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Brookhaven Manor

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 180
Continuing Care? No
Resident Council? Yes
Family Council? Yes
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 11/09/2011

Date of last standard health inspection: 11/09/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in TN: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in TN: 0 - 11

Inspection, 00/09/2011

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. 00/09/2011 02/01/2011 4 Many
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/09/2011 02/01/2011 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain comfortable and safe temperature levels. 00/09/2011 02/01/2011 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/09/2011 02/01/2011 2 Some
Have a program that investigates, controls and keeps infection from spreading. 00/09/2011 02/01/2011 2 Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 00/09/2011 02/00/2012 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 00/09/2011 02/01/2011 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 00/09/2011 02/01/2011 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 00/09/2011 02/01/2011 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 00/09/2011 02/01/2011 2 Few
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. 00/09/2011 02/01/2011 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. 00/09/2011 02/01/2011 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/09/2011 02/01/2011 2 Few

Inspection, 01/06/2010

Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Try to resolve each resident's complaints quickly. 01/06/2010 03/00/2011 2 Some
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. 01/06/2010 03/00/2011 2 Few

Inspection, 00/01/2009

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/01/2009 01/06/2010 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 00/01/2009 01/06/2010 2 Few
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. 00/01/2009 01/06/2010 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Try to resolve each resident's complaints quickly. 00/01/2009 01/06/2010 2 Few
Allow residents to self-administer drugs if determined safe. 00/01/2009 01/06/2010 2 Few
Try to resolve each resident's complaints quickly. 00/01/2009 01/06/2010 2 Few

Inspection, 03/00/2008

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates 03/00/2008 03/00/2009 Few controls and keeps infection from spreading.
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide food in a way that meets a resident's needs. 03/00/2008 03/00/2009 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. 03/00/2008 03/00/2009 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 03/00/2008 03/00/2009 2 Few

Inspection, 02/09/2007

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/09/2007 00/01/2009 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 02/09/2007 00/01/2009 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. 02/09/2007 00/01/2009 2 Few

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in TN Golden Living Center, Asheville
RN Staff Only1 N/A N/A 1 out of 5 stars
Total Number of Residents 86 96 161
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 14 hours 43 minutes 1 hour 4 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 13 hours 45 minutes 18 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 14 hours 20 minutes 46 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 15 hours 24 minutes 1 hour 44 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 11/08/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 11/08/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in TN: 1
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in TN: 0 - 1

Inspection, 00/08/2011

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/08/2011 01/08/2011 4 Many
Back-up procedures in place for a faulty automatic sprinkler system. 00/08/2011 02/01/2011 4 Many
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 00/08/2011 01/08/2011 2 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 00/08/2011 01/06/2012 2 Many
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 00/08/2011 02/01/2011 2 Few
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 00/08/2011 01/05/2011 2 Many
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 00/08/2011 03/00/2011 2 Some
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. 00/08/2011 03/00/2011 2 Few

Inspection, 03/00/2008

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. 03/00/2008 01/06/2010 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 03/00/2008 01/06/2010 2 Many

Inspection, 02/07/2007

Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 02/07/2007 00/01/2009 2 Few
Interior Finish Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Fire resistant interior walls. 02/07/2007 00/01/2009 2 Few
 

2035 Stonebrook Place
Kingsport, TN 37660

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