| General Information: BIRMINGHAM NURSING AND REHABILITATION CENTER | |
|---|---|
| Nursing home name | BIRMINGHAM NURSING AND REHABILITATION CENTER |
| Address | 1000 DUGAN AVENUE BIRMINGHAM, AL 35214 |
| Phone number | (205) 798-8780 |
| Located within a hospital | No |
| Type of ownership | For profit - Partnership |
| Owner operates multiple homes | No |
| Accept Medicare or Medicaid | Medicare and Medicaid |
| Continue Care Retirement Community | No |
| Resident and family councils | RESIDENT |
| Certified number of beds | 132 |
| Total number of residents | 117 |
| Perc of occupied beds | 89 |
| Sprinkler status | fully sprinklered |
| Last health survey date | 03/05/2009 |
| Fire survey date: | 03/11/2009 |
| Ratings Summary: BIRMINGHAM NURSING AND REHABILITATION CENTER | |
|---|---|
| Overall rating |
3 out of 5 stars |
| Nursing Home Staffing |
3 out of 5 stars |
| Registered Nurses only |
2 out of 5 stars |
| Health Inspections |
3 out of 5 stars |
| Quality Measures |
2 out of 5 stars |
| Nursing Home Staffing Info: BIRMINGHAM NURSING AND REHABILITATION CENTER | ||
|---|---|---|
| National Average | BIRMINGHAM NURSING AND REHABILITATION CENTER | |
| Overall staff rating | Not Available. |
3 out of 5 stars |
| Registered Nurses only rating | Not Available |
2 out of 5 stars |
| Total Number of Residents | 94.2 | 117 |
| Total Number of Licensed Nurse Staff Hours per Resident per Day | 1.4 hours | 1.68 hours |
| Registered Nurses Hours per Residents per Day | 0.6 hours | 0.46 hours |
| Licensed Practical or Vacation Nurses Hours per Resident per Day | 0.8 hours | 1.22 hours |
| Certified Nursing Assistants Hours per Residents per Day | 0.6 hours | 0.46 hours |
| Health Inpections: BIRMINGHAM NURSING AND REHABILITATION CENTER | |||
|---|---|---|---|
| Inspection Results: 03/05/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 04/07/2009 | Resident Assessment Deficiencies | Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | D |
| Inspection Results: 02/23/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 03/29/2008 | Quality Care Deficiencies | Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | D |
| 03/29/2008 | Quality Care Deficiencies | Provide activities to meet the needs of each resident. | D |
| 03/29/2008 | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | D |
| Inspection Results: 07/27/2006 | |||
| Corrected | Category | Deficiency | Severity |
| 08/18/2006 | Administration Deficiencies | post nurse staffing information. | C |
| 08/18/2006 | Nutrition and Dietary Deficiencies | Store, cook, and give out food in a safe and clean way. | C |
| 08/18/2006 | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | D |
| 08/18/2006 | Quality Care Deficiencies | Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | D |
| 08/18/2006 | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | D |
| 08/18/2006 | Resident Assessment Deficiencies | 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | D |
| 08/18/2006 | Resident Rights Deficiencies | Quickly give a resident's personal money to the heads of his or her estate after the resident's death. | D |
| 08/18/2006 | Resident Rights Deficiencies | Honor all of the resident's rights as a resident of the nursing home and as a citizen or resident of the United States. | D |
| Fire Safety Inpections: BIRMINGHAM NURSING AND REHABILITATION CENTER | |||
|---|---|---|---|
| Inspection Results: 03/11/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 04/10/2009 | Electrical Deficiencies | properly installed electrical wiring and equipment. | D |
| 04/10/2009 | Building Service Equipment Deficiencies | properly protected cooking facilities. | E |
| 04/23/2009 | Automatic Sprinkler Systems Deficiencies | an approved automatic sprinkler system connected to the fire alarm system. | F |
| 04/10/2009 | Illumination and Emergency Power Deficiencies | proper backup exit lighting. | E |
| 04/10/2009 | Hazardous Area Deficiencies | construction that can resist fire for one hour or an approved fire extinguishing system. | E |
| 04/10/2009 | Corridor Walls and Doors Deficiencies | corridor and hallway doors that block smoke. | E |
| Inspection Results: 03/06/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 04/05/2008 | Fire Alarm Systems Deficiencies | an approved installation, maintenance and testing program for fire alarm systems. | E |
| 04/05/2008 | Electrical Deficiencies | weekly inspections and monthly testing of generators. | D |
| 04/05/2008 | Building Service Equipment Deficiencies | properly protected cooking facilities. | D |
| 04/05/2008 | Automatic Sprinkler Systems Deficiencies | portable fire extinguishers. | E |
| 04/05/2008 | Automatic Sprinkler Systems Deficiencies | an approved automatic sprinkler system connected to the fire alarm system. | D |
| 04/05/2008 | Electrical Deficiencies | properly installed electrical wiring and equipment. | D |
