and Medicaid
Continue Care Retirement Community	No
Resident and family councils	RESIDENT
Certified number of beds	50
Total number of residents	48
Perc of occupied beds	96
Sprinkler status	partially sprinklered
Last health survey date	11/11/2009
Fire survey date:	11/08/2009

Ratings Summary: BAILEY PARK CLC
Overall rating	2 out of 5 stars
Nursing Home Staffing	3 out of 5 stars
Registered Nurses only	4 out of 5 stars
Health Inspections	1 out of 5 stars
Quality Measures	5 out of 5 stars

Nursing Home Staffing Info: BAILEY PARK CLC
	National Average	BAILEY PARK CLC
Overall staff rating	Not Available.	3 out of 5 stars
Registered Nurses only rating	Not Available	4 out of 5 stars
Total Number of Residents	94.2	48
Total Number of Licensed Nurse Staff Hours per Resident per Day	1.4 hours	1.69 hours
Registered Nurses Hours per Residents per Day	0.6 hours	0.86 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day	0.8 hours	0.83 hours
Certified Nursing Assistants Hours per Residents per Day	0.6 hours	0.86 hours

Health Inpections: BAILEY PARK CLC
Inspection Results: 11/11/2009
Corrected	Category	Deficiency	Severity
11/20/2009	Administration Deficiencies	Set up or keep a group of people to review and ensure quality.	J
11/20/2009	Administration Deficiencies	Keep accurate and appropriate medical records.	J
11/20/2009	Administration Deficiencies	Be administered in a way that leads to the highest possible level of well being for each resident.	J
12/01/2009	Environmental Deficiencies	Have a program to keep infection from spreading.	E
11/20/2009	Pharmacy Service Deficiencies	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	J
12/01/2009	Pharmacy Service Deficiencies	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	D
11/20/2009	Pharmacy Service Deficiencies	Make sure that residents are safe from serious medication errors.	J
12/01/2009	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	E
12/01/2009	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
12/01/2009	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	D
12/01/2009	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	E
11/20/2009	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	J
12/01/2009	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.	D
12/01/2009	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	D
12/01/2009	Environmental Deficiencies	Keep sound levels comfortable.	D
12/01/2009	Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.	D
12/01/2009	Resident Rights Deficiencies	Keep each resident's personal and medical records private and confidential.	D
11/20/2009	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.	J
Inspection Results: 08/27/2008
Corrected	Category	Deficiency	Severity
09/04/2008	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.	J
09/04/2008	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	E
09/04/2008	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	D
09/04/2008	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	J
09/04/2008	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.	E
09/04/2008	Environmental Deficiencies	Provide at least one room to use as a dining room and for activities, that is a good size, with good lighting, airflow and furniture.	E
Inspection Results: 07/03/2007
Corrected	Category	Deficiency	Severity
08/01/2007	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	E
08/01/2007	Administration Deficiencies	1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides.	E
08/01/2007	Environmental Deficiencies	Make sure there is a program to prevent/deal with mice, insects, or other pests.	E
08/01/2007	Environmental Deficiencies	Put firmly secured handrails on each side of hallways.	D
08/01/2007	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	F
08/01/2007	Environmental Deficiencies	Make sure that staff members wash their hands when needed.	D
08/01/2007	Environmental Deficiencies	Get rid of garbage properly.	D
08/01/2007	Nutrition and Dietary Deficiencies	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	D
08/01/2007	Administration Deficiencies	Give or get lab tests to meet the needs of residents.	D
08/01/2007	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
08/01/2007	Quality Care Deficiencies	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.	D
08/01/2007	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	D
08/01/2007	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	D
08/01/2007	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.	D
08/01/2007	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
08/01/2007	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	D
08/01/2007	Resident Assessment Deficiencies	Check and update (if needed) each resident's assessment every 3 months.	D
08/01/2007	Environmental Deficiencies	Provide needed housekeeping and maintenance.	E
08/01/2007	Environmental Deficiencies	Keep safe, clean and homelike surroundings.	D
08/01/2007	Mistreatment Deficiencies	Keep each resident free from physical restraints, unless needed for medical treatment.	E
08/01/2007	Resident Rights Deficiencies	Keep each resident's personal and medical records private and confidential.	D
08/01/2007	Resident Rights Deficiencies	Provide proof that all residents' personal money which is deposited with the nursing home, is secure.	C
08/01/2007	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.	D

