AHC Bethesda is an average-sized nursing home located in Cookeville, Tennessee. Featuring an overall score of D, this is a well below average facility. If you are not satisfied with this facility's low overall grade, you may find you have slim pickings in Cookeville. The city has just two other nursing homes. The best thing we can really say about this place is that it did not receive any F's in any of the categories we assessed. Additional information about its category grades is available below.
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- Nursing Home
Updated Apr 1, 2023 by Nick Reese
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- Accepts Medicare 1
- Accepts Medicaid 1
- No CCRC
- Has Resident Council
- No Family Council
- For profit - Corporation
- Offers Inpatient Rehab
- Speech Therapy
- Occupational Therapy
- Physical Therapy
- Respiratory Therapy
- Nutritional Counseling
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Registered Staff Hours
While we were not high on this nursing home overall, we awarded it a B- for inspections. This grade is better than the facility's overall score. Inspection ratings are based on pieces of information located in the a nursing home's recent inspection reports. Deficiencies are an important thing to look for on these reports. Severe deficiencies indicate a risk to patient safety. Fortunately, although this facility had a few minor dings on its inspection report, it had no severe deficiencies. Severe deficiencies are those labeled as categories G through L. This tells you CMS didn't consider any of the deficiencies on this facility's report to pose an imminent threat to patient health or safety. A couple minor deficiencies are not necessarily the end of the world.
Short-term Care Quality
One of this facility's higher category grades was in the category of short-term care. This proved to be its second most favorable category. In that category, we awarded this nursing home a grade of B-. Short-term care grades are commonly used to grade a nursing home's performance with rehabilitation. To have highly rated rehabilitation services, facilities generally must have better levels of highly skilled nursing services. Skilled nursing includes registered nurses, physical therapists, occupational therapists and other types of therapists. Unfortunately, this nursing home was below average in terms of its quantity of registered nurse and physical therapy hours provided to its residents based on the measures we assessed. The critical question is whether this adversely affected quality of care. Finally, we looked at the percentage of patients that returned home from this nursing home. We found that 5.2 percent of this facility's residents were able to return home. This figure was actually well below the national average.
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Long-term Care Quality
This nursing home was awarded its third most favorable category score in the area of long-term care. We gave this facility a grade of C in this category, which is a reasonably acceptable score. In the category of long-term care, we analyze the amount of services provided by a nursing home, as opposed to more medically-intensive services. In addition to assessing the amount of care provided by nurses and other staff, we looked at the percentage of residents vaccinated against pneumonia. This nursing home administered the vaccine to 97.95082 percent of its residents, which is better than the majority of nursing homes. Lastly, this nursing home was also able to limit hospitalizations. It had less than one hospitalization per 1,000 long-term resident days, which is an impressively low number.
The next area we scored was nursing. This nursing home was given a C in the area. Our nursing grade assesses several components, many of which are based on nursing hours. This nursing home provides only 0.3 hours of nursing care per patient daily. This is a somewhat concerning figure as it is well below average. Lastly, despite not having the most impressive total nursing hours, this facility performed admirably in the area of preventing major falls. This is generally an indicator that a facility has quality controls in place.
Rating Over Time
Compared to national and state averages across all facilities.
AHC Bethesda Quality Metrics
Minimizes Pressure Ulcers
In AHC Bethesda, 8.88% of Patients had Pressure Ulcers
This is is a measure of the percentage of long-term patients which are suffering from new or worsened pressure ulcers. We've found that pressure ulcers are a solid barometer of nursing care quality.
Minimizes Serious Falls
In AHC Bethesda, 3.29% of Patients had Serious Falls
This indicates the percent of residents who suffered from a major fall. Falls leading to major injury are considered to be a barometer of the quality of nursing care at a nursing home. Major falls which result in injury are routinely caused by lower quality nursing care.
Minimizes Urinary Tract Infections
In AHC Bethesda, 3.08% of Patients had UTIs
This tells you the percentage of patients who suffered from a urinary tract infection. Urinary tract infections are considered to be a barometer of nursing care . UTI's are routinely caused by a facility with lower levels of hygiene. However, this metric can be skewed for certain facilities due to inconsistent reporting standards for infections.
Appropriately Uses Anti-Psychotic Medication
In AHC Bethesda, 15.67% of Patients use Anti-Psychotic Medication
This datapoint indicates the percent of long-term patients which were given antipsychotic drugs. High levels of antipsychotic drug use may mean that a facility is using these medications to subdue residents in scenarios where such drugs aren't medically indicated. However, some facilities need to rely more on these medications due to having more patients suffering from Alzheimer's or other dementias.
Appropriately Uses Anti-Anxiety Medication
In AHC Bethesda, 29.74% of Patients use Anti-Anxiety Medication
This is the percentage of residents who were given antianxiety medications. These drugs are used to treat patients suffering from anxiety or depression.
Managing Depression Among Residents
In AHC Bethesda, 9.14% of Patients
This metric is a measure of the percent of long-term patients who are showing symptoms of depression.
Appropriate Vaccine Usage
In AHC Bethesda, 88.31% of Patients
Measures the percentage of long-term patients that received the flu and pneumonia vaccines.
Residents Maintain Autonomy
In AHC Bethesda, 17.11% Percentage of Patients
This datapoint measures the percentage of long-term care residents who needed additional assistance with activities of daily living over time. Activities of daily living include activities such as dressing and eating. Some would argue that this is a reasonable measure of a resident's well-being.
Ability to Keep Residents Mobile
In AHC Bethesda, 20.35% Percentage of Residents
This datapoint is a measure of the percent of long-term care residents that maintained mobility. Many in the industry argue that the ability to move around is important for patients health.
In AHC Bethesda, 1.4 Hospitalizations per 1,000 resident days
This tells you the number of hospitalizations per 1,000 days of care. There is generally a correlation between reduced hospitalizations and the quality of nursing home care.
Short-term Care: Rehospitalizations
In AHC Bethesda, 20.35 Percentage of Residents Rehospitalized
This metric is a measure of the number of rehospitalizations per 1,000 days of short-term care. Keeping residents out of the hospital during rehabilitation is key to restoring the physical well-being of patients.
Short-term Care: ER Visits
In AHC Bethesda, 11.68 Percentage of Patients
This is the number of emergency room visits per 1,000 days of short-term care. There is typically a correlation between keeping patients out of the emergency room and the overall quality of care.
Short-term Care: Facilitates Functional Improvement
In AHC Bethesda, 74.44% Percentage of Resident
This datapoint measures the percentage of short-term patients that experienced functional improvements, such as with activities of daily living. Some experts argue that this is a reasonable measure of a nursing home's rehabilitation performance.
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