| General |
| City |
| Bristol |
Danville |
| State attribute explanation |
| Va |
Va |
| Street |
| 261 North Street |
2526 North Main Street |
| Zip Code |
| 24,201 |
24,540 |
| Phone |
| 4,237,646,151 |
4,348,369,510 |
|
Overall Star Rating |
| 1 |
3 |
|
Health Inspections Star Rating |
| 3 |
3 |
|
Nurse Staffing Star Rating |
| 5 |
2 |
|
Quality Measures Star Rating |
| 1 |
2 |
|
RN Only Star Rating |
| 5 |
2 |
|
Number of Certified Beds |
| 120 |
312 |
|
Total Number of Residents |
| 93 |
293 |
|
Percent of Occupied Beds |
| 78 % |
94 % |
| Health Survey Date |
| 3/31/2012 |
6/16/2011 |
| Fire Survey Date |
| 3/26/2012 |
7/8/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
Non Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
No |
| Resident and Family Councils |
| Resident |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| Yes |
No |
| Civil Money Penalty Count |
| 3 |
75.2 |
| Total Enforcement Actions Count |
| 5 |
75.2 |
| # of deficiencies |
| 9 |
1 |
|
| Staff Information |
| Number of Residents |
| 93 |
293 |
| Number of RN Hours Per Resident Per Day |
| 0.62 |
0.37 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.44 |
0.77 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.06 |
1.15 |
| Number of CNA Hours Per Resident Per Day |
| 0.06 |
0.05 |
| Number Therapy Hours Per Resident Per Day |
| 0.06 |
0.05 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 4deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 11/07/2011date Of Correction: 11/30/2011 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Try To Resolve Each Resident's Complaints Quickly.survey Date: 03/10/2011date Of Correction: 03/25/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.survey Date: 07/16/2009date Of Correction: Not Available |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.survey Date: 03/10/2011date Of Correction: 03/25/2011 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 06/07/2012date Of Correction: 06/18/2012 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 11/07/2011date Of Correction: 11/30/2011 |
|
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Develop A Post-discharge Plan With The Resident And Family For The Resident's Care After Leaving The Nursing Home.survey Date: 06/07/2012date Of Correction: 06/18/2012 |
|
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 4deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.survey Date: 11/07/2011date Of Correction: 11/30/2011 |
|
| Deficiency #2 |
| Scope: Somelevel Of Harm: 4deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 11/07/2011date Of Correction: 11/30/2011 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 03/10/2011date Of Correction: 03/25/2011 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
|
29.9 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
|
1.6 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
9.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
10.5 % |
| Percent of long-stay residents who lose too much weight |
|
8.2 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
26.9 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
|
3.2 % |
| Percent of long-stay residents with a urinary tract infection |
|
6 % |
| Percent of long-stay residents who have depressive symptoms |
|
75.2 % |
| Percent of long-stay residents who were physically restrained |
|
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
15.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
61.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
|
68 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 2 |
1.50 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
|
1.4 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 17.4 % |
29 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
|
3.5 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 16.7 % |
14.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 2.4 % |
9.5 % |
| Percent of long-stay residents who lose too much weight |
| 11.1 % |
7.6 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
25.6 (78.1) |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.1 % |
3.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.5 % |
7.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 2.3 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 75.2 % |
2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
21.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
64.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
|
71.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
|
3.7 % |