SPRING GATE REHAB & HEALTHCARE CENTER

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Spring Gate Rehab & Healthcare Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Tennessee are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 04/13/2011.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 06/16/2010 Correction Date: 07/15/2010
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Inspection Date: 04/13/2011 Correction Date: 04/29/2011
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 04/13/2011 Correction Date: 05/11/2011
Give Lab Tests Only when the Attending Doctor Ordered Them. Inspection Date: 04/13/2011 Correction Date: 05/11/2011
Keep Accurate and Appropriate Medical Records. Inspection Date: 04/13/2011 Correction Date: 05/11/2011

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 06/16/2010 Correction Date: 07/15/2010
Put Firmly Secured Handrails on Each Side of Hallways. Inspection Date: 06/16/2010 Correction Date: 07/15/2010
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 06/16/2010 Correction Date: 07/15/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/13/2011 Correction Date: 04/29/2011
Get Rid of Garbage Properly. Inspection Date: 04/13/2011 Correction Date: 04/29/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 04/13/2011 Correction Date: 04/29/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 04/13/2011 Correction Date: 04/29/2011

Mistreatment

1) Hire Only People Who Have 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. Inspection Date: 06/16/2010 Correction Date: 07/15/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 03/24/2009 Correction Date: 04/13/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 03/24/2009 Correction Date: 04/13/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 06/16/2010 Correction Date: 07/15/2010
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 06/16/2010 Correction Date: 07/15/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 06/16/2010 Correction Date: 07/15/2010

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 03/24/2009 Correction Date: 04/13/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 03/24/2009 Correction Date: 04/13/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 06/16/2010 Correction Date: 07/15/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 06/16/2010 Correction Date: 07/15/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 06/16/2010 Correction Date: 07/15/2010
Give 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. Inspection Date: 06/16/2010 Correction Date: 07/15/2010
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 04/13/2011 Correction Date: 04/29/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/13/2011 Correction Date: 04/29/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 04/13/2011 Correction Date: 04/29/2011
Give 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. Inspection Date: 04/13/2011 Correction Date: 04/29/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 04/13/2011 Correction Date: 04/29/2011

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 03/24/2009 Correction Date: 04/13/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Inspection Date: 03/24/2009 Correction Date: 04/13/2009
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 04/13/2011 Correction Date: 04/29/2011
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 04/13/2011 Correction Date: 04/29/2011
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Inspection Date: 04/13/2011 Correction Date: 04/29/2011

Resident Rights

Let Residents Give Themselves Their Drugs if They Are Able. Inspection Date: 03/24/2009 Correction Date: 04/13/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 06/16/2010 Correction Date: 07/15/2010

The table below lists incident reports by the nursing staff or administration for Spring Gate Rehab & Healthcare Center, as well as complaints by residents or their family in the previous three years.

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 12/30/2009 Correction Date: 01/14/2010

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Spring Gate Rehab & Healthcare Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 04/11/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 04/11/2011 Correction Date: 05/23/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/22/2009 Correction Date: 04/13/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 06/14/2010 Correction Date: 07/15/2010

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 03/22/2009 Correction Date: 04/13/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 06/14/2010 Correction Date: 07/15/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 03/22/2009 Correction Date: 04/13/2009

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 03/22/2009 Correction Date: 04/13/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 03/22/2009 Correction Date: 04/13/2009

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 03/22/2009 Correction Date: 04/13/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 03/22/2009 Correction Date: 04/13/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 04/11/2011 Correction Date: 05/23/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 03/22/2009 Correction Date: 04/13/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 03/22/2009 Correction Date: 04/13/2009
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 06/14/2010 Correction Date: 07/15/2010