| General |
| City |
| Columbia |
Hilton Head Island |
| State attribute explanation |
| Sc |
Sc |
| Street |
| 2601 Forest Drive |
120 Lamotte Drive |
| Zip Code |
| 29,204 |
29,926 |
| Phone |
| 8,032,564,983 |
8,436,816,006 |
|
Overall Star Rating |
| 4 |
2 |
|
Health Inspections Star Rating |
| 2 |
1 |
|
Nurse Staffing Star Rating |
| 4 |
5 |
|
Quality Measures Star Rating |
| 5 |
4 |
|
RN Only Star Rating |
| 5 |
5 |
|
Number of Certified Beds |
| 132 |
88 |
|
Total Number of Residents |
| 95 |
50 |
|
Percent of Occupied Beds |
| 72 % |
57 % |
| Health Survey Date |
| 3/20/2012 |
9/14/2011 |
| Fire Survey Date |
| 3/23/2012 |
9/13/2011 |
| 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 |
| Resident |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 3 |
1 |
| Total Enforcement Actions Count |
| 4 |
1 |
| # of deficiencies |
| 13 |
11 |
|
| Staff Information |
| Number of Residents |
| 95 |
50 |
| Number of RN Hours Per Resident Per Day |
| 1.17 |
1.50 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.74 |
1.95 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.91 |
3.45 |
| Number of CNA Hours Per Resident Per Day |
| 0.12 |
0.23 |
| Number Therapy Hours Per Resident Per Day |
| 0.12 |
0.23 |
| 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: 06/23/2011date Of Correction: 07/23/2011 |
|
| 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: 06/23/2011date Of Correction: 07/23/2011 |
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: 01/25/2012date Of Correction: 03/01/2012 |
| 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: 02/11/2010date Of Correction: 03/31/2010 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 02/11/2010date Of Correction: 03/31/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Let The Resident Refuse Treatment Or Refuse To Take Part In An Experiment And Formulate Advance Directives.survey Date: 01/25/2012date Of Correction: 03/01/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 3deficiency: Let The Resident Or The Resident's Legal Representative The Right To Access Or Purchase Copies Of All Records.survey Date: 01/25/2012date Of Correction: 03/01/2012 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give The Resident's Representative The Ability To Exercise The Resident's Rights.survey Date: 01/25/2012date Of Correction: 03/01/2012 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Follow Policies And Procedures To Convey The Resident's Personal Funds To The Appropriate Party Responsible After The Resident's Death.survey Date: 09/14/2011date Of Correction: 09/23/2011 |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.survey Date: 09/14/2010date Of Correction: 10/14/2010 |
Scope: Somelevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 01/25/2012date Of Correction: 03/01/2012 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 3deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 09/14/2010date Of Correction: 10/14/2010 |
Scope: Fewlevel Of Harm: 4deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 06/22/2011date Of Correction: 06/14/2011 |
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 3deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.survey Date: 02/11/2010date Of Correction: 03/31/2010 |
Scope: Fewlevel Of Harm: 4deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 06/22/2011date Of Correction: 06/14/2011 |
| Deficiency #4 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion.survey Date: 02/11/2010date Of Correction: 03/31/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 10/21/2009date Of Correction: 11/09/2009 |
| Deficiency #5 |
| Scope: Fewlevel Of Harm: 3deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 02/11/2010date Of Correction: 03/31/2010 |
|
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 06/23/2011date Of Correction: 07/23/2011 |
|
| Deficiency #2 |
| 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: 09/14/2010date Of Correction: 10/14/2010 |
|
| Deficiency #3 |
| Scope: Somelevel Of Harm: 4deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 02/11/2010date Of Correction: 03/31/2010 |
|
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.survey Date: 09/14/2011date Of Correction: 09/23/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 4deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 06/22/2011date Of Correction: 06/14/2011 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.survey Date: 02/11/2010date Of Correction: 03/31/2010 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 17.1:1 |
22.7 (72.9) |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
3.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 2.8 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 10.8 % |
3.3 % |
| Percent of long-stay residents who lose too much weight |
| 9 % |
9.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 7.9:1 |
6.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 1.3 % |
4.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
4.5 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 11.2-20 |
5.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 78.4 % |
75 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 83.8 % |
80.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 2.3 % |
1.50 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.3 % |
2.3 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 14.5 % |
24.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.2 % |
1.9 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 3.9 % |
75.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 9.4 / 10.4 |
9.6 % |
| Percent of long-stay residents who lose too much weight |
| 8.4 % |
9.2 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 62.5 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6 % |
4.4 % |
| Percent of long-stay residents with a urinary tract infection |
| 1.6 % |
3.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 1.4 % |
1.7 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
6.6 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 0.8 % |
2.5 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 13.6-28 |
3.8 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 87.2 % |
57.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 90.7 % |
86.1 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 3.9 % |
17.8:1 |