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Grace Healthcare Of Whites Creek

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About Grace Healthcare Of Whites Creek

General Information

Legal Business NameWhites Creek Healthcare LLC
Ownership TypeFor Profit - Individual
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMay 4, 1992 (25 years)
Capacity127
Residents122
Percent Occupied96%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Grace Healthcare Of Whites Creek

Grace Healthcare Of Whites Creek
was reviewed by Medicare to have a rating of 3 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

October 1, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaint+InspectionEnsure that residents are safe from serious medication errors.
DFewPotential for HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.

September 30, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionOther fire safety features required by fire safety codes.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
ESomePotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
DFewPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
DFewPotential for HarmFire Safety InspectionNo-smoking signs where oxygen is used.
DFewPotential for HarmFire Safety InspectionHeating and ventilation systems that have been properly installed according to the manufacturer's instructions.
DFewPotential for HarmFire Safety InspectionExit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
DFewPotential for HarmFire Safety InspectionProperly protected cooking facilities.

July 30, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionOffer other nutritional food to each resident who will not eat the food served.
DFewPotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.

July 28, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
DFewPotential 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 Grace Healthcare Of Whites Creek 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 5min
2hr 40min
ReportedExpected
CNA
50min
40min
ReportedExpected
LPN
25min
60min
ReportedExpected
RN
3hr 15min
4hr 15min
ReportedExpected
Total Nursing

This facility also provides approximately 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

99.1%
98.3%
98.3%
94.3%
Q1 2015Q2 2015Q3 2015TN
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
99.1%
92.4%
Q1 2015Q2 2015Q3 2015TN
Assessed and Appropriately Given the Pneumococcal Vaccine
73.3%
-
63.6%
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
34.3%
36.2%
37.5%
21.2%
Q1 2015Q2 2015Q3 2015TN
Received an Antipsychotic Medication
15.1%
27.4%
15.9%
16.7%
Q1 2015Q2 2015Q3 2015TN
Need for Help with ADLs has Increased
0.0%
0.0%
2.2%
6.0%
Q1 2015Q2 2015Q3 2015TN
Self Report Moderate to Severe Pain
2.7%
0.9%
0.9%
8.9%
Q1 2015Q2 2015Q3 2015TN
Lose Too Much Weight
2.1%
2.2%
2.3%
5.4%
Q1 2015Q2 2015Q3 2015TN
High Risk Residents With Pressure Ulcers
1.9%
0.0%
1.0%
2.9%
Q1 2015Q2 2015Q3 2015TN
Have Depressive Symptoms
2.7%
6.5%
6.5%
6.2%
Q1 2015Q2 2015Q3 2015TN
With a Urinary Tract Infection
0.9%
1.9%
2.7%
3.4%
Q1 2015Q2 2015Q3 2015TN
Experiencing One or More Falls with Major Injury
5.2%
3.3%
1.8%
3.2%
Q1 2015Q2 2015Q3 2015TN
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
2.1%
Q1 2015Q2 2015Q3 2015TN
Were Physically Restrained

Quality Measures for Short Stay Residents

94.5%
97.4%
78.5%
81.2%
Q1 2015Q2 2015Q3 2015TN
Assessed and Appropriately Given the Pneumococcal Vaccine
93.2%
93.1%
93.1%
81.3%
Q1 2015Q2 2015Q3 2015TN
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
7.7%
4.9%
10.7%
14.8%
Q1 2015Q2 2015Q3 2015TN
Self Report Moderate to Severe Pain
4.8%
2.5%
4.3%
2.3%
Q1 2015Q2 2015Q3 2015TN
Newly Received an Antipsychotic Medication
0.0%
2.4%
6.1%
0.8%
Q1 2015Q2 2015Q3 2015TN
With Pressure Ulcers That Are New or Worsened