DICKSON 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 Dickson Healthcare Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Clinically Complex

Behavioral Symptoms and Cognitive Performance

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 02/02/2011.

Administration

Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 09/24/2008 Correction Date: 10/15/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 09/24/2008 Correction Date: 10/15/2008
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 02/02/2011 Correction Date: 03/02/2011

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 09/24/2008 Correction Date: 10/15/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 11/18/2009 Correction Date: 12/18/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 11/18/2009 Correction Date: 12/18/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 11/18/2009 Correction Date: 12/18/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 02/02/2011 Correction Date: 03/02/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 02/02/2011 Correction Date: 03/02/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 02/02/2011 Correction Date: 03/02/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/24/2008 Correction Date: 10/15/2008

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 09/24/2008 Correction Date: 10/15/2008
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 02/02/2011 Correction Date: 03/02/2011
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 02/02/2011 Correction Date: 03/02/2011
Properly Mark Drugs and Other Similar Products. Inspection Date: 02/02/2011 Correction Date: 03/02/2011

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 09/24/2008 Correction Date: 10/15/2008
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 09/24/2008 Correction Date: 10/15/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 11/18/2009 Correction Date: 12/18/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 02/02/2011 Correction Date: 03/02/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 02/02/2011 Correction Date: 03/02/2011
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: 02/02/2011 Correction Date: 03/02/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 02/02/2011 Correction Date: 03/02/2011
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Inspection Date: 02/02/2011 Correction Date: 03/02/2011

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: 09/24/2008 Correction Date: 10/15/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 11/18/2009 Correction Date: 12/18/2009
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: 11/18/2009 Correction Date: 12/18/2009
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: 02/02/2011 Correction Date: 03/02/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 09/24/2008 Correction Date: 10/15/2008
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 02/02/2011 Correction Date: 03/02/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 02/02/2011 Correction Date: 03/02/2011

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 Dickson 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 01/31/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 09/22/2008 Correction Date: 09/26/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 01/31/2011 Correction Date: 03/02/2011
Portable Fire Extinguishers. Inspection Date: 01/31/2011 Correction Date: 03/02/2011

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 09/22/2008 Correction Date: 10/01/2008
Properly Protected Cooking Facilities. Inspection Date: 11/16/2009 Correction Date: 11/16/2009
Properly Protected Cooking Facilities. Inspection Date: 01/31/2011 Correction Date: 03/02/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/22/2008 Correction Date: 10/08/2008
Signs That State That Exit Doors Are to Be Kept Closed. Inspection Date: 09/22/2008 Correction Date: 09/22/2008

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 09/22/2008 Correction Date: 09/22/2008
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 11/16/2009 Correction Date: 01/30/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 11/16/2009 Correction Date: 12/18/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 01/31/2011 Correction Date: 03/02/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 09/22/2008 Correction Date: 09/24/2008

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 09/22/2008 Correction Date: 10/22/2008

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 09/22/2008 Correction Date: 09/26/2008
Properly Maintained Smoke Detectors. Inspection Date: 09/22/2008 Correction Date: 10/10/2008
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 11/16/2009 Correction Date: 12/18/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 11/16/2009 Correction Date: 12/18/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 01/31/2011 Correction Date: 03/02/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 09/22/2008 Correction Date: 10/08/2008
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 09/22/2008 Correction Date: 09/22/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 11/16/2009 Correction Date: 12/02/2009

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 09/22/2008 Correction Date: 09/22/2008
Proper Backup Exit Lighting. Inspection Date: 11/16/2009 Correction Date: 12/16/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 11/16/2009 Correction Date: 11/20/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 09/22/2008 Correction Date: 10/06/2008

Smoke Compartmentation and Control

Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage. Inspection Date: 09/22/2008 Correction Date: 10/10/2008

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 09/22/2008 Correction Date: 09/24/2008