BENCHMARK HEALTHCARE OF PURYEAR INC

Nursing Home Inspector

220 COLLEGE STREET
PURYEAR, TN 38251
Henry County
Phone: 731-247-3205
Provider Number: 445470
Last Inspection: 04/19/2017

About the Nursing Home

Number of Beds: 32
Number of Residents: 27
Beds Available: 5
Percent Occupancy: 84%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: For profit - Corporation
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

 

26

Facility
17

County
14

TN
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

26

2017
60

2016
20

2014

Medicare Ratings

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

 

Details by Inspection Date

4/19/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 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 3 5/10/2017
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 5/10/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 5/10/2017
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 5/10/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 5/10/2017
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 5/10/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 5/10/2017
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern : Minimal 4 5/10/2017
 

1/27/2016 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 2/19/2016
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Actual 4 2/17/2016
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Actual 4 2/17/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 2/17/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Actual 5 2/17/2016
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 2/17/2016
 
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Widespread : Minimal 5 2/17/2016
 
Failed To: Hire a qualified dietician. Isolated : Minimal 3 2/17/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 2/17/2016
 
Failed To: Keep all essential equipment working safely. Isolated : Minimal 3 2/17/2016
 
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Pattern : Actual 5 2/17/2016
 
Failed To: Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility Isolated : Minimal 3 2/17/2016
 
Failed To: Employ staff that are licensed, certified, or registered in accordance with state laws. Isolated : Minimal 3 2/18/2016
 
Failed To: Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Isolated : Minimal 3 2/17/2016
 
Failed To: Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. Pattern : Actual 5 2/18/2016
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern : Actual 5 2/19/2016
 

11/13/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Upon the death of a resident, convey the resident’s personal funds and an accounting of those funds to the appropriate party. Isolated : Minimal 3 11/18/2014
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 11/25/2014
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 11/25/2014
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 11/25/2014
 
Failed To: 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. Pattern : Minimal 4 11/25/2014
 
Failed To: Quickly tell the resident's doctor the results of laboratory tests. Isolated : Minimal 3 11/25/2014
 

Complaint Investigation Deficiencies

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

1/18/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Widespread : Minimal 5 2/3/2017
 
Failed To: Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility Widespread : Minimal 5 2/3/2017
 

12/13/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 2/3/2017
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread : Minimal 5 2/3/2017
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Widespread : Minimal 5 2/3/2017
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg TN State Avg
Number of Residents 27 68.00 85.33
Registered Nurses 0.30 0.56 0.75
Licensed Practical / Vocational Nurses 0.99 1.16 1.05
Certified Nursing Assistants 2.04 2.21 2.17
Total Staff Hours 3.33 3.93 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 8 5 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 71 86 92
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97 97 93
of long-stay residents experiencing one or more falls with major injury 8 6 3
of long-stay residents who have depressive symptoms 0 1 2
of long-stay residents who lose too much weight 9 8 7
of long-stay residents who received an antianxiety or hypnotic medication 47 41 36
of long-stay residents who received an antipsychotic medication 34 22 17
of long-stay residents who self-report moderate to severe pain 9 4 4
of long-stay residents who were physically restrained 0 0 1
of long-stay residents whose ability to move independently worsened 18 15 21
of long-stay residents whose need for help with daily activities has increased 12 12 15
of long-stay residents with a catheter inserted and left in their bladder 2 1 2
of long-stay residents with a urinary tract infection 6 5 4
of short-stay residents assessed and appropriately given the pneumococcal vaccine 30 29 56
of short-stay residents with pressure ulcers that are new or worsened 12 69 83