SPRING GATE REHAB & HEALTHCARE CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Spring Gate Rehab & Healthcare Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

SPRING GATE REHAB & HEALTHCARE CENTER
3909 COVINGTON PIKE
MEMPHIS, TN 38135
(901) 377-1011

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

96%

Number of Residents and Certified Beds

  • Residents: 224
  • Certified Beds: 233

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Bartlett | Cordova | Millington

Resident Services

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.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1616.2%
ADL Index Range: 6-1027.4%
ADL Index Range: 0-520.6%
Total Percent:64.2%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-166.2%
ADL Index Range: 6-1020.1%
ADL Index Range: 0-57.6%
Total Percent:34.0%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-160.3%
ADL Index Range: 6-101.3%
Total Percent:1.6%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 0-50.3%
Total Percent:0.3%
 

Rating Details For Spring Gate Rehab & Healthcare Center

Nursing Staff -

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.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours23 Minutes1 Hour and 4 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours54 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 52 Minutes2 Hours and 19 Minutes
Total Licensed Nurse Hours1 Hour and 18 Minutes1 Hour and 42 Minutes
Total Nurse Hours3 Hours and 9 Minutes4 Hours and 2 Minutes

Quality of Care -

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.

This FacilityTennessee Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination69%89%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season83%92%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse5%10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair8%7%
Percent of Long-Stay Residents Who Lose Too Much Weight10%9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores11%10%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection10%10%
Percent of Long-Stay Residents Who Were Physically Restrained2%6%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder6%5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious7%10%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder68%49%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased9%12%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season75%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination68%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain8%14%
Percent of Short-Stay Residents Who Have Pressure Sores7%12%
Percent of Short-Stay Residents Who Have Delirium1%2%

Health Inspection Details -

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.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

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

Deficiencies from Complaints and Incidents

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.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Quality Care

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

Fire Safety

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.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

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
Source: Medicare Nursing Home Compare; Tennessee Department of Health - Retrieved 2011