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Poplar Oaks Rehabilitation And Healthcare Ctr LLC

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About Poplar Oaks Rehabilitation And Healthcare Ctr LLC

General Information

Legal Business NamePoplar Oaks Rehabilitation And Healthcare Center, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJuly 7, 2009 (8 years)
Capacity114
Residents97
Percent Occupied85%
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 Poplar Oaks Rehabilitation And Healthcare Ctr LLC

Poplar Oaks Rehabilitation And Healthcare Ctr LLC
was reviewed by Medicare to have a rating of 1 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

August 23, 2016 - 7 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintTell 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.
DFewPotential for HarmComplaintGive proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.

June 29, 2016 - 9 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintAllow residents the right to participate in the planning or revision of care and treatment.

December 4, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmHealth InspectionGive proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
ESomePotential for HarmComplaint+InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmComplaint+InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.

August 20, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

July 9, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$650 fine

October 30, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionMake sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
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 InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionUpon the death of a resident, convey the residentís personal funds and an accounting of those funds to the appropriate party.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

September 2, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmComplaintProvide medically-related social services to help each resident achieve the highest possible quality of life.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Poplar Oaks Rehabilitation And Healthcare Ctr LLC 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 25min
2hr 30min
ReportedExpected
CNA
1hr 30min
45min
ReportedExpected
LPN
45min
1hr 10min
ReportedExpected
RN
4hr 35min
4hr 30min
ReportedExpected
Total Nursing

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

Quality Measures for Long Stay Residents

83.7%
57.9%
57.9%
57.9%
93.2%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.3%
95.3%
98.6%
100.0%
91.5%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
56.0%
35.0%
-
-
55.0%
Q4 2015Q1 2016Q2 2016Q3 2016TN
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
32.9%
32.1%
27.1%
30.1%
36.8%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents who received an antianxiety or hypnotic medication
26.3%
27.7%
11.4%
19.3%
21.0%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents whose ability to move independently worsened
22.8%
24.1%
29.4%
23.9%
18.6%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents who received an antipsychotic medication
23.3%
28.6%
4.1%
13.5%
15.7%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents whose need for help with daily activities has increased
2.3%
1.8%
0.0%
2.0%
5.3%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents who self-report moderate to severe pain
11.6%
10.7%
4.1%
13.2%
8.0%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents who lose too much weight
10.8%
8.1%
9.0%
8.5%
5.3%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of high risk long-stay residents with pressure ulcers
1.4%
2.7%
1.5%
0.0%
2.4%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents who have depressive symptoms
1.2%
1.2%
6.8%
3.9%
5.4%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents with a urinary tract infection
2.3%
2.4%
1.4%
0.0%
3.3%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents experiencing one or more falls with major injury
4.8%
3.9%
5.2%
6.0%
2.6%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
1.6%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

82.4%
94.2%
96.6%
79.0%
81.7%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
68.5%
55.3%
55.3%
55.3%
80.0%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
60.2%
66.5%
67.7%
65.6%
61.7%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of short-stay residents who made improvements in function
18.8%
13.1%
10.1%
14.7%
14.0%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of short-stay residents who self-report moderate to severe pain
0.0%
3.0%
5.4%
5.6%
2.2%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of short-stay residents who newly received an antipsychotic medication
1.6%
0.0%
0.0%
1.1%
0.8%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of short-stay residents with pressure ulcers that are new or worsened