| General |
| City |
| Water Valley |
Raleigh |
| State attribute explanation |
| Ms |
Ms |
| Street |
| 630 South Main Street/p. O. Box 728 |
309 Magnolia Dr/highway 35 South |
| Zip Code |
| 38,965 |
39,153 |
| Phone |
| 6,624,731,411 |
6,017,824,244 |
|
Overall Star Rating |
| 3 |
3 |
|
Health Inspections Star Rating |
| 3 |
3 |
|
Nurse Staffing Star Rating |
| 3 |
4 |
|
Quality Measures Star Rating |
| 3 |
1 |
|
RN Only Star Rating |
| 2 |
4 |
|
Number of Certified Beds |
| 122 |
121 |
|
Total Number of Residents |
| 120 |
105 |
|
Percent of Occupied Beds |
| 98 % |
87 % |
| Health Survey Date |
| 5/27/2011 |
8/31/2011 |
| Fire Survey Date |
| 5/25/2011 |
9/2/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicaid |
Medicaid |
| Type of Ownership |
| Government - County |
For Profit - Corporation |
| Located Within a Hospital? |
| Yes |
No |
| Multi Nursing Home Ownership? |
| No |
No |
| Resident and Family Councils |
| Both |
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 |
| 2 |
4 |
|
| Staff Information |
| Number of Residents |
| 120 |
105 |
| Number of RN Hours Per Resident Per Day |
| 0.46 |
0.6 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.07 |
1.05 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.52 |
1.65 |
| 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: 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: 11/29/2011date Of Correction: 01/10/2012 |
| Mistreatment Deficiencies |
| Deficiency #1 |
| 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: 02/15/2011date Of Correction: 03/29/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 11/29/2011date Of Correction: 01/10/2012 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 02/15/2011date Of Correction: 03/29/2011 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 3deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 11/29/2011date Of Correction: 01/10/2012 |
| 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: 03/16/2010date Of Correction: 04/10/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 35.4 % |
34.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
|
| Percent of long-stay residents who self-report moderate to severe pain |
| 8.8 % |
24.4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.7 % |
7.4 % |
| Percent of long-stay residents who lose too much weight |
| 6.5 % |
7.1 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 25.5 % |
37.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3 % |
1.50 % |
| Percent of long-stay residents with a urinary tract infection |
| 12.8:1 |
13.3 % |
| Percent of long-stay residents who have depressive symptoms |
| 4.4 % |
2.3 % |
| Percent of long-stay residents who were physically restrained |
| 3.7 % |
11.2-20 |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 100 % |
|
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.7 % |
2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 37.5 % |
33.9 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.1 % |
5 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 10.8 % |
24.4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.7 % |
9.3 % |
| Percent of long-stay residents who lose too much weight |
| 3.9 % |
8.9 / 9.9 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 24 % |
35.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3.6 % |
1.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 11.3 % |
12.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 4.8 % |
2.7 % |
| Percent of long-stay residents who were physically restrained |
| 3.9 % |
10 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.5 % |
12.3:1 |
| Percent of short-stay residents who self-report moderate to severe pain |
| 4.2 % |
36 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 93.1 % |
96.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 95.5 % |
92.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 4 % |
|