Fire Safety Inpections: BAILEY PARK CLC
Inspection Results: 11/08/2009
Corrected	Category	Deficiency	Severity
11/09/2009	Electrical Deficiencies	properly installed electrical wiring and equipment.	D
11/09/2009	Furnishings and Decorations Deficiencies	exits that are free from obstructions and can be used at all times.	E
Inspection Results: 08/25/2008
Corrected	Category	Deficiency	Severity
09/03/2008	Smoking Regulations Deficiencies	posted "No-smoking" signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed.	D
09/03/2008	Building Service Equipment Deficiencies	properly protected cooking facilities.	D
09/03/2008	Electrical Deficiencies	properly installed electrical wiring and equipment.	D
09/03/2008	Automatic Sprinkler Systems Deficiencies	an approved automatic sprinkler system connected to the fire alarm system.	D
09/03/2008	Fire Alarm Systems Deficiencies	an approved installation, maintenance and testing program for fire alarm systems.	D
09/03/2008	Hazardous Area Deficiencies	construction that can resist fire for one hour or an approved fire extinguishing system.	D
Inspection Results: 07/02/2007
Corrected	Category	Deficiency	Severity
08/03/2007	Miscellaneous Deficiencies	fire safety features required by current fire safety codes.	D

Resident Complaints: BAILEY PARK CLC
Date Complaint Substantiated: 02/06/2007
Corrected	Category	Deficiency	Severity
03/06/2007	Mistreatment Deficiencies	1) Hire only people who have 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

Quality Measures: BAILEY PARK CLC
Quality Measures	National Average	BAILEY PARK CLC
Overall quality rating	Not Available	5 out of 5 stars
Long-Stay Residents
Percent of long-stay residents whose ability to move about in and around their room got worse	11%	5%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	50%	23%
Percent of long-stay residents who spend most of their time in bed or in a chair	4%	1%
Percent of long-stay residents who were assessed and given pneumococcal vaccination	89%	90+%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	5%	2%
Percent of long-stay residents who lose too much weight	8%	7%
Percent of long-stay residents whose need for help with daily activities has increased	14%	5%
Percent of long-stay residents who are more depressed or anxious	14%	13%
Percent of long-stay residents who were physically restrained	3%	0%
Percent of low-risk long-stay residents who have pressure sores	2%	2%
Percent of long-stay residents who had a urinary tract infection	9%	17%
Percent of high-risk long-stay residents who have pressure sores	11%	3%
Percent of long-stay residents given influenza vaccination during the flu season	91%	90+%
Percent of long-stay residents who have moderate to severe pain	3%	0%
Short-Stay Residents
Percent of short-stay residents who have pressure sores	13%	19%
Percent of short-stay residents who were assessed and given pneumococcal vaccination	83%	90+%
Percent of short-stay residents given influenza vaccination during the flu season	83%	90+%
Percent of short-stay residents who have delirium	2%	6%
Percent of short-stay residents who had moderate to severe pain	19%	3%

Severity Codes Explanation. Note: The higher the letter, the higher the severity.
A	Isolated /Potential for minimal harm
B	Pattern /Potential for minimal harm
C	Widespread /Potential for minimal harm
D	Isolated /Minimal harm or potential for actual harm
E	Pattern /Minimal harm or potential for actual harm
F	Widespread /Minimal harm or potential for actual harm
G	Isolated /Actual harm
H	Pattern /Actual harm
I	Widespread /Actual harm
J	Isolated /Immediate jeopardy to resident health or safety
K	Pattern /Immediate jeopardy to resident health or safety
L	Widespread /Immediate jeopardy to resident health or safety