Nhc Place At Cool Springs ratings, inspections, staffing, and fines

1

How this home got 5 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

Health inspections

starting point

Everything starts from what state inspectors found on site. This is a ranking against other homes in Tennessee.
Staffing

+1 star

Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
Quality measures

no change (already 5)

Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
Overall

5 of 5

Matches the rating CMS publishes on Care Compare.

2

Where it sits among Tennessee homes

Nhc Place At Cool Springs carries 22 inspection points. That is fewer than 55% of Tennessee's 300 rated homes.

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Tennessee: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

5★ 0–9 pts
4★ 9–17 pts
3★ 17–31 pts
2★ 31–61 pts
1★ over 61 pts

Bars show every rated home in Tennessee by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

8 health citations on record since 2018. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts

K 0 100 pts

L 0 150 pts

Actual harmA resident was hurt

G 2 20 pts

H 0 35 pts

I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 4 4 pts

E 1 8 pts

F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts

B 0 0 pts

C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (2)

G

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

August 22, 2019 · Standard inspection · Resident Rights · F580 · Corrected October 4, 2019
G

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

August 22, 2019 · Standard inspection · Quality of Life and Care · F686 · Corrected October 4, 2019

Everything else, by area of care

Quality of Life and Care2D

D
Provide care and assistance to perform activities of daily living for any resident who is unable.
August 22, 2019 · Standard · F677 · Corrected October 4, 2019
D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
October 17, 2018 · Standard · F689 · Corrected November 17, 2018

Pharmacy Service2D

D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
August 22, 2019 · Standard · F758 · Corrected October 4, 2019
D
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.
October 17, 2018 · Standard · F761 · Corrected November 17, 2018

Infection Control1E

E
Perform COVID19 testing on residents and staff.
September 14, 2022 · Standard · F886 · Corrected October 29, 2022

Nutrition and Dietary1F

F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
August 22, 2019 · Standard · F812 · Corrected October 4, 2019

Inspection history

2022-09-14
1 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2019-08-22
5 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2018-10-17
2 health deficiencies · 8 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 5 h 7 min of nursing staff time a day, 1 h 3 min of it from a registered nurse.

This home

5 h 7 min

Tennessee average

3 h 49 min

U.S. average

3 h 54 min

Registered nurse
Licensed practical nurse
Nurse aide

Turnover: 48% of nursing staff and 26% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

Measure	This home	State	U.S.
Number of hospitalizations per 1000 long-stay resident days0.4 pts worse	2.0	1.6	1.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better	0.8	1.5	1.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.3 pts better	89.8%	89.5%	93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.5 pts better	94.3%	93.8%	95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts worse	3.9%	3.3%	3.2%
Percentage of long-stay residents who have depressive symptoms14.9 pts better	0.0%	14.9%	13.5%
Percentage of long-stay residents who lose too much weight1.2 pts better	4.8%	6.0%	5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication25.2 pts better	6.5%	31.7%	19.5%
Percentage of long-stay residents who received an antipsychotic medication12.2 pts better	4.8%	17.0%	15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better	0.0%	0.1%	0.1%
Percentage of long-stay residents whose ability to walk independently worsened9.7 pts worse	25.1%	15.4%	12.7%
Percentage of long-stay residents whose need for help with daily activities has increased9.7 pts worse	23.2%	13.5%	13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better	0.0%	0.6%	0.7%
Percentage of long-stay residents with a urinary tract infection1.7 pts better	0.0%	1.7%	1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.6 pts worse	21.6%	19.0%	18.3%
Percentage of long-stay residents with pressure ulcers0.1 pts better	4.7%	4.8%	4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.3 pts worse	63.1%	79.4%	82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.7 pts worse	12.0%	11.3%	11.8%
Percentage of short-stay residents who newly received an antipsychotic medicationAbout the same	1.7%	1.7%	1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.6 pts worse	73.6%	79.2%	80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission5.8 pts better	16.8%	22.6%	23.4%

