BOULEVARD TERRACE REHABILITATION AND NURSING HOME

The information listed below provides an in-depth look into the type and quality of care offered at Boulevard Terrace Rehabilitation and Nursing 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

BOULEVARD TERRACE REHABILITATION AND NURSING HOME
1530 MIDDLE TENNESSEE BLVD
MURFREESBORO, TN 37130
(615) 896-4505

Nursing Home Ratings

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

Percent of Beds Occupied

83%

Number of Residents and Certified Beds

  • Residents: 83
  • Certified Beds: 100

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

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

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Nearby Cities:

Smyrna | Woodbury | Antioch

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 "Very 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 Boulevard Terrace Rehabilitation and Nursing 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

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • 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: 11-1614.0%
ADL Index Range: 6-106.5%
ADL Index Range: 0-52.1%
Total Percent:22.6%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1615.0%
ADL Index Range: 6-1014.1%
ADL Index Range: 0-54.4%
Total Percent:33.6%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1614.9%
ADL Index Range: 6-107.5%
ADL Index Range: 0-54.3%
Total Percent:26.7%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-102.9%
ADL Index Range: 0-51.4%
Total Percent:4.3%
 

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
5.6%
Total Percent:5.6%
 

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: 15-16
- No Signs of depression
0.8%
ADL Index Range: 6-10
- No Signs of depression
1.7%
Total Percent:2.5%
 

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: 15-16
- Signs of depression
0.6%
Total Percent:0.6%
 

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: 2-5
- No Signs of depression
1.8%
Total Percent:1.8%
 

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
- Less restorative nursing
0.4%
ADL Index Range: 6-10
- Less restorative nursing
0.1%
Total Percent:0.5%
 

Rating Details For Boulevard Terrace Rehabilitation and Nursing 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) Hours33 Minutes1 Hour and 11 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours57 Minutes44 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 25 Minutes2 Hours and 31 Minutes
Total Licensed Nurse Hours1 Hour and 30 Minutes1 Hour and 55 Minutes
Total Nurse Hours3 Hours and 54 Minutes4 Hours and 25 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 Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder1%5%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse8%10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair12%7%
Percent of Long-Stay Residents Who Were Physically Restrained5%6%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores11%10%
Percent of Long-Stay Residents Who Are More Depressed or Anxious10%10%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder65%49%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection12%10%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased12%12%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain5%3%
Percent of Long-Stay Residents Who Lose Too Much Weight10%9%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season77%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination72%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain23%14%
Percent of Short-Stay Residents Who Have Pressure Sores10%12%
Percent of Short-Stay Residents Who Have Delirium-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 11/10/2010.

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

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Inspection Date: 09/24/2008
  • Correction Date: 09/29/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 09/24/2008
  • Correction Date: 10/17/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 11/10/2010
  • Correction Date: 12/17/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 09/24/2008
  • Correction Date: 10/03/2008

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 11/10/2010
  • Correction Date: 11/25/2010

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 09/24/2008
  • Correction Date: 10/01/2008
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 09/24/2008
  • Correction Date: 10/02/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 12/02/2009
  • Correction Date: 12/21/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 12/02/2009
  • Correction Date: 12/21/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 12/02/2009
  • Correction Date: 12/21/2009
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: 11/10/2010
  • Correction Date: 12/17/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 09/24/2008
  • Correction Date: 09/24/2008
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: 09/24/2008
  • Correction Date: 10/02/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 11/10/2010
  • Correction Date: 12/05/2010

Resident Rights

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: 12/02/2009
  • Correction Date: 12/21/2009
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 11/10/2010
  • Correction Date: 12/17/2010

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)09/24/2008$585
Civil Money Penalty (CMP)09/24/2008$205,368
Denial of Payment for New Admission (DPNA)09/24/2008-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Boulevard Terrace Rehabilitation and Nursing 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

Administration

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 08/23/2010
  • Correction Date: 09/24/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 09/24/2008
  • Correction Date: 09/25/2008

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 Boulevard Terrace Rehabilitation and Nursing 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 11/08/2010.

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: 11/08/2010
  • Correction Date: 11/09/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 09/22/2008
  • Correction Date: 09/23/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 09/22/2008
  • Correction Date: 09/23/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 12/01/2009
  • Correction Date: 12/21/2009

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 12/01/2009
  • Correction Date: 12/01/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 11/08/2010
  • Correction Date: 12/05/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 12/01/2009
  • Correction Date: 01/12/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 09/22/2008
  • Correction Date: 09/23/2008
Source: Medicare Nursing Home Compare; Tennessee Department of Health - Retrieved 2011