| General |
| City |
| Sylacauga |
Bessemer |
| State attribute explanation |
| Al |
Al |
| Street |
| 315 West Hickory Street |
4201 Bessemer Highway |
| Zip Code |
| 35,150 |
35,021 |
| Phone |
| 2,562,495,604 |
2,054,283,249 |
|
Overall Star Rating |
| 4 |
4 |
|
Health Inspections Star Rating |
| 3 |
3 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 3 |
4 |
|
RN Only Star Rating |
| 4 |
2 |
|
Number of Certified Beds |
| 85 |
69 |
|
Total Number of Residents |
| 69 |
56 |
|
Percent of Occupied Beds |
| 81 % |
81 % |
| Health Survey Date |
| 7/8/2011 |
4/12/2012 |
| Fire Survey Date |
| 7/13/2011 |
4/12/2012 |
| 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 |
Both |
| 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 |
|
|
| Staff Information |
| Number of Residents |
| 78 |
56 |
| Number of RN Hours Per Resident Per Day |
| 1.54 |
0.4 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.91 |
1.19 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 3.46 |
1.59 |
| Number of CNA Hours Per Resident Per Day |
| 0.05 |
0.01 |
| Number Therapy Hours Per Resident Per Day |
| 0.05 |
0.01 |
| 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 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 28.9 % |
36.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1 % |
|
| Percent of long-stay residents who self-report moderate to severe pain |
| 4.4 % |
2.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 9.4 / 10.4 |
|
| Percent of long-stay residents who lose too much weight |
| 8.5 % |
7.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 9.9:1 |
2.4 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.4 % |
5.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 38.6 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 86.8 % |
90 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 86.4 % |
85 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 1.9 % |
|
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.1 % |
1.9 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 21.4 % |
35.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.8 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 6 % |
4.3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 9.7 % |
10.8 % |
| Percent of long-stay residents who lose too much weight |
| 6 % |
8 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 17.9 (64.2) |
30 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 8.9 / 9.9 |
4.5 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.7 % |
3.1 % |
| Percent of long-stay residents who have depressive symptoms |
| 2 % |
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 |
| 3.9 % |
3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 40.7 % |
35 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 84.3 % |
66.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 86.2 % |
3.5 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 2.3 % |
75.2 % |