| The Reserve at Spring Hill | |
| 2000 Reserve Boulevard, Spring Hill, Tennessee 37174 | |
| (931) 486-4200 | |
| Name | The Reserve at Spring Hill |
|---|---|
| Location | 2000 Reserve Boulevard, Spring Hill, Tennessee |
| Certified By | Medicare |
| No. of Certified Beds | 68 |
| Occupancy Rate | 81.76% |
| Medicare ID (CCN) | 445531 |
| Legal Business Name | Emerald Spring Hill, Inc. |
| Ownership Type | Non Profit - Church Related |
| NPI Number | 1639625254 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Emerald Spring Hill, Inc. |
| Doing Business As | The Reserve at Spring Hill |
| Address | 2000 Reserve Boulevard, Spring Hill, TN 37174 |
| Phone Number | 615-604-0628 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 5.09 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.35 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.99 | 0.86 |
| Nurse aide hours per resident per day | 2.75 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 4.55 | 3.42 |
| RN hours per resident per day on the weekend | 0.26 | 0.48 |
| Physical therapist hours per resident per day | 0 | 0.07 |
| Total nursing staff turnover | 47.1% | 45.8% |
| Registered nurse turnover | 55.6% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Mar 4, 2020 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Apr 15, 2020 |
| Apr 10, 2019 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by May 15, 2019 |
| Apr 10, 2019 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 15, 2019 |
| Apr 10, 2019 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 15, 2019 |
| Apr 10, 2019 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 15, 2019 |
| Apr 10, 2019 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 15, 2019 |
| Apr 10, 2019 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 15, 2019 |
| Apr 10, 2019 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by May 15, 2019 |
| Apr 10, 2019 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by May 15, 2019 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 2.5 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 3.57 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.85 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 8.26 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.74 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.66 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.13 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 0 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 31.76 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 80 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.98 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.02 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.86 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 14.29 | 15.38 |