| General |
| City |
| White Rock |
Spartanburg |
| State attribute explanation |
| Sc |
Sc |
| Street |
| 201 Fortress Drive |
110 Summit Hills Drive |
| Zip Code |
| 29,177 |
29,307 |
| Phone |
| 8,037,323,000 |
8,645,912,222 |
|
Overall Star Rating |
| 4 |
2 |
|
Health Inspections Star Rating |
| 2 |
1 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 5 |
5 |
|
RN Only Star Rating |
| 3 |
3 |
|
Number of Certified Beds |
| 176 |
27 |
|
Total Number of Residents |
| 146 |
19 |
|
Percent of Occupied Beds |
| 83 % |
70 % |
| Health Survey Date |
| 5/3/2012 |
11/8/2011 |
| Fire Survey Date |
| 5/3/2012 |
10/13/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare |
| Type of Ownership |
| Non Profit - Church Related |
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? |
| Yes |
Yes |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
2 |
| Total Enforcement Actions Count |
| 75.2 |
2 |
| # of deficiencies |
| 3 |
10 |
|
| Staff Information |
| Number of Residents |
| 146 |
19 |
| Number of RN Hours Per Resident Per Day |
| 0.6 |
1.35 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.1 |
1.38 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.7 |
2.74 |
| Number of CNA Hours Per Resident Per Day |
| 0.07 |
0.75 |
| Number Therapy Hours Per Resident Per Day |
| 0.07 |
0.75 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 08/26/2009date Of Correction: 09/26/2009 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 10/07/2009date Of Correction: 11/12/2009 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 4deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 11/08/2011date Of Correction: 12/16/2011 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 3deficiency: 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: 10/07/2009date Of Correction: 11/12/2009 |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 12/02/2009date Of Correction: 01/02/2010 |
Scope: Manylevel Of Harm: 4deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 11/08/2011date Of Correction: 12/16/2011 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 08/26/2009date Of Correction: 09/26/2009 |
Scope: Fewlevel Of Harm: 3deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 10/07/2009date Of Correction: 11/12/2009 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 4deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.survey Date: 11/08/2011date Of Correction: 12/16/2011 |
| Deficiency #2 |
|
Scope: Manylevel Of Harm: 4deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 11/08/2011date Of Correction: 12/16/2011 |
| Deficiency #3 |
|
Scope: Manylevel Of Harm: 4deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 11/08/2011date Of Correction: 12/16/2011 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 4deficiency: 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: 11/08/2011date Of Correction: 12/16/2011 |
| Deficiency #2 |
|
Scope: Manylevel Of Harm: 4deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 11/08/2011date Of Correction: 12/16/2011 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 25 % |
|
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.7 % |
1.6 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 5.3 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.4 % |
|
| Percent of long-stay residents who lose too much weight |
| 8.9 / 9.9 |
|
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 52.2 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.5 % |
|
| Percent of long-stay residents with a urinary tract infection |
| 5.2 % |
|
| Percent of long-stay residents who have depressive symptoms |
| 1.50 % |
|
| Percent of long-stay residents who were physically restrained |
| 1.4 % |
|
| Percent of short-stay residents who self-report moderate to severe pain |
| 9.7 % |
5.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 90.7 % |
93.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 90.8 % |
96.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 2.4 % |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 0.7 % |
|
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 25.7 % |
|
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.9 % |
0.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 4.8 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.7 % |
|
| Percent of long-stay residents who lose too much weight |
| 7.6 % |
|
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 53.2 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.20 % |
|
| Percent of long-stay residents with a urinary tract infection |
| 4.3 % |
|
| Percent of long-stay residents who have depressive symptoms |
| 1.50 % |
|
| Percent of long-stay residents who were physically restrained |
| 2.8 % |
|
| Percent of long-stay residents experiencing one or more falls with major injury |
| 0.7 % |
|
| Percent of short-stay residents who self-report moderate to severe pain |
| 8.8 % |
6.1 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 90 % |
87.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 91.6 % |
95 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 8.5 % |
5 % |