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Gallaway Health And Rehab

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About Gallaway Health And Rehab

General Information

Legal Business NameGallaway Operator LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 28, 2002 (15 years)
Capacity104
Residents89
Percent Occupied86%
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 Gallaway Health And Rehab

Gallaway Health And Rehab
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

June 30, 2016 - 10 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaint+InspectionProvide residents with private access to a telephone.
ESomePotential for HarmComplaint+InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
ESomePotential 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+InspectionMake sure that a working call system is available in each resident's room or bathroom and bathing area.
DFewPotential for HarmComplaint+InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmComplaint+InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmComplaint+InspectionConduct initial and periodic assessments of each resident's functional capacity.

June 18, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$22,523 fine
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
GFewActual HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
GFewActual HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
ESomePotential for HarmHealth InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
ESomePotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CManyPotential for Minimal HarmHealth InspectionProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
CManyPotential for Minimal HarmHealth InspectionProvide proof that residents' personal money that is deposited with the nursing home is secure.
CManyPotential for Minimal 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 InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
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 27, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmComplaint1) 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.

April 2, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$51,253 fine

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Gallaway Health And Rehab 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 45min
2hr 30min
ReportedExpected
CNA
55min
35min
ReportedExpected
LPN
20min
1hr
ReportedExpected
RN
3hr 5min
4hr 10min
ReportedExpected
Total Nursing

This facility also provides approximately 30min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

95.8%
98.9%
98.9%
98.9%
93.2%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.3%
86.0%
100.0%
96.5%
91.5%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
61.9%
69.2%
66.7%
76.9%
55.0%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of low risk long-stay residents who lose control of their bowels or bladder
32.6%
30.9%
29.3%
36.2%
36.8%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents who received an antianxiety or hypnotic medication
25.4%
10.3%
11.1%
7.7%
21.0%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents whose ability to move independently worsened
42.7%
31.0%
27.4%
28.4%
18.6%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents who received an antipsychotic medication
23.1%
24.3%
14.9%
26.7%
15.7%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents whose need for help with daily activities has increased
11.7%
4.4%
4.2%
1.9%
5.3%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents who self-report moderate to severe pain
7.0%
10.5%
11.8%
10.7%
8.0%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents who lose too much weight
8.8%
3.4%
0.0%
3.2%
5.3%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
0.0%
0.0%
2.4%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents who have depressive symptoms
9.3%
4.7%
1.3%
1.2%
5.4%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents with a urinary tract infection
5.7%
7.0%
5.2%
7.1%
3.3%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents experiencing one or more falls with major injury
3.5%
2.8%
0.0%
0.0%
2.6%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents with a catheter inserted and left in their bladder
2.3%
1.2%
1.3%
2.4%
1.6%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

70.8%
-
92.9%
75.8%
81.7%
Q4 2015Q1 2016Q2 2016Q3 2016TN
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
73.5%
-
-
-
80.0%
Q4 2015Q1 2016Q2 2016Q3 2016TN
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
61.7%
Q4 2015Q1 2016Q2 2016Q3 2016TN
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
-
-
-
15.0%
14.0%
Q4 2015Q1 2016Q2 2016Q3 2016TN
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who self-report moderate to severe pain
-
-
-
-
2.2%
Q4 2015Q1 2016Q2 2016Q3 2016TN
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
-
0.0%
0.0%
0.8%
Q4 2015Q1 2016Q2 2016Q3 2016TN
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents with pressure ulcers that are new or worsened