·

Who owns and runs it

25 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list

Name	Role	Share	Homes
Blackrock Inc	Adp Of The SNF · Organization	0%	85 facilities
Dimensional Fund Advisors LP	Adp Of The SNF · Organization	0%	35 facilities
Dodson, Vicki	Operational/Managerial Control · Individual	0%	65 facilities
Dodson, Vicki	Adp Of The SNF · Individual	0%	65 facilities
Kidd, Brian	Operational/Managerial Control · Individual	0%	66 facilities
Kidd, Brian	Adp Of The SNF · Individual	0%	66 facilities
Moore, Anthony	Operational/Managerial Control · Individual	0%	2 facilities
Moore, Anthony	Adp Of The SNF · Individual	0%	2 facilities
Morgan Stanley	Adp Of The SNF · Organization	0%	39 facilities
Morgan Stanley Institutional Advisors LLC	Indirect Ownership Interest · Organization	0%	41 facilities
National Health Corporation	Adp Of The SNF · Organization	0%	59 facilities
National Healthcare Corporation	Operational/Managerial Control · Organization	0%	61 facilities
National Healthcare Corporation	Adp Of The SNF · Organization	0%	61 facilities
Nhc-Op LP	Operational/Managerial Control · Organization	0%	62 facilities
Nhc-Op LP	Adp Of The SNF · Organization	0%	62 facilities
Nhc/Delaware Inc	Indirect Ownership Interest · Organization	0%	46 facilities
Shelly, Timothy	Operational/Managerial Control · Individual	0%	34 facilities
Slandzicki, Alex	Operational/Managerial Control · Individual	0%	2 facilities
Slandzicki, Alex	Adp Of The SNF · Individual	0%	2 facilities
Ussery, Robert	Operational/Managerial Control · Individual	0%	57 facilities
Vanguard Group Inc	Adp Of The SNF · Organization	0%	84 facilities
Vincent, Brandon	Managing Control - Governing Body · Individual	0%	11 facilities
Vincent, Brandon	Corporate Officer · Individual	0%	11 facilities
Vincent, Brandon	Operational/Managerial Control · Individual	0%	11 facilities
Williams, Kara	Operational/Managerial Control · Individual	0%	2 facilities

·

Fire safety

14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke9D

D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
September 14, 2022 · K321 · Corrected September 15, 2022
D
Provide properly protected cooking facilities.
August 22, 2019 · K324 · Corrected September 12, 2019
D
Have approved installation, maintenance and testing program for fire alarm systems.
August 22, 2019 · K345 · Corrected August 26, 2019
D
Inspect, test, and maintain automatic sprinkler systems.
August 22, 2019 · K353 · Corrected August 30, 2019
D
Have an enclosure around a vertical opening shaft.
October 17, 2018 · K311 · Corrected December 11, 2018
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
October 17, 2018 · K321 · Corrected December 10, 2018
D
Provide properly protected cooking facilities.
October 17, 2018 · K324 · Corrected December 11, 2018
D
Inspect, test, and maintain automatic sprinkler systems.
October 17, 2018 · K353 · Corrected October 17, 2018
D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
October 17, 2018 · K372 · Corrected December 11, 2018

Gas, Vacuum, and Electrical Systems2D

D
Ensure proper usage of power strips and extension cords.
August 22, 2019 · K920 · Corrected September 20, 2019
D
Have proper medical gas storage and administration areas.
October 17, 2018 · K923 · Corrected December 10, 2018

Emergency Preparedness2C

C
Address subsistence needs for staff and patients.
October 17, 2018 · E15 · Corrected October 22, 2018
C
Establish roles under a Waiver declared by secretary.
October 17, 2018 · E26 · Corrected October 22, 2018

Egress1D

D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
September 14, 2022 · K211 · Corrected September 15, 2022

·

Other homes nearby

Mulberry Health & Rehabilitation
Franklin, TN · Special Focus

Worst citation, 3 yrs
D

Nursing / resident / day
3 h 36 min

Fines
$0
Franklin Wellness And Rehabilitation Center
Franklin, TN · Ahava Healthcare

Worst citation, 3 yrs
J

Nursing / resident / day
3 h 33 min

Fines
$44,469
Nhc Healthcare, Franklin
Franklin, TN · National Healthcare Corporation

Worst citation, 3 yrs
J

Nursing / resident / day
3 h 35 min

Fines
$62,491

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