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Laurelbrook Sanitarium

Details

Type of Ownership For profit - Corporation
Participates in Medicare? No
Participates in Medicaid? Yes
Certified Beds 50
Continuing Care? No
Resident Council? Yes
Family Council? No
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: 12/21/2010

Date of last standard health inspection: 12/21/2010
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, 02/01/2012

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/01/2012 03/01/2012 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/01/2012 03/01/2012 3 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 02/01/2012 03/01/2012 2 Few

Inspection, 01/00/2011

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 01/00/2011 01/06/2011 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. 01/00/2011 01/06/2011 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. 01/00/2011 01/07/2011 2 Few

Inspection, 00/03/2008

Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Honor a residents' rights as a residents of the nursing home 00/03/2008 01/03/2008 and as citizens or residents of the United States. free of coercion and reprisal

Inspection, 01/05/2005

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. 01/05/2005 00/06/2006 4 Many
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. 01/05/2005 00/06/2006 2 Some
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. 01/05/2005 00/06/2006 2 Few
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. 01/05/2005 00/06/2006 2 Few
Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. 01/05/2005 00/06/2006 4 Many
Provide or obtain laboratory services only when ordered by the attending physician. 01/05/2005 00/06/2006 2 Few
Keep complete, dated laboratory records in the resident's file. 01/05/2005 00/06/2006 2 Few
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. 01/05/2005 00/06/2006 2 Few
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 01/05/2005 00/06/2006 4 Many
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. 01/05/2005 00/06/2006 4 Many
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. 01/05/2005 00/06/2006 2 Some
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. 01/05/2005 00/06/2006 2 Few
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. 01/05/2005 00/06/2006 2 Few
Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. 01/05/2005 00/06/2006 4 Many
Provide or obtain laboratory services only when ordered by the attending physician. 01/05/2005 00/06/2006 2 Few
Keep complete 01/05/2005 00/06/2006 Few dated laboratory records in the resident's file.
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. 01/05/2005 00/06/2006 2 Few
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly 01/05/2005 00/06/2006 Many and develop corrective plans of action.
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/05/2005 00/06/2006 4 Some
Have a program that investigates, controls and keeps infection from spreading. 01/05/2005 00/06/2006 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/05/2005 00/06/2006 4 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. 01/05/2005 00/06/2006 2 Some
Protect each resident from all abuse, physical punishment, and involuntary separation from others. 01/05/2005 00/06/2006 4 Some
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. 01/05/2005 00/06/2006 4 Many
Keep each resident free from physical restraints 01/05/2005 00/06/2006 Some unless needed for medical treatment.
Protect each resident from all abuse 01/05/2005 00/06/2006 and involuntary separation from others. physical punishment
Develop and implement policies for 1) screening and training employees; and the 2) prevention 01/05/2005 00/06/2006 investigation identification
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 01/05/2005 00/06/2006 2 Many
Make sure that special or therapeutic diets are ordered by the attending doctor. 01/05/2005 00/06/2006 2 Few
Store, cook, and serve food in a safe and clean way. 01/05/2005 00/06/2006 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 01/05/2005 00/06/2006 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/05/2005 00/06/2006 2 Many
At least once a month 01/05/2005 00/06/2006 Few have a licensed pharmacist review each resident's
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 01/05/2005 00/06/2006 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 01/05/2005 00/06/2006 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/05/2005 00/06/2006 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/05/2005 00/06/2006 3 Few
Give or get specialized rehabilitative services per the patient's assessment or plan of care. 01/05/2005 00/06/2006 4 Few
Provide medically-related social services to help each resident achieve the highest possible quality of life. 01/05/2005 00/06/2006 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/05/2005 00/06/2006 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/05/2005 00/06/2006 3 Few
Give or get specialized rehabilitative services per the patient's assessment or plan of care. 01/05/2005 00/06/2006 4 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure each resident receives an accurate assessment by a qualified health professional. 01/05/2005 00/06/2006 2 Some
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/05/2005 00/06/2006 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 01/05/2005 00/06/2006 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 01/05/2005 00/06/2006 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 01/05/2005 00/06/2006 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that residents are fully informed and understand their health status, care and treatments. 01/05/2005 00/06/2006 2 Few
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 01/05/2005 00/06/2006 2 Few
Keep residents' personal and medical records private and confidential. 01/05/2005 00/06/2006 2 Few
Try to resolve each resident's complaints quickly. 01/05/2005 00/06/2006 2 Few
Allow residents to have visitors. 01/05/2005 00/06/2006 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/05/2005 00/06/2006 2 Few
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. 01/05/2005 00/06/2006 2 Few
Ensure that residents are fully informed and understand their health status 01/05/2005 00/06/2006 Few care and treatments.
Keep residents' personal and medical records private and confidential. 01/05/2005 00/06/2006 2 Few
Try to resolve each resident's complaints quickly. 01/05/2005 00/06/2006 2 Few
Allow residents to have visitors. 01/05/2005 00/06/2006 2 Few
Ensure residents have the right to have a choice over activities 01/05/2005 00/06/2006 and health care according to their interests their schedules

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 NA
Total Number of Residents 86 96 50
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 14 hours 43 minutes 999 hours 59 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 13 hours 45 minutes 999 hours 59 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 14 hours 20 minutes 999 hours 59 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 15 hours 24 minutes 999 hours 59 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: 12/14/2010

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 12/14/2010
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, 01/04/2012

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 01/04/2012 03/01/2012 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 01/04/2012 00/04/2001 2 Few
Properly installed electrical wiring and equipment. 01/04/2012 03/01/2012 2 Few

Inspection, 00/09/2011

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/09/2011 03/00/2011 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/09/2011 02/04/2011 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. 00/09/2011 03/00/2011 2 Few
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 00/09/2011 02/04/2011 2 Few
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Emergency lighting that can last at least 1 1/2 hours. 00/09/2011 02/04/2011 2 Few
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 00/09/2011 02/04/2011 2 Few

Inspection, 01/04/2005

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/04/2005 00/05/2006 2 Few
An adequate water supply for the sprinkler system. 01/04/2005 03/01/2005 4 Many
Portable fire extinguishers. 01/04/2005 00/05/2006 2 Few
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. 01/04/2005 00/05/2006 2 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 01/04/2005 00/05/2006 2 Few
Properly installed electrical wiring and equipment. 01/04/2005 00/05/2006 2 Few
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. 01/04/2005 00/05/2006 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 01/04/2005 00/05/2006 2 Few
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A fire alarm system that can be heard throughout the facility. 01/04/2005 00/05/2006 2 Few
An approved installation, maintenance and testing program for fire alarm systems. 01/04/2005 00/05/2006 2 Few
Properly maintained smoke detectors. 01/04/2005 00/05/2006 2 Many
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. 01/04/2005 00/05/2006 2 Few
 

114 Campus Drive
Dayton, TN 37321

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