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Cambridge House, The

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About Cambridge House, The

General Information

Legal Business NameLegal Business Name Not Available
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareOctober 2, 1986 (30 years)
Capacity130
Residents92
Percent Occupied71%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Cambridge House, The

Cambridge House, The
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Tennessee Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

February 11, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
DFewPotential for HarmComplaint+InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaint+InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionProvide or obtain dental services for each resident.
DFewPotential for HarmHealth InspectionEnsure that residents receive proper treatment and assistive devices to maintain their vision and hearing.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.

February 10, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionOther fire safety features required by fire safety codes.
FManyPotential for HarmFire Safety InspectionHeating and ventilation systems that have been properly installed according to the manufacturer's instructions.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionProper medical gas storage and administration areas.

December 26, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintOther fire safety features required by fire safety codes.

July 31, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintTry to resolve each resident's complaints quickly.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

January 23, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$4,875 fine
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmComplaint+Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

January 22, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
DFewPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Cambridge House, The require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 40min
2hr 30min
ReportedExpected
CNA
1hr 25min
35min
ReportedExpected
LPN
25min
55min
ReportedExpected
RN
4hr 25min
3hr 60min
ReportedExpected
Total Nursing

This facility also provides approximately 10min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

97.9%
97.3%
97.3%
94.3%
Q1 2015Q2 2015Q3 2015TN
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
100.0%
92.4%
Q1 2015Q2 2015Q3 2015TN
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
53.2%
Q1 2015Q2 2015Q3 2015TN
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
16.3%
16.5%
11.4%
21.2%
Q1 2015Q2 2015Q3 2015TN
Received an Antipsychotic Medication
15.5%
7.7%
20.3%
16.7%
Q1 2015Q2 2015Q3 2015TN
Need for Help with ADLs has Increased
0.0%
7.4%
0.0%
6.0%
Q1 2015Q2 2015Q3 2015TN
Self Report Moderate to Severe Pain
18.8%
4.2%
14.3%
8.9%
Q1 2015Q2 2015Q3 2015TN
Lose Too Much Weight
8.8%
10.3%
12.9%
5.4%
Q1 2015Q2 2015Q3 2015TN
High Risk Residents With Pressure Ulcers
0.0%
0.0%
0.0%
2.9%
Q1 2015Q2 2015Q3 2015TN
Have Depressive Symptoms
8.5%
9.9%
10.1%
6.2%
Q1 2015Q2 2015Q3 2015TN
With a Urinary Tract Infection
4.3%
4.9%
3.7%
3.4%
Q1 2015Q2 2015Q3 2015TN
Experiencing One or More Falls with Major Injury
5.6%
6.3%
8.5%
3.2%
Q1 2015Q2 2015Q3 2015TN
With a Catheter Inserted and Left in Their Bladder
14.9%
13.6%
13.6%
2.1%
Q1 2015Q2 2015Q3 2015TN
Were Physically Restrained

Quality Measures for Short Stay Residents

67.5%
66.3%
61.6%
81.2%
Q1 2015Q2 2015Q3 2015TN
Assessed and Appropriately Given the Pneumococcal Vaccine
55.3%
52.5%
52.5%
81.3%
Q1 2015Q2 2015Q3 2015TN
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
0.0%
1.6%
0.0%
14.8%
Q1 2015Q2 2015Q3 2015TN
Self Report Moderate to Severe Pain
0.0%
0.0%
4.7%
2.3%
Q1 2015Q2 2015Q3 2015TN
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
0.8%
Q1 2015Q2 2015Q3 2015TN
With Pressure Ulcers That Are New or Worsened