Provider Name: WELLPARK AT SHANNONDALE
Address: 7512 MIDDLEBROOK PIKE, KNOXVILLE, TN 37909
Phone: (865) 690-3411
County: Knox (460)
Ownership Type: Non profit - Corporation
Certified Beds: 30
Average Residents Per Day: 26.4 ()
Provider Type: Medicare, Resides in Hospital: No
Legal Business Name: PRESBYTERIAN HOMES OF TENNESSEE INC
First Approved Date: April 6, 2016
Affiliated Entity: ()
Retirement Community: Y, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 3 ()
Health Inspection Rating: 4 ()
QM Rating: 4 ()
Long Stay QM Rating: (2)
Short Stay QM Rating: 4 ()
Staffing Rating: 1 (12)
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.24462, LPN Staff Hours Per Day: 0.0779, RN Staff Hours Per Day: 0.5316, Licensed Staff Hours Per Day: 0.6096
Total Nurse Staff Hours Per Day, per resident: 1.85429
Weekend Nurse Staff Hours: 1.66704, Weekend RN Staff Hours: 0.5360
PT Staff Hours Per Day, per resident: 0.1811
Nurse Staff Turnover: 52.9, Nurse Turnover Note:
RN Turnover: 66.7, RN Turnover Note:
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 1.8181, Case Mix LPN Hours Per Day: 0.8479, Case Mix RN Hours Per Day: 0.4549
Adjusted Nurse Aide Hours Per Day, per resident: 1.39459, Adjusted LPN Hours Per Day: 0.0678, Adjusted RN Hours Per Day: 0.4404
Total Adjusted Nurse Hours Per Day, per resident: 1.87269
Adjusted Weekend Nurse Hours Per Day, per resident: 1.68359
Health Survey Dates and Scores: Cycle 1: 2022-05-25 (Score: 8), Cycle 2: 2019-05-22 (Score: 16), Cycle 3: 2018-05-02 (Score: 4)
Total Weighted Health Score: 10.000
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 655.14, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 7512 MIDDLEBROOK PIKE,KNOXVILLE,TN,37909 (35.9416, -84.042)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-07-08
Type: Health, Deficiency: Have 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.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-07-08
Type: Health, Deficiency: Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-07-02
Type: Health, Deficiency: 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.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-05-18
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0311, Version: New
Description: Have an enclosure around a vertical opening shaft.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-06-05
Type: Fire Safety, Tag: 0321, Version: New
Description: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-06-04
Type: Fire Safety, Tag: 0531, Version: New
Description: Have elevators that firefighters can control in the event of a fire.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-06-06
Type: Fire Safety, Tag: 0761, Version: New
Description: To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-06-28