| General |
| City |
| Birmingham |
Tuscumbia |
| State attribute explanation |
| Al |
Al |
| Street |
| 7755 Fourth Avenue South |
813 Keller Lane |
| Zip Code |
| 35,206 |
35,674 |
| Phone |
| 2,058,330,146 |
2,563,831,535 |
|
Overall Star Rating |
| 5 |
4 |
|
Health Inspections Star Rating |
| 4 |
3 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 5 |
3 |
|
RN Only Star Rating |
| 5 |
5 |
|
Number of Certified Beds |
| 112 |
109 |
|
Total Number of Residents |
| 84 |
73 |
|
Percent of Occupied Beds |
| 75 % |
67 % |
| Health Survey Date |
| 10/18/2011 |
7/14/2011 |
| Fire Survey Date |
| 10/18/2011 |
7/20/2011 |
| 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 |
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 |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 5 |
2 |
|
| Staff Information |
| Number of Residents |
| 84 |
73 |
| Number of RN Hours Per Resident Per Day |
| 0.91 |
0.97 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.94 |
0.9 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.84 |
1.87 |
| Number of CNA Hours Per Resident Per Day |
| 0.01 |
0.01 |
| Number Therapy Hours Per Resident Per Day |
| 0.01 |
0.01 |
| 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: 11/30/2009date Of Correction: 12/31/2009 |
Scope: Manylevel Of Harm: 2deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.survey Date: 06/24/2010date Of Correction: 07/26/2010 |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 11/30/2009date Of Correction: 12/31/2009 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 11/12/2009date Of Correction: 12/17/2009 |
|
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 1deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 06/24/2010date Of Correction: 07/26/2010 |
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.survey Date: 11/12/2009date Of Correction: 12/17/2009 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.survey Date: 11/12/2009date Of Correction: 12/17/2009 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 31.9 % |
35.6 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
2.4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 1.3 % |
29.4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 8.5 % |
6.4 % |
| Percent of long-stay residents who lose too much weight |
| 7.3 % |
20 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.3 % |
1.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 2.4 % |
3.1 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
7.6 % |
| 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 |
|
29.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 78.3 % |
23.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 88 % |
20.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.6 % |
1.50 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 31.3 % |
33.9 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
1.50 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 3.7 % |
27.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 9.7 % |
6.8 % |
| Percent of long-stay residents who lose too much weight |
| 4.5 % |
12 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 21.8 % |
27.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.3 % |
2 % |
| Percent of long-stay residents with a urinary tract infection |
| 2.9 % |
3.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
8.2 % |
| 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 |
| 2.4 % |
1.9 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 11.4 % |
39.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 73.7 % |
16.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 81.4 % |
18.2:1 |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 11.1 % |
3.1 % |