Bethany Center For Rehabilitation And Healing Llc faces challenges in its CMS ratings, earning a D grade with a score of 45/100. The facility ranks in the 36th percentile among Tennessee nursing homes, suggesting significant room for improvement.
Staffing at Bethany Center For Rehabilitation And Healing Llc is near the national average, with 3.71 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 12 deficiencies at Bethany Center For Rehabilitation And Healing Llc, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.71 | 3.8 | Average |
| Registered Nurses (RN) | 0.41 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.22 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.08 | 2.4 | Below Average |
| Weekend Total Nursing | 2.94 | 3.8 | Below Average |
| Weekend RN Hours | 0.09 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Apr 10, 2025 · Nutrition and Dietary Deficiencies
- Tag 0578 Severity DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, andApr 10, 2025 · Resident Rights Deficiencies
- Tag 0730 Severity DObserve each nurse aide's job performance and give regular training.Apr 10, 2025 · Nursing and Physician Services Deficiencies
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiApr 10, 2025 · Pharmacy Service Deficiencies
- Tag 0851 Severity DElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Apr 10, 2025 · Administration Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 5.8% | 4.5% | Worse |
| Falls with major injury | 5.6% | 3.0% | Worse |
| On antipsychotic medication | 14.7% | 14.5% | Average |
| Urinary tract infections | 1.9% | 2.5% | Better |
| ADL decline (daily activities) | 11.0% | 14.0% | Better |
| Excessive weight loss | 4.3% | 7.5% | Better |
| New/worsened incontinence | 23.8% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of D is based on a score of 45 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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