| General |
| City |
| Sylacauga |
Elmore |
| State attribute explanation |
| Al |
Al |
| Street |
| 315 West Hickory Street |
P O Box 130 |
| Zip Code |
| 35,150 |
36,025 |
| Phone |
| 2,562,495,604 |
3,345,678,484 |
|
Overall Star Rating |
| 4 |
4 |
|
Health Inspections Star Rating |
| 3 |
3 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 3 |
3 |
|
RN Only Star Rating |
| 4 |
4 |
|
Number of Certified Beds |
| 85 |
124 |
|
Total Number of Residents |
| 69 |
115 |
|
Percent of Occupied Beds |
| 81 % |
93 % |
| Health Survey Date |
| 7/8/2011 |
12/2/2011 |
| Fire Survey Date |
| 7/13/2011 |
11/29/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Other |
For Profit - Corporation |
| Located Within a Hospital? |
| Yes |
No |
| Multi Nursing Home Ownership? |
| No |
Yes |
| Resident and Family Councils |
| Both |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 1 |
75.2 |
| Total Enforcement Actions Count |
| 1 |
75.2 |
| # of deficiencies |
| 2 |
8 |
|
| Staff Information |
| Number of Residents |
| 78 |
115 |
| Number of RN Hours Per Resident Per Day |
| 1.54 |
0.69 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.91 |
0.7 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 3.46 |
1.39 |
| Number of CNA Hours Per Resident Per Day |
| 0.05 |
0.05 |
| Number Therapy Hours Per Resident Per Day |
| 0.05 |
0.05 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 06/16/2012date Of Correction: 07/09/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 12/02/2011date Of Correction: 01/06/2012 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 12/02/2011date Of Correction: 01/06/2012 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 06/16/2012date Of Correction: 07/09/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 06/16/2012date Of Correction: 07/09/2012 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 04/30/2010date Of Correction: 05/28/2010 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 09/10/2010date Of Correction: 10/15/2010 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 09/10/2010date Of Correction: 10/15/2010 |
|
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 04/30/2010date Of Correction: 05/28/2010 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Menus Meet The Resident's Nutritional Needs And That There Is A Prepared Menu By Which Nutritious Meals Have Been Planned For The Resident And Followed.survey Date: 04/30/2010date Of Correction: 05/28/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 28.9 % |
29.1 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1 % |
1.6 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 4.4 % |
8.9 / 9.9 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 9.4 / 10.4 |
2.9 % |
| Percent of long-stay residents who lose too much weight |
| 8.5 % |
8.6:1 |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 9.9:1 |
1.9 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.4 % |
8.6:1 |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
5.7 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 38.6 % |
16.1 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 86.8 % |
48.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 86.4 % |
60.3 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 1.9 % |
10.7:1 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.1 % |
6.7 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 21.4 % |
30.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.8 % |
0.6 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 6 % |
10.9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 9.7 % |
5.4 % |
| Percent of long-stay residents who lose too much weight |
| 6 % |
9.1 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 17.9 (64.2) |
16.4 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 8.9 / 9.9 |
3.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.7 % |
6.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 2 % |
0.3 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
5.3 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.9 % |
5.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 40.7 % |
16.1 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 84.3 % |
47.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 86.2 % |
55.6 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 2.3 % |
9.6 % |