AVE MARIA HOME

The information listed below provides an in-depth look into the type and quality of care offered at Ave Maria 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

AVE MARIA HOME
2805 CHARLES BRYAN RD
BARTLETT, TN 38134
(901) 386-3211

Nursing Home Ratings

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

Percent of Beds Occupied

99%

Number of Residents and Certified Beds

  • Residents: 74
  • Certified Beds: 75

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

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

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Nearby Cities:

Cordova | Memphis | Germantown

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 Ave Maria 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

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1614.5%
ADL Index Range: 6-103.8%
Total Percent:18.3%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1633.2%
ADL Index Range: 6-1030.2%
ADL Index Range: 0-58.6%
Total Percent:72.0%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-106.8%
Total Percent:6.8%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-162.9%
Total Percent:2.9%
 

Rating Details For Ave Maria 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) Hours32 Minutes1 Hour and 2 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours56 Minutes36 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 31 Minutes2 Hours and 30 Minutes
Total Licensed Nurse Hours1 Hour and 28 Minutes1 Hour and 38 Minutes
Total Nurse Hours3 Hours and 59 Minutes4 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 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 Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder75%49%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious18%10%
Percent of Long-Stay Residents Who Were Physically Restrained25%6%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores6%10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%7%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased18%12%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection18%10%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Lose Too Much Weight3%9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse20%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 Vaccination90-100%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores15%12%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain14%14%
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 03/01/2011.

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: 12/22/2009
  • Correction Date: 01/14/2010
Train All Employees on What to Do in an Emergency.
  • Inspection Date: 03/01/2011
  • Correction Date: 03/31/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 10/01/2008
  • Correction Date: 10/20/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 10/01/2008
  • Correction Date: 10/20/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 12/22/2009
  • Correction Date: 01/14/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 10/01/2008
  • Correction Date: 10/20/2008

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 10/01/2008
  • Correction Date: 10/20/2008

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 12/22/2009
  • Correction Date: 01/14/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 03/01/2011
  • Correction Date: 03/31/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 03/01/2011
  • Correction Date: 03/31/2011

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: 10/01/2008
  • Correction Date: 10/20/2008
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: 12/22/2009
  • Correction Date: 01/14/2010
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: 03/01/2011
  • Correction Date: 03/15/2011
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: 03/01/2011
  • Correction Date: 03/31/2011

Resident Rights

Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure.
  • Inspection Date: 10/01/2008
  • Correction Date: 10/20/2008

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 Ave Maria 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 02/27/2011.

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: 09/29/2008
  • Correction Date: 11/10/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 02/27/2011
  • Correction Date: 03/01/2011

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 02/27/2011
  • Correction Date: 03/15/2011

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 02/27/2011
  • Correction Date: 03/14/2011

Fire Alarm Systems

Properly Maintained Smoke Detectors.
  • Inspection Date: 09/29/2008
  • Correction Date: 11/10/2008
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 02/27/2011
  • Correction Date: 03/07/2011
Properly Maintained Smoke Detectors.
  • Inspection Date: 02/27/2011
  • Correction Date: 03/09/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 09/29/2008
  • Correction Date: 11/10/2008
Source: Medicare Nursing Home Compare; Tennessee Department of Health - Retrieved 2011