F

AVE MARIA HOME

2805 CHARLES BRYAN RD, BARTLETT, TN 38134
Score: 32 / 100

Ave Maria Home has received an F grade based on CMS data, with a score of 32/100 — placing it among the lowest-rated nursing facilities in Tennessee. Families considering this Bartlett facility should carefully review its inspection history and quality metrics.

Staffing levels at Ave Maria Home exceed national averages, with 6.10 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.57 hours per resident per day is near the national average of 0.7 hours.

Recent CMS inspections identified 18 deficiencies at Ave Maria Home, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..

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 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 6.10 3.8 Above Average
Registered Nurses (RN) 0.57 0.7 Below Average
Licensed Practical Nurses (LPN) 1.62 0.7 Above Average
Certified Nursing Assistants (CNA) 3.91 2.4 Above Average
Weekend Total Nursing 5.41 3.8 Above Average
Weekend RN Hours 0.36 0.7 Below Average

🔍 Inspection & Deficiency History

18
Total Deficiencies
Mar 27, 2024
Most Recent Inspection
🟠 17 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0689 Severity J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Mar 27, 2024 · Quality of Life and Care Deficiencies
  • Tag 0689 Severity E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    May 11, 2022 · Quality of Life and Care Deficiencies
  • Tag 0640 Severity D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    May 11, 2022 · Resident Assessment and Care Planning Deficiencies
  • Tag 0641 Severity D
    Ensure each resident receives an accurate assessment.
    May 11, 2022 · Resident Assessment and Care Planning Deficiencies
  • Tag 0657 Severity D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    May 11, 2022 · Resident Assessment and Care Planning 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 8.2% 4.5% Worse
Falls with major injury 2.8% 3.0% Average
On antipsychotic medication 22.2% 14.5% Worse
Urinary tract infections 3.3% 2.5% Worse
ADL decline (daily activities) 33.0% 14.0% Worse
Excessive weight loss 1.0% 7.5% Better
New/worsened incontinence 21.6% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $27,921

How This Grade Was Calculated

This facility's grade of F is based on a score of 32 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: 2★ → 6 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -2 pts

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

Facility Details

Ownership
Non profit - Corporation
Certified Beds
100
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
May 11, 2022
Deficiencies (Cycle 1)
5