TENNESSEE VETERANS HOME

The information listed below provides an in-depth look into the type and quality of care offered at Tennessee Veterans Home. 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

TENNESSEE VETERANS HOME
PO BOX 10299
MURFREESBORO, TN 37129
(615) 895-8850

Nursing Home Ratings

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

Percent of Beds Occupied

94%

Number of Residents and Certified Beds

  • Residents: 132
  • Certified Beds: 140

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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This FacilityFor-ProfitNon-ProfitGovt

Nearby Cities:

Dayton

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 Tennessee Veterans Home. 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 Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-161.8%
Total Percent:1.8%
 

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: 11-1620.6%
ADL Index Range: 6-1012.8%
ADL Index Range: 0-516.6%
Total Percent:50.0%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-166.8%
ADL Index Range: 6-107.0%
ADL Index Range: 0-52.9%
Total Percent:16.6%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.9%
ADL Index Range: 6-103.2%
ADL Index Range: 0-50.6%
Total Percent:6.7%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-160.4%
ADL Index Range: 6-101.0%
ADL Index Range: 0-50.3%
Total Percent:1.8%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Isolation for active infectious disease
0.3%
Total Percent:0.3%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- Signs of depression
2.4%
ADL Index Range: 11-14
- No Signs of depression
2.0%
ADL Index Range: 2-5
- No Signs of depression
1.8%
Total Percent:6.2%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 6-10
- No Signs of depression
0.7%
Total Percent:0.7%
 

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: 15-16
- Signs of depression
1.0%
ADL Index Range: 15-16
- No Signs of depression
1.2%
ADL Index Range: 11-14
- No Signs of depression
8.6%
ADL Index Range: 6-10
- Signs of depression
0.3%
ADL Index Range: 6-10
- No Signs of depression
1.1%
Total Percent:12.2%
 

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: 15-16
- Two or more restorative nursing on 6+ days/wk
1.2%
ADL Index Range: 15-16
- Less restorative nursing
0.7%
ADL Index Range: 11-14
- Two or more restorative nursing on 6+ days/wk
0.4%
ADL Index Range: 11-14
- Less restorative nursing
1.5%
Total Percent:3.8%
 

Rating Details For Tennessee Veterans Home

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) Hours34 Minutes54 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 5 Minutes35 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 25 Minutes2 Hours and 22 Minutes
Total Licensed Nurse Hours1 Hour and 39 Minutes1 Hour and 29 Minutes
Total Nurse Hours4 Hours and 4 Minutes3 Hours and 51 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 Given Influenza Vaccination During the Flu Season90-100%92%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%89%

Long-Term Stay Deficiencies

Percent of High-Risk Long-Stay Residents Who Have Pressure Sores10%10%
Percent of Long-Stay Residents Who Were Physically Restrained1%6%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder7%5%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse11%10%
Percent of Long-Stay Residents Who Lose Too Much Weight7%9%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased13%12%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder47%49%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection10%10%
Percent of Long-Stay Residents Who Are More Depressed or Anxious19%10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair6%7%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season87%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores11%12%
Percent of Short-Stay Residents Who Have Delirium1%2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain10%14%

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 09/29/2010.

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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 09/29/2010
  • Correction Date: 10/15/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Tennessee Veterans Home, 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

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 07/20/2009
  • Correction Date: 08/10/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Complaint Filed: 09/18/2008
  • Correction Date: 09/29/2008

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.
  • Complaint Filed: 10/29/2009
  • Correction Date: 11/16/2009

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 Tennessee Veterans Home 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 09/27/2010.

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: 09/27/2010
  • Correction Date: 10/15/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 09/15/2008
  • Correction Date: 09/18/2008
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 09/27/2010
  • Correction Date: 10/15/2010
Properly Protected Cooking Facilities.
  • Inspection Date: 09/27/2010
  • Correction Date: 10/15/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 09/15/2008
  • Correction Date: 09/16/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 09/27/2010
  • Correction Date: 10/15/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 09/15/2008
  • Correction Date: 09/18/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 10/26/2009
  • Correction Date: 10/27/2009

Exits and Egress

Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width.
  • Inspection Date: 09/27/2010
  • Correction Date: 10/15/2010

Fire Alarm Systems

Properly Maintained Smoke Detectors.
  • Inspection Date: 10/26/2009
  • Correction Date: 10/28/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 10/26/2009
  • Correction Date: 10/26/2009

Interior Finish

Fire-Resistant Interior Walls.
  • Inspection Date: 09/15/2008
  • Correction Date: 09/16/2008

Laboratories

Proper Facilities for the Use and Storage of Combustible Liquids.
  • Inspection Date: 10/26/2009
  • Correction Date: 10/26/2009

Medical Gases and Anesthetizing Areas

No-Smoking Signs Where Oxygen is Used.
  • Inspection Date: 10/26/2009
  • Correction Date: 10/26/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 09/27/2010
  • Correction Date: 10/15/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 09/15/2008
  • Correction Date: 09/18/2008
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage.
  • Inspection Date: 09/15/2008
  • Correction Date: 09/16/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 10/26/2009
  • Correction Date: 10/26/2009

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors.
  • Inspection Date: 10/26/2009
  • Correction Date: 11/12/2009
Source: Medicare Nursing Home Compare; Tennessee Department of Health - Retrieved 2011