D

WOODBURY HEALTH AND REHABILITATION CENTER

119 WEST HIGH STREET, WOODBURY, TN 37190
Score: 47 / 100

Woodbury Health And Rehabilitation Center faces challenges in its CMS ratings, earning a D grade with a score of 47/100. The facility ranks in the 41th percentile among Tennessee nursing homes, suggesting significant room for improvement.

Staffing at Woodbury Health And Rehabilitation Center is near the national average, with 3.61 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 14 deficiencies at Woodbury Health And Rehabilitation Center, 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

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.61 3.8 Average
Registered Nurses (RN) 0.36 0.7 Below Average
Licensed Practical Nurses (LPN) 1.22 0.7 Above Average
Certified Nursing Assistants (CNA) 2.02 2.4 Below Average
Weekend Total Nursing 3.21 3.8 Below Average
Weekend RN Hours 0.33 0.7 Below Average

🔍 Inspection & Deficiency History

14
Total Deficiencies
Nov 24, 2024
Most Recent Inspection
🟠 13 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Nov 24, 2024 · Nutrition and Dietary Deficiencies
  • Tag 0880 Severity F
    Provide and implement an infection prevention and control program.
    Nov 24, 2024 · Infection Control Deficiencies
  • Tag 0851 Severity D
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    Nov 24, 2024 · Administration Deficiencies
  • Tag 0678 Severity J
    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advanc
    Feb 15, 2022 · Quality of Life and Care Deficiencies
  • Tag 0558 Severity D
    Reasonably accommodate the needs and preferences of each resident.
    Feb 15, 2022 · Resident Rights 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 2.2% 4.5% Better
Falls with major injury 6.6% 3.0% Worse
On antipsychotic medication 17.9% 14.5% Worse
Urinary tract infections 3.4% 2.5% Worse
ADL decline (daily activities) 9.2% 14.0% Better
Excessive weight loss 4.3% 7.5% Better
New/worsened incontinence 23.4% 45.0% Better

How This Grade Was Calculated

This facility's grade of D is based on a score of 47 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: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Other
Certified Beds
82
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Nov 24, 2024
Deficiencies (Cycle 1)
3