Standing Stone Care and Rehab
410 W Crawford Avenue, Monterey TN 38574 · (931) 839-2244 · 61.04% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Lata
Standing Stone Care and Rehab is a facility located in Monterey, Tennessee, a city with a population of 8,413 people. With an overall rating of C, this appears to be a decent nursing home. This facility has some things working in its favor. One of the best aspects of this nursing home's report card is its exemplary inspection score, which we will address in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 115 Beds
CCRC :
For profit - Individual
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
This facility earned a solid overall grade as described above, but we really wanted to point out its nearly flawless health inspections in recent years. We gave them an A in this category. Arguably the most critical factor we look at in determining our inspection ratings is deficiencies. These deficiencies can be found on a nursing home's inspection reports. Places with higher scores in this category most likely avoided the most severe deficiencies involving things like patient abuse. Although this facility had a few deficiencies on its government inspection report, none were major deficiencies based on CMS' scale. A couple of minor deficiencies shouldn't stop you from considering a nursing home.
Short-term Care Quality
The second most favorable category we gave this facility in any area came in the category of short-term care, where we gave it a grade of B-. Our short-term care grade is often employed to assess a nursing home's rehabilitation services. In order to offer quality rehabilitation services, facilities generally must offer higher levels of highly skilled nursing. These types of services include registered nurses, physical therapists, speech therapists and other highly skilled individuals. Fortunately, this nursing home offers both physical therapists and registered nurses. Not all facilities offer both. The final measure we looked at in this area is the percentage of patients that ultimately were able to return home from the facility. It performed better than most nursing homes in this metric with 53.5 percent of its patients returning home. With most nursing homes, fewer than half of their short-term residents are able to return home.
Long-term Care Quality
This facility's third best area came in the area of long-term care. In that category, we awarded this facility a grade of C. In a long-term care environment, the facility's primary objective is to maintain patients' quality of life and keep them safe. On top of considering the quantity of care provided by aids and other staff, we also looked at the number of residents vaccinated against pneumonia. Fortunately, this facility provided the vaccine to 94.067795 percent of its residents, which is a very respectable datapoint. Unfortunately, its hospitalization rate was less impressive. We found that this facility had 2.44 hospitalizations per one thousand long-term resident days.
Nurse Quality
The next category we assessed was nursing, which ended up being this nursing home's least impressive area. We gave this nursing home a D in this category. Nursing scores are largely tied to the facility's level of nurse staffing. This place averaged a meager 3.3 hours of nursing care per resident per day. This is an alarmingly low total. In addition to receiving below average scores for total nursing hours, this place was less impressive in some of the quality-based metrics we looked at in calculating our nursing scores. We looked at the percentage of patients suffering pressure ulcers and found this place was at roughly 150 percent of the national average in this statistic. This is a bad sign when you consider that so many pressure ulcers are preventable with better nursing care. This statistic pulled down this nursing home's nursing score significantly.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Standing Stone Care and Rehab Quality Metrics
Minimizes Pressure Ulcers
This is the percentage of residents who have had a pressure ulcer. Pressure ulcers, which are also known as bed sores, are routinely the result of patients not being moved frequently enough. Better nursing protocols can limit the number of pressure ulcers sustained by residents in a nursing home.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This datapoint is an indication of the percentage of long-term stay residents which have sustained falls which resulted in severe injury. This is one of the statistics we use in calculating nursing ratings.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This tells you the percentage of residents that have had a urinary tract infection. These infections are associated with poor hygiene.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This indicates the percent of residents who were prescribed antipsychotic medications. Antipsychotic drugs are prescribed to patients for a variety of conditions, including dementia. Sadly, in some situations, increased usage of these drugs may indicate that a nursing home is using these drugs to subdue residents.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This indicates the percent of patients who were prescribed antianxiety drugs. Antianxiety drugs are prescribed to residents experiencing anxiety or depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This is a measure of the percent of long-term residents who are demonstrating depressive symptoms.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This is a measure of the percent of long-term stay residents who have received the flu and pneumonia vaccines. Respiratory viruses can be fatal for seniors, making these types of vaccines critical to patient care.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This metric is a measure of the percentage of long-term residents who required more assistance with activities of daily living over time. ADL's include activities such as dressing and taking a bath. Many would argue this is a measure of a patient's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This metric is a measure of the percent of long-term residents that remained mobile levels.
Percentage of Residents
Higher is Better
Hospitalizations
This is the number of times residents are hospitalized per thousand days of care. There is usually a correlation between keeping patients out of the hospital and the overall quality of care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This metric tracks the number of times residents are rehospitalized per thousand days of short-term care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This datapoint measures the number of emergency room visits per thousand days of short-term care. Staying out of the emergency room is one way to measure the well-being of patients during rehabilitation.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
Measures the percentage of short-term residents that saw functional improvements, such as enhanced ability to perform activities of daily living. Many would argue that this is a reliable measure of a facility's rehabilitation services.
Percentage of Resident
Higher is Better