GOLDEN LIVINGCENTER - BRANDYWOOD

The information listed below provides an in-depth look into the type and quality of care offered at Golden Livingcenter - Brandywood. 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

GOLDEN LIVINGCENTER - BRANDYWOOD
555 E BLEDSOE
GALLATIN, TN 37066
(615) 452-7132

Nursing Home Ratings

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

Percent of Beds Occupied

98%

Number of Residents and Certified Beds

  • Residents: 121
  • Certified Beds: 124

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Portland | Hendersonville | Lebanon

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 Golden Livingcenter - Brandywood. 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: 11-1610.8%
ADL Index Range: 6-1033.9%
ADL Index Range: 0-521.1%
Total Percent:65.8%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.9%
ADL Index Range: 6-108.6%
ADL Index Range: 0-53.8%
Total Percent:15.3%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-160.8%
ADL Index Range: 6-105.3%
ADL Index Range: 0-51.1%
Total Percent:7.2%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-162.4%
ADL Index Range: 6-103.8%
ADL Index Range: 0-52.3%
Total Percent:8.5%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- No Signs of depression
0.3%
ADL Index Range: 6-10
- No Signs of depression
1.4%
ADL Index Range: 2-5
- No Signs of depression
0.6%
ADL Index Range: 0-1
- No Signs of depression
0.7%
Total Percent:3.0%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 6-10
- Less restorative nursing
0.09%
Total Percent:0.09%
 

Rating Details For Golden Livingcenter - Brandywood

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) Hours45 Minutes1 Hour and 5 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours54 Minutes39 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 45 Minutes2 Hours and 23 Minutes
Total Licensed Nurse Hours1 Hour and 38 Minutes1 Hour and 44 Minutes
Total Nurse Hours3 Hours and 24 Minutes4 Hours and 7 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 Vaccination90-100%89%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%92%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Were Physically Restrained2%6%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder-5%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair3%7%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse10%10%
Percent of Long-Stay Residents Who Are More Depressed or Anxious22%10%
Percent of Long-Stay Residents Who Lose Too Much Weight7%9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain-3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased10%12%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder62%49%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection8%10%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores3%10%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination79%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain4%14%
Percent of Short-Stay Residents Who Have Pressure Sores3%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 04/06/2011.

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: 10/30/2008
  • Correction Date: 12/14/2008
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 01/26/2010
  • Correction Date: 02/28/2010
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 04/06/2011
  • Correction Date: 04/28/2011
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 04/06/2011
  • Correction Date: 04/28/2011

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/06/2011
  • Correction Date: 04/28/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 04/06/2011
  • Correction Date: 04/28/2011

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 10/30/2008
  • Correction Date: 12/14/2008
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 10/30/2008
  • Correction Date: 12/14/2008
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 10/30/2008
  • Correction Date: 12/14/2008
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 01/26/2010
  • Correction Date: 02/28/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 04/06/2011
  • Correction Date: 04/28/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 10/30/2008
  • Correction Date: 12/14/2008
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 10/30/2008
  • Correction Date: 12/14/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 01/26/2010
  • Correction Date: 02/28/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 04/06/2011
  • Correction Date: 04/28/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 04/06/2011
  • Correction Date: 04/28/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 04/06/2011
  • Correction Date: 04/28/2011

Resident Assessment

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: 10/30/2008
  • Correction Date: 12/14/2008
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: 04/06/2011
  • Correction Date: 04/28/2011

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 10/30/2008
  • Correction Date: 12/14/2008
Send and Promptly Deliver Unopened Mail to Residents.
  • Inspection Date: 10/30/2008
  • Correction Date: 12/14/2008
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Inspection Date: 01/26/2010
  • Correction Date: 02/28/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Golden Livingcenter - Brandywood, 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

Resident Rights

Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment.
  • Complaint Filed: 01/27/2010
  • Correction Date: 02/28/2010

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 Golden Livingcenter - Brandywood 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 04/05/2011.

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: 10/27/2008
  • Correction Date: 12/14/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 04/05/2011
  • Correction Date: 04/28/2011

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 10/27/2008
  • Correction Date: 12/14/2008
Properly Protected Cooking Facilities.
  • Inspection Date: 04/05/2011
  • Correction Date: 04/28/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 10/27/2008
  • Correction Date: 12/14/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 01/24/2010
  • Correction Date: 02/28/2010
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 04/05/2011
  • Correction Date: 04/28/2011

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 10/27/2008
  • Correction Date: 12/14/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 01/24/2010
  • Correction Date: 02/28/2010
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 04/05/2011
  • Correction Date: 04/28/2011
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 04/05/2011
  • Correction Date: 04/28/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 10/27/2008
  • Correction Date: 12/14/2008
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 04/05/2011
  • Correction Date: 04/28/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 04/05/2011
  • Correction Date: 04/28/2011
Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width.
  • Inspection Date: 04/05/2011
  • Correction Date: 04/28/2011

Fire Alarm Systems

Properly Maintained Smoke Detectors.
  • Inspection Date: 04/05/2011
  • Correction Date: 04/28/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 04/05/2011
  • Correction Date: 04/28/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 04/05/2011
  • Correction Date: 04/28/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 10/27/2008
  • Correction Date: 12/14/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 01/24/2010
  • Correction Date: 02/28/2010
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 04/05/2011
  • Correction Date: 04/28/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 04/05/2011
  • Correction Date: 04/28/2011
Source: Medicare Nursing Home Compare; Tennessee Department of Health - Retrieved 2011