| 04/05/2008 | Emergency Plans and Fire Drills Deficiencies | record of quarterly fire drills for each shift under varying conditions. | D |
| 04/05/2008 | Exits and Egress Deficiencies | exits that are accessible at all times. | E |
| 04/05/2008 | Smoke Compartmentation and Control Deficiencies | walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. | E |
| 04/05/2008 | Hazardous Area Deficiencies | construction that can resist fire for one hour or an approved fire extinguishing system. | D |
| Inspection Results: 08/02/2006 | |||
| Corrected | Category | Deficiency | Severity |
| 08/25/2006 | Electrical Deficiencies | properly installed electrical wiring and equipment. | D |
| 08/25/2006 | Furnishings and Decorations Deficiencies | exits that are free from obstructions and can be used at all times. | D |
| 08/25/2006 | Building Service Equipment Deficiencies | an externally vented heating system. | D |
| 08/25/2006 | Automatic Sprinkler Systems Deficiencies | automatic sprinkler systems that have been maintained in working order. | D |
| 10/16/2006 | Fire Alarm Systems Deficiencies | an approved installation, maintenance and testing program for fire alarm systems. | F |
| 08/25/2006 | Smoke Compartmentation and Control Deficiencies | smoke barrier doors that can resist smoke for at least 20 minutes. | D |
| 08/25/2006 | Smoke Compartmentation and Control Deficiencies | walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. | D |
| Resident Complaints: BIRMINGHAM NURSING AND REHABILITATION CENTER | |||
|---|---|---|---|
| Date Complaint Substantiated: 10/29/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 12/03/2009 | Environmental Deficiencies | Have a program to keep infection from spreading. | E |
| 12/03/2009 | Resident Rights Deficiencies | Try to resolve each resident's complaints quickly. | D |
| 12/03/2009 | Quality Care Deficiencies | Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | E |
| 12/03/2009 | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | C |
| Date Complaint Substantiated: 01/16/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 02/23/2009 | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | D |
| 02/23/2009 | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | D |
| Date Complaint Substantiated: 06/12/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 07/17/2008 | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | D |
| 07/17/2008 | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | E |
| Quality Measures: BIRMINGHAM NURSING AND REHABILITATION CENTER | ||
|---|---|---|
| Quality Measures | National Average | BIRMINGHAM NURSING AND REHABILITATION CENTER |
| Overall quality rating | Not Available |
2 out of 5 stars |
| Long-Stay Residents | ||
| Percent of long-stay residents who are more depressed or anxious | 14% | 22% |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 50% | 72% |
| Percent of long-stay residents whose need for help with daily activities has increased | 14% | 15% |
| Percent of long-stay residents who lose too much weight | 8% | 6% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 11% | 5% |
| Percent of high-risk long-stay residents who have pressure sores | 11% | 16% |
| Percent of long-stay residents who had a urinary tract infection | 9% | 9% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 5% | 6% |
| Percent of long-stay residents who were physically restrained | 3% | 2% |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | 89% | 90+% |
| Percent of low-risk long-stay residents who have pressure sores | 2% | 2% |
| Percent of long-stay residents who have moderate to severe pain | 3% | 3% |
| Percent of long-stay residents who spend most of their time in bed or in a chair | 4% | 19% |
| Percent of long-stay residents given influenza vaccination during the flu season | 91% | 60% |
| Short-Stay Residents | ||
| Percent of short-stay residents who have pressure sores | 13% | 21% |
| Percent of short-stay residents given influenza vaccination during the flu season | 83% | 39% |
| Percent of short-stay residents who have delirium | 2% | 1% |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | 83% | 80% |
| Percent of short-stay residents who had moderate to severe pain | 19% | 32% |
| Severity Codes Explanation. Note: The higher the letter, the higher the severity. | |
|---|---|
| A | Isolated /Potential for minimal harm |
| B | Pattern /Potential for minimal harm |
| C | Widespread /Potential for minimal harm |
| D | Isolated /Minimal harm or potential for actual harm |
| E | Pattern /Minimal harm or potential for actual harm |
| F | Widespread /Minimal harm or potential for actual harm |
| G | Isolated /Actual harm |
| H | Pattern /Actual harm |
| I | Widespread /Actual harm |
| J | Isolated /Immediate jeopardy to resident health or safety |
| K | Pattern /Immediate jeopardy to resident health or safety |
| L | Widespread /Immediate jeopardy to resident health or safety |