| General |
| City |
| Bristol |
Alexandria |
| State attribute explanation |
| Va |
Va |
| Street |
| 261 North Street |
2,729 |
| Zip Code |
| 24,201 |
22,302 |
| Phone |
| 4,237,646,151 |
7,038,368,838 |
|
Overall Star Rating |
| 1 |
3 |
|
Health Inspections Star Rating |
| 3 |
2 |
|
Nurse Staffing Star Rating |
| 5 |
4 |
|
Quality Measures Star Rating |
| 1 |
4 |
|
RN Only Star Rating |
| 5 |
3 |
|
Number of Certified Beds |
| 120 |
307 |
|
Total Number of Residents |
| 93 |
276 |
|
Percent of Occupied Beds |
| 78 % |
90 % |
| Health Survey Date |
| 3/31/2012 |
8/11/2011 |
| Fire Survey Date |
| 3/26/2012 |
8/16/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
No |
| Resident and Family Councils |
| Resident |
Both |
| 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 |
5 |
|
| Staff Information |
| Number of Residents |
| 93 |
276 |
| Number of RN Hours Per Resident Per Day |
| 0.62 |
0.65 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.44 |
1.44 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.06 |
2.09 |
| Number of CNA Hours Per Resident Per Day |
| 0.06 |
0.12 |
| Number Therapy Hours Per Resident Per Day |
| 0.06 |
0.12 |
| 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 |
|
| 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 |
Scope: Somelevel Of Harm: 2deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.survey Date: 02/15/2012date Of Correction: 03/30/2012 |
| 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 |
Scope: Fewlevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 02/15/2012date Of Correction: 03/30/2012 |
| 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 |
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 02/15/2012date Of Correction: 03/30/2012 |
| 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 |
Scope: Fewlevel Of Harm: 2deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.survey Date: 02/15/2012date Of Correction: 03/30/2012 |
| 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 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.survey Date: 09/16/2010date Of Correction: 10/25/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
|
13.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
|
1.1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
5.4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
11.4 % |
| Percent of long-stay residents who lose too much weight |
|
4.2 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
63 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
|
6.3 % |
| Percent of long-stay residents with a urinary tract infection |
|
7.1 % |
| Percent of long-stay residents who have depressive symptoms |
|
10.3:1 |
| Percent of long-stay residents who were physically restrained |
|
0.4 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
15.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
89.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
|
91.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 2 |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
|
2.20 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 17.4 % |
14 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
|
0.9 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 16.7 % |
6.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 2.4 % |
11.2-20 |
| Percent of long-stay residents who lose too much weight |
| 11.1 % |
6.5 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
68.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.1 % |
6.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.5 % |
5.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 2.3 % |
11.2-20 |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
0.9 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 75.2 % |
2.6 / 3 |
| Percent of short-stay residents who self-report moderate to severe pain |
|
16.9-24 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
88.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
|
89 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
|
14.3 % |