THE VILLAGE AT GERMANTOWN

Nursing Home Inspector

7930 WALKING HORSE CIRCLE
GERMANTOWN, TN 38138
Shelby County
Phone: 901-752-2580
Provider Number: 445482
Last Inspection: 10/05/2017

About the Nursing Home

Number of Beds: 50
Number of Residents: 33
Beds Available: 17
Percent Occupancy: 66%
Insurance Accepted: Medicare
Types of Councils: Resident
Ownership: Non 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

 

3

Facility
28

County
14

TN
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

3

2017
16

2016
24

2015

Medicare Ratings

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

 

Details by Inspection Date

10/5/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 11/6/2017
 

7/13/2016 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 7/13/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 8/10/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 7/29/2016
 
Failed To: 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. Isolated : Minimal 3 8/7/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 8/10/2016
 

7/8/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Assure that each resident’s assessment is updated at least once every 3 months. Isolated : Minimal 3 7/21/2015
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 7/21/2015
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 7/8/2015
 
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 7/21/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 8/8/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 8/1/2015
 
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 8/1/2015
 

Complaint Investigation Deficiencies

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

1/10/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 2/6/2017
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg TN State Avg
Number of Residents 33 94.53 85.33
Registered Nurses 0.92 0.81 0.75
Licensed Practical / Vocational Nurses 2.00 1.14 1.05
Certified Nursing Assistants 3.68 2.10 2.17
Total Staff Hours 6.60 4.06 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 0 5 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 76 92
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 79 93
of long-stay residents experiencing one or more falls with major injury 7 1 3
of long-stay residents who have depressive symptoms 27 1 2
of long-stay residents who lose too much weight 10 9 7
of long-stay residents who received an antianxiety or hypnotic medication 19 23 36
of long-stay residents who received an antipsychotic medication 2 14 17
of long-stay residents who self-report moderate to severe pain 0 4 4
of long-stay residents who were physically restrained 0 1 1
of long-stay residents with a catheter inserted and left in their bladder 3 19 21
of long-stay residents with a urinary tract infection 8 17 15
of short-stay residents assessed and appropriately given the pneumococcal vaccine 97 2 2
of short-stay residents who had an outpatient emergency department visit 9 4 4
of short-stay residents who made improvements in function 50 71 56
of short-stay residents who newly received an antipsychotic medication 1 59 83
of short-stay residents who self-report moderate to severe pain 4 9 13
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 92 62 64
of short-stay residents who were rehospitalized after a nursing home admission 21 2 2
of short-stay residents who were successfully discharged to the community 80 11 12
of short-stay residents with pressure ulcers that are new or worsened 0 59 81