The Waters of Roan Highlands
146 Buck Creek Road, Roan Mountain TN 37687 · (423) 772-0161 · 86.62% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
The Waters of Roan Highlands is an average-sized nursing home located in Roan Mountain, Tennessee. This nursing home received an overall grade of B, which is a good rating. Based on the data we reviewed, you could do much worse than this nursing home. This nursing home's impressive profile was highlighted by its inspection score, which we will address in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 80 Beds
CCRC :
For profit - Individual
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
This nursing home received a strong overall grade as described above, but we especially wanted to emphasize its nearly flawless government inspections in recent years. We gave it an A+ in this category. Arguably the most critical factor we look at in determining our inspection grades is deficiencies. These deficiencies can be found on a nursing home's recent inspection reports. Places with higher grades in this category most likely dodged the most severe deficiencies involving things like patient abuse. This nursing home received 2 deficiencies on its inspection report, but fortunately none were considered severe. This tells you that the inspectors did not deem any of these deficiencies to pose an immediate threat to patient health or safety. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Long-term Care Quality
This nursing home is also above average in the area of long-term care, where it was given a grade of B. It outperformed most nursing homes in this category. When facilities receive this type of grade in long-term care it is a good sign for resident care and suggests that the nursing home is well-staffed with nurses aids. After assessing the amount of care provided by nurses and other staff, we then looked at the facility's vaccination records. This nursing home vaccinated 100 percent of its patients for pneumonia. Vaccines are vital to keeping residents healthy. Lastly, this place was able to limit hospitalizations. It had only 0.27 hospitalizations per one thousand long-term resident days, which is a remarkably low number.
Short-term Care Quality
We also awarded this nursing home a decent score in the category of short-term care, where we gave it a grade of B-. Our short-term care ratings are meaningful for prospective residents in need of rehabilitation. Rehabilitation usually mandates higher levels of highly-skilled nursing services. This means a broad spectrum of services, spanning from registered nurses to physical and respiratory therapists, as well as other forms of therapy. This nursing home employs both physical therapists and registered nurses. Not all facilities employ these skilled professionals. Finally, we considered the number of patients who were able to return to the community from this facility. This proved to be more of a strength for this facility. In fact, we found that it outperformed the majority of facilities with 49.9 percent of its residents returning home. This is a higher rate than most facilities.
Nurse Quality
The next area we assessed is nursing. We gave it a grade of C in that area. This is a decent grade in this category. The nursing rating weighs a handful of factors, most of which are associated with quantities of nurse staffing. This nursing home averages 2.9 hours of nursing care per patient daily, which is well below average. Lastly, we also considered a few quality-based statistics in this category. While this nursing home didn't rank highly in terms of its nursing hours per resident, it fared much better in some of the quality measures we assessed. For example, in terms of the percentage of its patients experiencing pressure ulcers, this facility fared better than the national average. This is often a good indicator that a nursing home has sufficient quality controls in place. Pressure ulcers can typically be avoided with better nursing care.
Overall Rating Over Time
Compared to national and state averages across all facilities.
The Waters of Roan Highlands Quality Metrics
Minimizes Pressure Ulcers
This tells you the percentage of residents that suffered from a pressure ulcer. Pressure ulcers, also referred to as bed sores, are routinely the result of residents staying in one position for too long. Better nursing care can limit the percentage of residents in a nursing home who sustain pressure ulcers.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This tells you the percent of patients who suffered from a major fall. Falls leading to severe injuries are considered by many in the nursing home industry to be an indicator of nursing care . Major falls leading to injury are routinely caused by lower quality nursing care.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This tells you the percent of patients 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 metric gauges the percentage of long-term stay patients receiving antipsychotic drugs. While antipsychotic drugs play an important role in caring for many residents, it is important to confirm these medications are being used appropriately. In some cases, excessive reliance on these medications may suggest a nursing home is using these drugs to control patient behavior.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This metric indicates the percent of long-term care residents who are administered antianxiety drugs. These medications are typically used to treat residents experiencing depression and anxiety.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This metric measures the percentage of long-term care patients demonstrating signs of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This datapoint measures the percent of long-term stay residents that were given the pneumonia and flu vaccines. Respiratory viruses can be very dangerous for nursing home patients, making these types of vaccines important for resident well-being.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
Measures the percentage of long-term care patients that needed more assistance with activities of daily living over time. Activities of daily living include activities such as getting dressed and taking a bath.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This tells you the percentage of residents who remained mobile levels over time. Optimizing mobility is usually a great sign for residents' health.
Percentage of Residents
Higher is Better
Hospitalizations
This is the number of hospitalizations per thousand days of patient care. There is generally a correlation between keeping patients out of the hospital and the quality of long-term care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This indicates the number of times residents are rehospitalized per 1,000 days of short-term care. There is typically a correlation between having fewer hospitalizations and a nursing homes short-term rehabilitation performance.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
Measures the number of emergency room visits per 1,000 days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This metric is a measure of the percentage of short-term residents who experienced functional improvements.
Percentage of Resident
Higher is Better