The Palace Health Care and Rehabilitation Center is located in Red Boiling Springs, Tennessee. This city has a total of 4,894 people. With an overall grade of B-, this is likely a middle of the pack facility. In our view, this facility looks like a good fit for most people. One of the major highlights of this facility's report card is its exemplary inspection reports, which we will address in the next section.
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The Palace Health Care and Rehabilitation Center
- Nursing Home
Updated Nov 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 Hospice
- Offers Respite Care
- Offers Inpatient Rehab
Specialized Services
- Home Making
- Transportation
- Speech Therapy
- Wound Care
- Occupational Therapy
- Physical Therapy
- Nutritional Counseling
- Recreational Therapy
- Bariatric Care
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Registered Staff Hours
Facility Inspections
We want to draw your attention to the fact that this nursing home outperformed its overall score in the category of inspections. In fact, it received an excellent inspection report this year. As a result, it received one of our highest grades in that area with an A. Inspection grades take several factors into consideration, including deficiencies and substantiated complaints. You can find more information about each of these factors by obtaining copies of nursing homes' inspection reports. This place was assessed 5 deficiencies on its inspection report, but none were considered to be severe deficiencies. This indicates that CMS did not deem any of these deficiencies to cause an imminent risk to patient health or safety. A few relatively minor deficiencies are not the end of the world.
Nurse Quality
We also awarded this facility a favorable grade in nursing. This facility earned a grade of B in this category, which is one of our better grades. The nursing score analyzes quite a few datapoints, but the paramount one is the number of nurse hours spent with patients. This nursing home averages 0.3 hours of nursing care per resident per day. Finally, we also assessed several nursing quality-based metrics and this nursing home excelled in some of these areas. With less than five percent of its residents sustaining pressure ulcers, it performed as well as any facility Tennessee in this category. This is generally a good indicator of quality nursing care. Pressure ulcers can frequently be prevented by providing better nursing care, such as by having a system of moving a resident more frequently.
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Long-term Care Quality
This nursing home's next highest area was long-term care. In that category, we gave this facility a grade of B-. In determining our long-term care grades, we analyze the personal care offered to a nursing home's patients. On top of considering the amount of care provided by nurses and other staff, we also looked at the percentage of residents vaccinated against pneumonia. This facility vaccinated 100 percent of its patients, which is better than the vast majority of nursing homes. This facility was able to keep its residents out of the hospital. In fact, it had only 0.02 hospitalizations per one thousand long-term resident days, which is an impressively low figure.
Short-term Care Quality
This facility's weakest category is short-term care, which is the final category we scored. For this category, we awarded this facility a grade of D. In the area of short-term care, we seek to assess indicators of a facility's rehabilitation services. We assess a facility's skilled nursing services, such as the ones performed by registered nurses and physical therapists. Unfortunately, we discovered that this nursing home provided fewer registered nurse and physical therapist hours per resident than most nursing homes. Finally, we assessed the percentage of residents that ultimately returned home from this nursing home. This facility didn't fare well here either. In fact, we found that just 4.2 percent of this facility's patients were able to return home. This figure was quite a bit off the national average.
Rating Over Time
Compared to national and state averages across all facilities.
The Palace Health Care and Rehabilitation Center Quality Metrics
Minimizes Pressure Ulcers
In The Palace Health Care and Rehabilitation Center, 9.03% of Patients had Pressure Ulcers
This is the percent of patients who have had a pressure ulcer. Pressure ulcers are damage to the skin resulting from remaining in one position for an excessive period of time.
Minimizes Serious Falls
In The Palace Health Care and Rehabilitation Center, 2.02% of Patients had Serious Falls
This indicates the percent of patients who have had a major fall. Falls leading to serious injuries are considered to be a measure of nursing care . Major falls which result in injury are often caused by lower quality nursing care.
Minimizes Urinary Tract Infections
In The Palace Health Care and Rehabilitation Center, 4.26% of Patients had UTIs
This indicates the percent of patients who have had a urinary tract infection. UTI's are often associated with worse hygiene protocols. Additional nurse staffing can minimize the percentage of residents in a nursing home who suffer from UTI's. Note that this metric is affected by by the fact that nursing homes have varying reporting standards for urinary tract infections.
Appropriately Uses Anti-Psychotic Medication
In The Palace Health Care and Rehabilitation Center, 23.9% of Patients use Anti-Psychotic Medication
This figure is a measure of the percentage of long-term care patients who are given antipsychotic medication. Excessive reliance on these medications may indicate that a nursing home is using these medications to control patient behavior in situations where such drugs are not medically required. However, some facilities need to rely more on these medications due to an increased number of residents suffering from Alzheimer's or other dementias.
Appropriately Uses Anti-Anxiety Medication
In The Palace Health Care and Rehabilitation Center, 24.74% of Patients use Anti-Anxiety Medication
This tells you the percentage of residents who were given antianxiety drugs. These drugs are commonly given to residents suffering from depression or anxiety.
Managing Depression Among Residents
In The Palace Health Care and Rehabilitation Center, 0% of Patients
This metric measures the percentage of long-term care patients who are showing signs of depression. Some argue that this is a reasonable measure of resident quality of care.
Appropriate Vaccine Usage
In The Palace Health Care and Rehabilitation Center, 99.05% of Patients
This is a measure of the percent of long-term stay residents that received the flu and pneumonia vaccines.
Residents Maintain Autonomy
In The Palace Health Care and Rehabilitation Center, 21.71% of Patients
This indicates the percent of residents who needed additional assistance with activities of daily living over time. High levels of needing for assistance with activities of daily living could be a sign of deterioration of a patient's well-being.
Ability to Keep Residents Mobile
In The Palace Health Care and Rehabilitation Center, 30.43% of Residents
This metric measures the percent of long-term stay residents who remained mobile levels. Some experts argue that the ability to move around is critical to residents' well-being.
Hospitalizations
In The Palace Health Care and Rehabilitation Center, 0.02 Hospitalizations per 1,000 resident days
This datapoint is a measure of the number of hospitalizations per 1,000 days of patient care. Keeping residents out of the hospital is important to the physical well-being of patients.
Short-term Care: Rehospitalizations
In The Palace Health Care and Rehabilitation Center, 30.43% of Residents Rehospitalized
This tells you the number of rehospitalizations per 1,000 days of short-term patient care.
Short-term Care: ER Visits
In The Palace Health Care and Rehabilitation Center, 12.12% of Patients
This is a measure of the number of emergency room visits per 1,000 days of short-term care. Avoiding emergency medical situations is one way to gauge the well-being of patients during rehabilitation.
Short-term Care: Facilitates Functional Improvement
In The Palace Health Care and Rehabilitation Center, 84.65% of Resident
This tells you the percent of short-term stay residents who experienced functional improvements, such as enhanced ability to perform activities of daily living.
Nearby Hospitals
- Macon Community HospitalCritical Access Hospitals 9.81 miles away204 Medical Drive Lafayette Tennessee 37083Voluntary non-profit - Private(615) 666-2147
- Monroe County Medical CenterAcute Care Hospitals 14.87 miles away529 Capp Harlan Road Tompkinsville Kentucky 42167Voluntary non-profit - Other(270) 487-9231
- (Closed) Cumberland River HospitalCritical Access Hospitals 19.37 miles away100 Old Jefferson St Celina Tennessee 38551Physician(931) 243-3581
- Riverview Regional Medical CenterCritical Access Hospitals 19.69 miles away158 Hospital Drive Carthage Tennessee 37030Proprietary(615) 735-9815