| General |
| City |
| Roanoke |
King George |
| State attribute explanation |
| Va |
Va |
| Street |
| 3823 Franklin Rd, Sw |
10051 Foxes Way |
| Zip Code |
| 24,014 |
22,485 |
| Phone |
| 5,403,444,325 |
5,407,754,000 |
|
Overall Star Rating |
| 4 |
3 |
|
Health Inspections Star Rating |
| 4 |
2 |
|
Nurse Staffing Star Rating |
| 3 |
4 |
|
Quality Measures Star Rating |
| 3 |
3 |
|
RN Only Star Rating |
| 4 |
3 |
|
Number of Certified Beds |
| 90 |
130 |
|
Total Number of Residents |
| 80 |
84 |
|
Percent of Occupied Beds |
| 89 % |
65 % |
| Health Survey Date |
| 12/20/2011 |
9/29/2011 |
| Fire Survey Date |
| 12/29/2011 |
10/3/2011 |
| 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? |
| No |
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 |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
|
11 |
|
| Staff Information |
| Number of Residents |
| 80 |
84 |
| Number of RN Hours Per Resident Per Day |
| 0.81 |
0.54 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.43 |
1.02 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.24 |
1.56 |
| Number of CNA Hours Per Resident Per Day |
| 0.04 |
0.08 |
| Number Therapy Hours Per Resident Per Day |
| 0.04 |
0.08 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.survey Date: 05/13/2011date Of Correction: 06/23/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.survey Date: 09/25/2009date Of Correction: 11/06/2009 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give The Right Treatment And Services To Residents Who Have Mental Or Psychosocial Problems Adjusting.survey Date: 05/13/2011date Of Correction: 06/23/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 05/13/2011date Of Correction: 06/23/2011 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 09/25/2009date Of Correction: 11/06/2009 |
| 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: 05/13/2011date Of Correction: 06/23/2011 |
| 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: 09/25/2009date Of Correction: 11/06/2009 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.survey Date: 09/25/2009date Of Correction: 11/06/2009 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 09/25/2009date Of Correction: 11/06/2009 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 3deficiency: 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: 05/13/2011date Of Correction: 06/23/2011 |
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 09/25/2009date Of Correction: 11/06/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 22.4:1 |
17.1:1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
8.4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 12.1:1 |
3.7 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 11.6:1 |
7.7 % |
| Percent of long-stay residents who lose too much weight |
| 15.2 % |
10.3:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
36.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 75.2 % |
1.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 75.2 % |
10.3:1 |
| Percent of long-stay residents who have depressive symptoms |
| 10.8 % |
1.3 % |
| Percent of long-stay residents who were physically restrained |
| 1.50 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 11.4 % |
18.2:1 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 98.1 % |
97.6 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 92.7 % |
91.9 % |
| 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 |
| 9 % |
75.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 20.5 % |
18.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 3 % |
5.1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 14.9-28 |
4.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 9.7 % |
7.1 % |
| Percent of long-stay residents who lose too much weight |
| 15.5 % |
8.6:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 50 % |
31.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 75.2 % |
2.5 % |
| Percent of long-stay residents with a urinary tract infection |
| 2 % |
10.3:1 |
| Percent of long-stay residents who have depressive symptoms |
| 6.6 % |
0.9 % |
| Percent of long-stay residents who were physically restrained |
| 3.4 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 7.8 % |
2.1 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 14.7:1 |
23.4 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 90.8 % |
97.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 89.2 % |
92.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 11.8:1 |
30.6 % |