OVERTON COUNTY HEALTH AND REHAB CENTER

Nursing Home Inspector

318 BILBREY STREET
LIVINGSTON, TN 38570
Overton County
Phone: 931-823-6403
Provider Number: 445419
Last Inspection: 12/07/2016

About the Nursing Home

Number of Beds: 125
Number of Residents: 115
Beds Available: 10
Percent Occupancy: 92%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: Government - County
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

3

Facility
3

County
14

TN
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

3

2016
7

2015
6

2014

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

12/7/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 12/14/2016
 

12/16/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 12/23/2015
 
Failed To: Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. Pattern : Minimal 4 1/14/2016
 

10/29/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Isolated : Minimal 3 11/11/2014
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 11/11/2014
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

8/18/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 9/22/2016
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 9/22/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg TN State Avg
Number of Residents 115 115.00 85.33
Registered Nurses 0.28 0.28 0.75
Licensed Practical / Vocational Nurses 1.23 1.23 1.05
Certified Nursing Assistants 2.40 2.40 2.17
Total Staff Hours 3.91 3.91 3.97

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% TN State Avg%
of high risk long-stay residents with pressure ulcers 7 7 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 99 99 92
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 100 93
of long-stay residents experiencing one or more falls with major injury 6 6 3
of long-stay residents who have depressive symptoms 2 2 2
of long-stay residents who lose too much weight 8 8 7
of long-stay residents who received an antianxiety or hypnotic medication 35 35 36
of long-stay residents who received an antipsychotic medication 14 14 17
of long-stay residents who self-report moderate to severe pain 1 1 4
of long-stay residents who were physically restrained 2 2 1
of long-stay residents whose ability to move independently worsened 30 30 21
of long-stay residents whose need for help with daily activities has increased 29 29 15
of long-stay residents with a catheter inserted and left in their bladder 1 1 2
of long-stay residents with a urinary tract infection 3 3 4
of low risk long-stay residents who lose control of their bowels or bladder 46 46 56
of short-stay residents assessed and appropriately given the pneumococcal vaccine 91 91 83
of short-stay residents who had an outpatient emergency department visit 12 12 13
of short-stay residents who made improvements in function 71 71 64
of short-stay residents who newly received an antipsychotic medication 3 3 2
of short-stay residents who self-report moderate to severe pain 5 5 12
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 96 96 81
of short-stay residents who were rehospitalized after a nursing home admission 17 17 21
of short-stay residents who were successfully discharged to the community 38 38 48
of short-stay residents with pressure ulcers that are new or worsened 1 1 0