| General |
| City |
| Lancaster |
Charleston |
| State attribute explanation |
| Sc |
Sc |
| Street |
| 253 Craig Manor Road |
2375 Baker Hosp Blvd |
| Zip Code |
| 29,720 |
29,405 |
| Phone |
| 8,032,861,464 |
8,437,442,750 |
|
Overall Star Rating |
| 3 |
3 |
|
Health Inspections Star Rating |
| 2 |
1 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 3 |
2 |
|
RN Only Star Rating |
| 3 |
3 |
|
Number of Certified Beds |
| 132 |
160 |
|
Total Number of Residents |
| 124 |
154 |
|
Percent of Occupied Beds |
| 94 % |
96 % |
| Health Survey Date |
| 10/19/2011 |
5/25/2011 |
| Fire Survey Date |
| 10/20/2011 |
5/24/2011 |
| 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 |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 6 |
7 |
|
| Staff Information |
| Number of Residents |
| 124 |
154 |
| Number of RN Hours Per Resident Per Day |
| 0.51 |
0.48 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.87 |
1.35 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.38 |
1.84 |
| Number of CNA Hours Per Resident Per Day |
| 0.03 |
0.01 |
| Number Therapy Hours Per Resident Per Day |
| 0.03 |
0.01 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Somelevel 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: 02/01/2011date Of Correction: 02/25/2011 |
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 |
| 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: 08/15/2011date Of Correction: 09/07/2011 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Try To Resolve Each Resident's Complaints Quickly.survey Date: 04/23/2009date Of Correction: 05/23/2009 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 08/15/2011date Of Correction: 09/07/2011 |
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 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 04/23/2009date Of Correction: 05/23/2009 |
|
| 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: 08/15/2011date Of Correction: 09/07/2011 |
|
| 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 |
| 18.1:1 |
20.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2 % |
1.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 15.3 % |
10.3:1 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 11.6:1 |
8.8 % |
| Percent of long-stay residents who lose too much weight |
| 10.2 % |
4.3 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 50 % |
56.1 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.4 % |
1.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 10.2 % |
7.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 3.4 % |
11.2-20 |
| Percent of long-stay residents who were physically restrained |
| 0.8 % |
7.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 21.2:1 |
27.8 (82.0) |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 85.4 % |
79.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 74.4 % |
83.1 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
4.3 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 5 % |
5 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 18 % |
20.6 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.9 % |
0.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 16.5 % |
14.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.8 % |
8.7 % |
| Percent of long-stay residents who lose too much weight |
| 7.6 % |
6.1 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 44.7 % |
49.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.4 % |
2.5 % |
| Percent of long-stay residents with a urinary tract infection |
| 9.6 % |
6.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 1.7 % |
12.7 % |
| Percent of long-stay residents who were physically restrained |
| 1.1 % |
7 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.5 % |
3.5 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 21.8 % |
31.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 83.8 % |
72.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 81.2 % |
72 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 12.4-2413.6-24 |
16 % |