General Information: WEST HILLS HEALTH AND REHAB
Nursing home name WEST HILLS HEALTH AND REHAB
Address6801 MIDDLEBROOK PIKE
KNOXVILLE, TN 37919
Phone number (865) 588-7661
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 194
Total number of residents 129
Perc of occupied beds 66
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints1
Number of Fines2
Total Amount of Fines$21841
Total Number of Penalties0
Total Number of Penalties2
Ratings Summary: WEST HILLS HEALTH AND REHAB
Overall rating 2
2
Nursing Home Staffing 3
3
Registered Nurses only 4
4
Health Inspections 2
2
Quality Measures 4
4
Nursing Home Staffing Info: WEST HILLS HEALTH AND REHAB
National AverageTennessee AverageWEST HILLS HEALTH AND REHAB
Overall staff rating NA NA 3
3
Registered Nurses only rating NANA 4
4
Total Number of Residents NA NA 129
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 3.95 hours 3.61 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.7 hours 1.57 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.67 hours 0.75 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 1.03 hours 0.81 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.26 hours 2.04 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.1 hours 0.07 hours
Health Survey: WEST HILLS HEALTH AND REHAB
Heath Survey Summary on 2013-12-11
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 2012-07-05
Total Number of Health Deficiencies 3
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-01-20
Total Number of Health Deficiencies 0
Scope and Severity of most Severe Health Deficiency
Health Survey Details: WEST HILLS HEALTH AND REHAB
Inspection Results: 12/11/2013
Corrected Deficiency Scope and Severity
01/13/2014 Put firmly secured handrails on each side of hallways. Isolated/Minimal harm or potential for actual harm
Inspection Results: 07/05/2012
Corrected Deficiency Scope and Severity
07/18/2012 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
07/18/2012 Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated/Minimal harm or potential for actual harm
07/18/2012 Dispose of garbage and refuse properly. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: WEST HILLS HEALTH AND REHAB
Fire Safety Survey Summary on 2013-12-09
Total Number of Fire SafetyDeficiencies 9
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-07-02
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-01-20
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey: WEST HILLS HEALTH AND REHAB
Fire Safety Survey Results: 12/09/2013
Corrected Deficiency Severity
01/13/2014 Corridors that are separated from use areas by walls constructed to limit the passage of smoke. Isolated/Minimal harm or potential for actual harm
01/13/2014 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Pattern/Minimal harm or potential for actual harm
01/13/2014 Properly located and lighted "Exit" signs. Isolated/Minimal harm or potential for actual harm
01/13/2014 Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm
01/13/2014 Weekly inspections and monthly testing of generators. Widespread /Minimal harm or potential for actual harm
01/13/2014 An approved automatic sprinkler system connected to the fire alarm system. Isolated/Minimal harm or potential for actual harm
01/13/2014 Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Widespread /Minimal harm or potential for actual harm
01/13/2014 Automatic sprinkler systems that have been maintained in working order. Widespread /Minimal harm or potential for actual harm
01/13/2014 Exits that are free from obstructions and can be used at all times. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 07/02/2012
Corrected Deficiency Severity
07/18/2012 Walls that prevent smoke from passing through and would resist fire for at least one hour. Isolated/Minimal harm or potential for actual harm
07/18/2012 Automatic sprinkler systems that have been maintained in working order. Isolated/Minimal harm or potential for actual harm
07/18/2012 Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm

Resident Complaints: WEST HILLS HEALTH AND REHAB
Date Complaint Substantiated: 05/18/2012
CorrectedCategoryDeficiencySeverity
06/06/2012Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. G
06/06/2012Provide necessary care and services to maintain or improve the highest well being of each resident . J
06/06/2012Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. J

Quality Measures: WEST HILLS HEALTH AND REHAB
Quality Measures National Average Tennessee Average WEST HILLS 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% 29.2%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 6.9% 0.7%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 5.2% 5.3%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 8.2% 3.0%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 45.6% 37.5%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.3% 1.4%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 7.8% 11.6%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 3.4% 6.3%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 2.7% 2.3%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.5% 3.3%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 93.4% 99.0%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 93.5% 99.4%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 24.3% 24.6%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 17.8% 2.7%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 0.8% 1.3%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 85.4% 99.5%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 82.6% 100.0%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 3.1% 4.4%

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