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 75
Perc of occupied beds 71
Sprinkler status Yes
Last health survey date 04/13/2012
Fire survey date: 04/09/2012
Ratings Summary: GARLAND NURSING AND REHABILITATION CENTER
Overall rating 4
4
Nursing Home Staffing 4
4
Registered Nurses only 3
3
Health Inspections 4
4
Quality Measures 3
3
Nursing Home Staffing Info: GARLAND NURSING AND REHABILITATION CENTER
National AverageGARLAND NURSING AND REHABILITATION CENTER
Overall staff rating Not Available. 4
4
Registered Nurses only rating Not Available 3
3
Total Number of Residents 88.1 75.00
Total Number of Licensed Nurse Staff Hours per Resident per Day 29.8 hours 1.23 hours
Registered Nurses Hours per Residents per Day 29.0 hours .58 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 29.0 hours .65 hours
Certified Nursing Assistants Hours per Residents per Day 29.0 hours .58 hours
Health Inpections: GARLAND NURSING AND REHABILITATION CENTER
Inspection Results: 06/16/2011
CorrectedCategoryDeficiencySeverity
07/08/2011Environmental DeficienciesHave a program that investigates, controls and keeps infection from spreading. D
07/08/2011Pharmacy Service DeficienciesEnsure that residents are safe from serious medication errors. E
07/08/2011Pharmacy Service DeficienciesKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. E
07/08/2011Quality Care DeficienciesAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene. D
Inspection Results: 05/27/2010
CorrectedCategoryDeficiencySeverity
06/25/2010Environmental DeficienciesHave a program that investigates, controls and keeps infection from spreading. D
06/25/2010Nutrition and Dietary DeficienciesStore, cook, and serve food in a safe and clean way. F
06/25/2010Quality Care DeficienciesEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. D
06/25/2010Quality Care DeficienciesAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene. E
06/25/2010Resident Rights DeficienciesKeep residents' personal and medical records private and confidential. D

Fire Safety Inpections: GARLAND NURSING AND REHABILITATION CENTER
Inspection Results: 04/09/2012
CorrectedCategoryDeficiencySeverity
04/21/2012Emergency Plans and Fire Drills DeficienciesRecord of quarterly fire drills for each shift under varying conditions. C
04/21/2012Hazardous Area DeficienciesSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. D
Inspection Results: 06/17/2011
CorrectedCategoryDeficiencySeverity
07/08/2011Smoking Regulations DeficienciesPosted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. E
Inspection Results: 05/26/2010
CorrectedCategoryDeficiencySeverity
06/25/2010Electrical DeficienciesProperly installed electrical wiring and equipment. F
06/25/2010Automatic Sprinkler Systems DeficienciesAn approved automatic sprinkler system connected to the fire alarm system. F
06/25/2010Illumination and Emergency Power DeficienciesProperly located and lighted "Exit" signs. F
06/25/2010Hazardous Area DeficienciesSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. F
06/25/2010Smoke Compartmentation and Control DeficienciesWalls that prevent smoke from passing through and would resist fire for at least one hour. F

Resident Complaints: GARLAND NURSING AND REHABILITATION CENTER
Date Complaint Substantiated: 07/06/2012
CorrectedCategoryDeficiencySeverity
08/05/2012Administration DeficienciesGive or get quality laboratory services/tests in a timely manner to meet the needs of residents. E
08/05/2012Environmental DeficienciesHave a program that investigates E
08/05/2012Pharmacy Service DeficienciesEnsure that residents are safe from serious medication errors. E
08/05/2012Pharmacy Service DeficienciesKeep the rate of medication errors (wrong drug E
08/05/2012Environmental DeficienciesEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. E
08/05/2012Quality Care DeficienciesAssist those residents who need help with eating/drinking D
08/05/2012Quality Care DeficienciesProvide necessary care and services to maintain or improve the highest well being of each resident. E
08/05/2012Quality Care DeficienciesProvide care by qualified persons according to each resident's written plan of care. E
07/06/2012Quality Care DeficienciesProvide medically-related social services to help each resident achieve the highest possible quality of life. B
08/05/2012Mistreatment DeficienciesDevelop and implement policies for 1) screening and training employees; and the 2) prevention E
08/05/2012Mistreatment Deficiencies1) Hire only people with no legal history of abusing E

Quality Measures: GARLAND NURSING AND REHABILITATION CENTER
Quality MeasuresNational AverageGARLAND NURSING AND REHABILITATION CENTER
Overall quality rating Not Available 3
3
Long-Stay Residents
Percent of long-stay residents who have depressive symptoms. 16% 7.0999999999999996%
Percent of long-stay low-risk residents who lose control of their bowels or bladder 62% 54.200000000000003%
Percent of long-stay residents who self-report moderate to severe pain. 22% 4.7999999999999998%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine. 99% 99.599999999999994%
Percent of long-stay residents whose need for help with daily activities has increased. 27% 30.100000000000001%
Percent of long-stay residents who lose too much weight. 16% 9.5999999999999996%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder. 13% 2.5%
Percent of long-stay residents who received an antipsychotic medication. 31% 14.5%
Percent of long-stay high-risk residents with pressure ulcers. 19% 5.2000000000000002%
Percent of long-stay residents with a urinary tract infection. 16% 8.6999999999999993%
Percent of long-stay residents who were physically restrained. 11% 1.3%
Percent of long-stay residents experiencing one or more falls with major injury. 12% 4.5%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine. 97% 99.099999999999994%
Short-Stay Residents
Percent of short-stay residents who newly received an antipsychotic medication. 27% 1.7%
Percent of short-stay residents with Pressure ulcers that are new or worsened. 11% 0.29999999999999999%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine. 87% 89%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine. 92% 93.299999999999997%
Percent of short-stay residents who self-report moderate to severe pain. 36% 26.899999999999999%
Severity Codes Explanation. Note: The higher the letter, the higher the severity.
AIsolated /Potential for minimal harm
BPattern /Potential for minimal harm
CWidespread /Potential for minimal harm
DIsolated /Minimal harm or potential for actual harm
EPattern /Minimal harm or potential for actual harm
FWidespread /Minimal harm or potential for actual harm
GIsolated /Actual harm
HPattern /Actual harm
IWidespread /Actual harm
JIsolated /Immediate jeopardy to resident health or safety
KPattern /Immediate jeopardy to resident health or safety
LWidespread /Immediate jeopardy to resident health or safety

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