AVE MARIA HOME – Nursing Home, BARTLETT, Tennessee
Medicare and Medicaid
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
1 substantiated complaint
Last cited survey: 28 March 2024 · 54 health and 12 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Main info
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Location
2805 CHARLES BRYAN RD
BARTLETT, TN 38134
Phone: (901) 386-3211
Compare to TN average
See how this facility compares to the TN state average among rated nursing homes (315 homes). Peer best shows the highest rating among similar homes in the same city.
| Metric | This facility | TN average | Peer best (city) |
|---|---|---|---|
| Overall CMS stars | 2 | 2.96 | 5 |
| Health inspection | 2 | 2.87 | 5 |
| Staffing | 3 | 2.39 | 4 |
| Quality measures | 2 | 3.58 | 5 |
| Certified beds | 100 | 114.7 | — |
| Citations on file (health + fire) | 66 | ~3.6 health* | — |
- ABUNDANT CHRISTIAN LIVING COMMUNITY REHABILITATION — 5★ overall
- ADAMSPLACE, LLC — 3★ overall
- ADAMSVILLE HEALTHCARE AND REHABILITATION CENTER — 4★ overall
- ADVANCED HEALTH CARE OF NASHVILLE
- AGAPE REHABILITATION & NURSING CENTER, A WATERS CM — 3★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| SIEGEL, MARLENE K | W-2 MANAGING EMPLOYEE | Individual | 50.00 | 06/30/2014 |
| GATTUSO, FRANK J | CORPORATE DIRECTOR | Individual | 50.00 | 03/01/1995 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
66 citations on file · Latest survey: 28 March 2024 · 54 health · 12 fire safety
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2024-03-28 | F689 | J — Immediate jeopardy, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2024-03-28 | F689 | J — Immediate jeopardy, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2024-03-28 | F689 | J — Immediate jeopardy, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2022-05-12 | F698 | D — Minimal harm, isolated | Health | Provide safe, appropriate dialysis care/services for a resident who requires such services. |
| 2022-05-12 | F698 | D — Minimal harm, isolated | Health | Provide safe, appropriate dialysis care/services for a resident who requires such services. |
| 2022-05-12 | F698 | D — Minimal harm, isolated | Health | Provide safe, appropriate dialysis care/services for a resident who requires such services. |
| 2022-05-12 | F689 | E — Minimal harm, pattern | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2022-05-12 | F689 | E — Minimal harm, pattern | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2022-05-12 | F689 | E — Minimal harm, pattern | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2022-05-12 | F657 | D — Minimal harm, isolated | Health | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| 2022-05-12 | F657 | D — Minimal harm, isolated | Health | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| 2022-05-12 | F657 | D — Minimal harm, isolated | Health | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| 2022-05-12 | F641 | D — Minimal harm, isolated | Health | Ensure each resident receives an accurate assessment. |
| 2022-05-12 | F641 | D — Minimal harm, isolated | Health | Ensure each resident receives an accurate assessment. |
| 2022-05-12 | F641 | D — Minimal harm, isolated | Health | Ensure each resident receives an accurate assessment. |
| 2022-05-12 | F640 | D — Minimal harm, isolated | Health | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. |
| 2022-05-12 | F640 | D — Minimal harm, isolated | Health | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. |
| 2022-05-12 | F640 | D — Minimal harm, isolated | Health | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. |
| 2020-02-21 | F686 | D — Minimal harm, isolated | Health | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| 2020-02-21 | F686 | D — Minimal harm, isolated | Health | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
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Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2020-02-21 | K524 | D — Minimal harm, isolated | Fire Safety | Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. |
| 2020-02-21 | K353 | D — Minimal harm, isolated | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2020-02-21 | K353 | D — Minimal harm, isolated | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2020-02-21 | K524 | D — Minimal harm, isolated | Fire Safety | Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. |
| 2020-02-21 | K524 | D — Minimal harm, isolated | Fire Safety | Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. |
| 2020-02-21 | K353 | D — Minimal harm, isolated | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2019-03-07 | K923 | D — Minimal harm, isolated | Fire Safety | Have proper medical gas storage and administration areas. |
| 2019-03-07 | K920 | D — Minimal harm, isolated | Fire Safety | Ensure proper usage of power strips and extension cords. |
| 2019-03-07 | K923 | D — Minimal harm, isolated | Fire Safety | Have proper medical gas storage and administration areas. |
| 2019-03-07 | K920 | D — Minimal harm, isolated | Fire Safety | Ensure proper usage of power strips and extension cords. |
| 2019-03-07 | K923 | D — Minimal harm, isolated | Fire Safety | Have proper medical gas storage and administration areas. |
| 2019-03-07 | K920 | D — Minimal harm, isolated | Fire Safety | Ensure proper usage of power strips and extension cords. |
Additional information
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| Quality of Resident Care Rating | 2 |
| Quality of Resident Care Rating (Long Stay) | 3 |
| Quality of Resident Care Rating (Short Stay) | 5 |
| Staffing Rating | 3 |
| RN Staffing Rating | 2 |
| Reported CNA Staffing Hours per Resident per Day | 4.69263 |
| Reported LPN Staffing Hours per Resident per Day | 1.58208 |
| Reported RN Staffing Hours per Resident per Day | 0.63965 |
| Reported Licensed Staffing Hours per Resident per Day | 2.22173 |
| Reported Total Nurse Staffing Hours per Resident per Day | 6.27621 |
| Reported Physical Therapist Staffing Hours per Resident per Day | 0.10206 |
| Casemix CNA Staffing Hours per Resident per Day | 2.12355 |
| Casemix LPN Staffing Hours per Resident per Day | 0.64516 |
| Casemix RN Staffing Hours per Resident per Day | 0.28904 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 3.05775 |
| Adjusted CNA Staffing Hours per Resident per Day | 4.56197 |
| Adjusted LPN Staffing Hours per Resident per Day | 1.7321 |
| Adjusted RN Staffing Hours per Resident per Day | 0.70031 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 6.87138 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2020-02-21 |
Date of Standard Health Survey (Cycle 2) | 2019-03-07 |
Total Number of Health Deficiencies (Cycle 1) | 2 |
Number of Standard Health Deficiencies (Cycle 1) | 2 |
Health Deficiency Score (Cycle 1) | 8 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 8 |
Total Number of Health Deficiencies (Cycle 2) | 11 |
Number of Standard Health Deficiencies (Cycle 2) | 10 |
Number of Complaint Health Deficiencies (Cycle 2) | 1 |
Health Deficiency Score (Cycle 2) | 76 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 76 |
Date of Standard Health Survey (Cycle 3) | 2018-04-25 |
Total Weighted Health Survey Score | 38.75 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Number of Facility Reported Incidents | 7 |
Number of Substantiated Complaints | 1 |
Number of Fines | 2 |
Total Amount of Fines in Dollars | 27921 |
Number of Payment Denials | 1 |
Total Number of Penalties | 3 |
Cited for Abuse | |
Most Recent Health Inspection More Than 2 Years Ago | |
Provider Changed Ownership in Last 12 Months | |
With a Resident and Family Council | Both |
Automatic Sprinkler Systems in All Required Areas | Yes |
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