| General |
| City |
| Charleston |
Aiken |
| State attribute explanation |
| Sc |
Sc |
| Street |
| 2375 Baker Hosp Blvd |
3525 Augustus Road |
| Zip Code |
| 29,405 |
29,802 |
| Phone |
| 8,437,442,750 |
8,036,428,376 |
|
Overall Star Rating |
| 3 |
1 |
|
Health Inspections Star Rating |
| 1 |
1 |
|
Nurse Staffing Star Rating |
| 4 |
2 |
|
Quality Measures Star Rating |
| 2 |
2 |
|
RN Only Star Rating |
| 3 |
2 |
|
Number of Certified Beds |
| 160 |
126 |
|
Total Number of Residents |
| 154 |
113 |
|
Percent of Occupied Beds |
| 96 % |
90 % |
| Health Survey Date |
| 5/25/2011 |
7/13/2011 |
| Fire Survey Date |
| 5/24/2011 |
7/15/2011 |
| 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? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 7 |
|
|
| Staff Information |
| Number of Residents |
| 154 |
113 |
| Number of RN Hours Per Resident Per Day |
| 0.48 |
0.51 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.35 |
0.95 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.84 |
1.45 |
| Number of CNA Hours Per Resident Per Day |
| 0.01 |
0.04 |
| Number Therapy Hours Per Resident Per Day |
| 0.01 |
0.04 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 03/17/2011date Of Correction: 04/15/2011 |
|
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Somelevel 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: 10/12/2010date Of Correction: 11/12/2010 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 08/03/2011date Of Correction: 09/02/2011 |
|
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Manylevel Of Harm: 2deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.survey Date: 08/03/2011date Of Correction: 09/02/2011 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 03/17/2011date Of Correction: 04/15/2011 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor.survey Date: 08/03/2011date Of Correction: 09/02/2011 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 3deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 08/03/2011date Of Correction: 09/02/2011 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 20.8 % |
18.6 (65.5) |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.8 % |
3.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 10.3:1 |
5.7 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 8.8 % |
7.9:1 |
| Percent of long-stay residents who lose too much weight |
| 4.3 % |
3.9 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 56.1 % |
56.4 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.3 % |
1.9 % |
| Percent of long-stay residents with a urinary tract infection |
| 7.2 % |
11.8:1 |
| Percent of long-stay residents who have depressive symptoms |
| 11.2-20 |
1.9 % |
| Percent of long-stay residents who were physically restrained |
| 7.2 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 27.8 (82.0) |
29.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 79.3 % |
90.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 83.1 % |
100 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 4.3 % |
6.7 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 5 % |
5.8 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 20.6 % |
18.7 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.8 % |
2.4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 14.2 % |
10.7:1 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 8.7 % |
9.8 % |
| Percent of long-stay residents who lose too much weight |
| 6.1 % |
6.2 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 49.2 % |
53.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.5 % |
2.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.4 % |
11.2-20 |
| Percent of long-stay residents who have depressive symptoms |
| 12.7 % |
1.9 % |
| Percent of long-stay residents who were physically restrained |
| 7 % |
0.6 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.5 % |
5.4 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 31.3 % |
26.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 72.8 % |
81.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 72 % |
97.3 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 16 % |
18.8 % |