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Serene Manor Medical Ctr.

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About Serene Manor Medical Ctr.

General Information

Legal Business NameLegal Business Name Not Available
Ownership TypeNon Profit - Other
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMarch 31, 1974 (43 years)
Capacity79
Residents75
Percent Occupied95%
Program ParticipationMedicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Serene Manor Medical Ctr.

Serene Manor Medical Ctr.
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

July 29, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionEmploy 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.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionTell the resident or the residentís representative in writing how long the nursing home will hold the residentís bed in cases of transfer to a hospital or therapeutic leave.

July 27, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionProperly sized and located linen or trash receptacles.
FManyPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
FManyPotential for HarmFire Safety InspectionHeating and ventilation systems that have been properly installed according to the manufacturer's instructions.
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
ESomePotential for HarmFire Safety InspectionExits that are free from obstructions and can be used at all times.

April 10, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential 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 InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionKeep all essential equipment working safely.
DFewPotential for HarmHealth InspectionDispose of garbage and refuse properly.
DFewPotential for HarmComplaint+InspectionGive or get specialized rehabilitative services per the patient's assessment or plan of care.
DFewPotential for HarmComplaint+InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionEnsure 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.
DFewPotential for HarmHealth InspectionGive the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

April 7, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionExits that are free from obstructions and can be used at all times.
DFewPotential for HarmFire Safety InspectionProper backup exit lighting.
DFewPotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Serene Manor Medical Ctr. 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.

1hr 60min
2hr 5min
ReportedExpected
CNA
1hr 10min
35min
ReportedExpected
LPN
20min
50min
ReportedExpected
RN
3hr 25min
3hr 30min
ReportedExpected
Total Nursing

This facility also provides approximately 5min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

98.2%
95.2%
95.2%
94.3%
Q1 2015Q2 2015Q3 2015TN
Assessed and Appropriately Given the Seasonal Influenza Vaccine
98.3%
97.2%
86.1%
92.4%
Q1 2015Q2 2015Q3 2015TN
Assessed and Appropriately Given the Pneumococcal Vaccine
-
20.0%
21.6%
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
36.2%
30.9%
32.0%
21.2%
Q1 2015Q2 2015Q3 2015TN
Received an Antipsychotic Medication
2.3%
6.8%
3.3%
16.7%
Q1 2015Q2 2015Q3 2015TN
Need for Help with ADLs has Increased
5.0%
11.8%
20.8%
6.0%
Q1 2015Q2 2015Q3 2015TN
Self Report Moderate to Severe Pain
8.9%
7.0%
4.2%
8.9%
Q1 2015Q2 2015Q3 2015TN
Lose Too Much Weight
-
0.0%
-
5.4%
Q1 2015Q2 2015Q3 2015TN
* The data for this facility for some quarters is unavailable.
High Risk Residents With Pressure Ulcers
3.6%
1.5%
1.4%
2.9%
Q1 2015Q2 2015Q3 2015TN
Have Depressive Symptoms
3.5%
8.5%
12.7%
6.2%
Q1 2015Q2 2015Q3 2015TN
With a Urinary Tract Infection
0.0%
0.0%
1.4%
3.4%
Q1 2015Q2 2015Q3 2015TN
Experiencing One or More Falls with Major Injury
5.0%
9.8%
6.2%
3.2%
Q1 2015Q2 2015Q3 2015TN
With a Catheter Inserted and Left in Their Bladder
1.7%
1.4%
0.0%
2.1%
Q1 2015Q2 2015Q3 2015TN
Were Physically Restrained

Quality Measures for Short Stay Residents

-
-
-
81.2%
Q1 2015Q2 2015Q3 2015TN
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
81.3%
Q1 2015Q2 2015Q3 2015TN
* The data for this facility for some quarters is unavailable.
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
-
14.8%
Q1 2015Q2 2015Q3 2015TN
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
2.3%
Q1 2015Q2 2015Q3 2015TN
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
-
-
-
0.8%
Q1 2015Q2 2015Q3 2015TN
* The data for this facility for some quarters is unavailable.
With Pressure Ulcers That Are New or Worsened