SERENE MANOR MEDICAL CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Serene Manor Medical 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

SERENE MANOR MEDICAL CENTER
970 WRAY ST
KNOXVILLE, TN 37917
(865) 523-9171

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: 76
Certified Beds: 79

This Facility Accepts

Medicaid

Operational Details

Operated By Non Profit - Other
Offers Both Resident and Family Counseling Services
This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Maryville | Clinton | Andersonville

Rating Details For Serene Manor Medical 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 Day	Reported	Expected
Registered Nurse (RN) Hours	32 Minutes	45 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	45 Minutes	33 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 22 Minutes	1 Hour and 49 Minutes
Total Licensed Nurse Hours	1 Hour and 17 Minutes	1 Hour and 19 Minutes
Total Nurse Hours	3 Hours and 40 Minutes	3 Hours and 8 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 Facility

Tennessee Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	92%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	89%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Are More Depressed or Anxious	6%	10%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	6%	5%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	1%	3%
Percent of Long-Stay Residents Who Lose Too Much Weight	11%	9%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	5%	10%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	14%	49%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	4%	10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	2%	7%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	4%	12%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	-	3%
Percent of Long-Stay Residents Who Were Physically Restrained	-	6%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	6%	10%

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 02/02/2011.

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 Inspectors

Degree of Harm

Residents Affected

Administration

Hire a Qualified Activities Director. Inspection Date: 07/01/2010 Correction Date: 07/15/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 07/01/2010 Correction Date: 08/15/2010
Post Nurse Staffing Information. Inspection Date: 02/02/2011 Correction Date: 02/18/2011
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 02/02/2011 Correction Date: 02/18/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/07/2009 Correction Date: 05/13/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 07/01/2010 Correction Date: 07/15/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/02/2011 Correction Date: 02/18/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 05/07/2009 Correction Date: 05/13/2009
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 02/02/2011 Correction Date: 02/18/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.

Inspection Date: 05/07/2009
Correction Date: 05/13/2009

Quality Care

Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 05/07/2009 Correction Date: 05/13/2009
Give or Get Special Rehabilitation if in the Patient's Plan of Care. Inspection Date: 05/07/2009 Correction Date: 05/07/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 07/01/2010 Correction Date: 08/15/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 07/01/2010 Correction Date: 07/15/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 07/01/2010 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: 07/01/2010 Correction Date: 07/15/2010

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: 05/07/2009 Correction Date: 05/12/2009
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: 02/18/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Serene Manor Medical 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 Complaints

Degree of Harm

Residents Affected