Mt Pleasant Healthcare And Rehabilitation faces challenges in its CMS ratings, earning a D grade with a score of 48/100. The facility ranks in the 42th percentile among Tennessee nursing homes, suggesting significant room for improvement.
Staffing levels are a potential concern at Mt Pleasant Healthcare And Rehabilitation, with 3.37 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent inspections identified 10 deficiencies at Mt Pleasant Healthcare And Rehabilitation. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.37 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.54 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.14 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.70 | 2.4 | Below Average |
| Weekend Total Nursing | 3.19 | 3.8 | Below Average |
| Weekend RN Hours | 0.33 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Mar 19, 2025 · Quality of Life and Care Deficiencies
- Tag 0725 Severity DProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Mar 19, 2025 · Nursing and Physician Services Deficiencies
- Tag 0726 Severity DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Mar 19, 2025 · Nursing and Physician Services Deficiencies
- Tag 0727 Severity DHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.Mar 19, 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 biologiMar 19, 2025 · Pharmacy Service 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 | 4.1% | 4.5% | Average |
| Falls with major injury | 1.6% | 3.0% | Better |
| On antipsychotic medication | 36.1% | 14.5% | Worse |
| Urinary tract infections | 3.3% | 2.5% | Worse |
| ADL decline (daily activities) | 15.4% | 14.0% | Average |
| Excessive weight loss | 2.9% | 7.5% | Better |
| New/worsened incontinence | 11.7% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $7,443
How This Grade Was Calculated
This facility's grade of D is based on a score of 48 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -0 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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