General Information: GARLAND NURSING AND REHABILITATION CENTER
Nursing home name GARLAND NURSING AND REHABILITATION CENTER
Address610 CARPENTER DAM RD
HOT SPRINGS, AR 71901
Phone number (501) 262-2571
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Both
Certified number of beds 105
Total number of residents 90
Perc of occupied beds 85
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints14
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: GARLAND NURSING AND REHABILITATION CENTER
Overall rating 3
3
Nursing Home Staffing 3
3
Registered Nurses only 3
3
Health Inspections 3
3
Quality Measures 4
4
Nursing Home Staffing Info: GARLAND NURSING AND REHABILITATION CENTER
National AverageArkansas AverageGARLAND NURSING AND REHABILITATION CENTER
Overall staff rating NA NA 3
3
Registered Nurses only rating NANA 3
3
Total Number of Residents NA NA 90
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.31 hours 3.65 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.5 hours 1.36 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.53 hours 0.63 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.97 hours 0.72 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.81 hours 2.29 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.05 hours 0.13 hours
Health Survey: GARLAND NURSING AND REHABILITATION CENTER
Heath Survey Summary on 2013-05-17
Total Number of Health Deficiencies 4
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Heath Survey Summary on 2012-04-13
Total Number of Health Deficiencies 0
Scope and Severity of most Severe Health Deficiency
Heath Survey Summary on 2011-06-16
Total Number of Health Deficiencies 4
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: GARLAND NURSING AND REHABILITATION CENTER
Inspection Results: 05/17/2013
Corrected Deficiency Scope and Severity
05/31/2013 Ensure that residents are safe from serious medication errors. Pattern/Minimal harm or potential for actual harm
05/31/2013 Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. Pattern/Minimal harm or potential for actual harm
05/31/2013 Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Widespread /Minimal harm or potential for actual harm
05/31/2013 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern/Minimal harm or potential for actual harm
Inspection Results: 06/16/2011
Corrected Deficiency Scope and Severity
07/08/2011 Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated/Minimal harm or potential for actual harm
07/08/2011 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern/Minimal harm or potential for actual harm
07/08/2011 Ensure that residents are safe from serious medication errors. Pattern/Minimal harm or potential for actual harm
07/08/2011 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: GARLAND NURSING AND REHABILITATION CENTER
Fire Safety Survey Summary on 2013-05-16
Total Number of Fire SafetyDeficiencies 1
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-04-09
Total Number of Fire SafetyDeficiencies 2
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-06-17
Total Number of Fire SafetyDeficiencies 1
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey: GARLAND NURSING AND REHABILITATION CENTER
Fire Safety Survey Results: 05/16/2013
Corrected Deficiency Severity
05/31/2013 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Results: 04/09/2012
Corrected Deficiency Severity
04/21/2012 Record of quarterly fire drills for each shift under varying conditions. Widespread/Potential for minimal harm
04/21/2012 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 06/17/2011
Corrected Deficiency Severity
07/08/2011 Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Pattern/Minimal harm or potential for actual harm

Resident Complaints: GARLAND NURSING AND REHABILITATION CENTER
Date Complaint Substantiated: 08/01/2013
CorrectedCategoryDeficiencySeverity
08/30/2013Keep each resident free from physical restraints, unless needed for medical treatment. E
08/30/20131) 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. D
08/30/2013Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. D
08/30/2013Provide care by qualified persons according to each resident's written plan of care. E
08/30/2013Provide necessary care and services to maintain or improve the highest well being of each resident . E
08/30/2013Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. E
08/30/2013Give 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. E
08/30/2013Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. E
08/30/2013Have a program that investigates, controls and keeps infection from spreading. E
08/30/2013Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. E
Date Complaint Substantiated: 07/06/2012
CorrectedCategoryDeficiencySeverity
08/05/20121) 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. E
08/05/2012Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. E
07/06/2012Provide medically-related social services to help each resident achieve the highest possible quality of life. B
08/05/2012Provide care by qualified persons according to each resident's written plan of care. E
08/05/2012Provide necessary care and services to maintain or improve the highest well being of each resident . E
08/05/2012Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. D
08/05/2012Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. E
08/05/2012Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. E
08/05/2012Ensure that residents are safe from serious medication errors. E
08/05/2012Have a program that investigates, controls and keeps infection from spreading. E
08/05/2012Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. E

Quality Measures: GARLAND NURSING AND REHABILITATION CENTER
Quality Measures National Average Arkansas Average GARLAND NURSING AND REHABILITATION CENTER
Overall quality rating NA NA 4
4
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 16.5% 17.1%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 8.6% 0.6%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.3% 5.4%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.7% 10.6%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 33.5% 49.5%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.3% 3.2%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.4% 15.9%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 3.2% 2.1%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.5% 0.5%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.6% 6.1%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 95.1% 100.0%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 97.1% 100.0%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 23.9% 16.0%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 18.6% 16.5%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.3% 0.9%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 89.6% 99.3%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 87.6% 98.3%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 3.6% 1.4%

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