| General Information: ASHLEY HEALTH AND REHABILITATION | |
|---|---|
| Nursing home name | ASHLEY HEALTH AND REHABILITATION |
| Address | 2600 N 22ND STREET ROGERS, AR 72756 |
| Phone number | (479) 899-6778 |
| Located within a hospital | No |
| Type of ownership | For profit - Corporation |
| Owner operates multiple homes | Yes |
| Accept Medicare or Medicaid | Medicare and Medicaid |
| Continue Care Retirement Community | No |
| Resident and family councils | RESIDENT |
| Certified number of beds | 100 |
| Total number of residents | 94 |
| Perc of occupied beds | 94 |
| Sprinkler status | fully sprinklered |
| Last health survey date | 02/19/2010 |
| Fire survey date: | 02/17/2010 |
| Ratings Summary: ASHLEY HEALTH AND REHABILITATION | |
|---|---|
| Overall rating |
3 out of 5 stars |
| Nursing Home Staffing |
2 out of 5 stars |
| Registered Nurses only |
1 out of 5 stars |
| Health Inspections |
3 out of 5 stars |
| Quality Measures |
4 out of 5 stars |
| Nursing Home Staffing Info: ASHLEY HEALTH AND REHABILITATION | ||
|---|---|---|
| National Average | ASHLEY HEALTH AND REHABILITATION | |
| Overall staff rating | Not Available. |
2 out of 5 stars |
| Registered Nurses only rating | Not Available |
1 out of 5 stars |
| Total Number of Residents | 94.2 | 94 |
| Total Number of Licensed Nurse Staff Hours per Resident per Day | 1.4 hours | 1.27 hours |
| Registered Nurses Hours per Residents per Day | 0.6 hours | 0.41 hours |
| Licensed Practical or Vacation Nurses Hours per Resident per Day | 0.8 hours | 0.86 hours |
| Certified Nursing Assistants Hours per Residents per Day | 0.6 hours | 0.41 hours |
| Health Inpections: ASHLEY HEALTH AND REHABILITATION | |||
|---|---|---|---|
| Inspection Results: 02/19/2010 | |||
| Corrected | Category | Deficiency | Severity |
| 03/21/2010 | Administration Deficiencies | Give or get lab tests to meet the needs of residents. | E |
| 03/21/2010 | Environmental Deficiencies | Have a program to keep infection from spreading. | E |
| 03/11/2010 | Nutrition and Dietary Deficiencies | Offer other nutritional food to each resident who will not eat the food served. | D |
| 03/21/2010 | Pharmacy Service Deficiencies | Make sure that residents are safe from serious medication errors. | E |
| 03/21/2010 | Pharmacy Service Deficiencies | Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | E |
| 03/21/2010 | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | E |
| 03/21/2010 | 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 |
| 03/21/2010 | Quality Care Deficiencies | Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. | E |
| 03/21/2010 | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | E |
| 03/09/2010 | Quality Care Deficiencies | Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | E |
| 03/21/2010 | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | E |
| 03/16/2010 | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | E |
| 03/21/2010 | Resident Rights Deficiencies | Keep each resident's personal and medical records private and confidential. | D |
| Inspection Results: 02/06/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 03/08/2009 | Environmental Deficiencies | Have a program to keep infection from spreading. | E |
| 03/08/2009 | Nutrition and Dietary Deficiencies | Provide a tasty and well-balanced diet that meets the nutritional needs of each resident. | D |
| 03/08/2009 | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | D |
| 03/08/2009 | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | E |
| 03/08/2009 | Resident Rights Deficiencies | Provide services to meet the needs and preferences of each resident. | E |
| Inspection Results: 03/28/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 04/20/2008 | Pharmacy Service Deficiencies | Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | E |
| 04/20/2008 | Pharmacy Service Deficiencies | Make sure that residents are safe from serious medication errors. | E |
| 04/20/2008 | Pharmacy Service Deficiencies | 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | D |
| 04/20/2008 | Quality Care Deficiencies | Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | E |
| 04/20/2008 | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | D |
| 04/20/2008 | 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 |
| 04/20/2008 | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | E |
| 04/21/2008 | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | D |
| Fire Safety Inpections: ASHLEY HEALTH AND REHABILITATION | |||
|---|---|---|---|
| Inspection Results: 02/17/2010 | |||
| Corrected | Category | Deficiency | Severity |
| 03/21/2010 | Smoke Compartmentation and Control Deficiencies | smoke barrier doors that can resist smoke for at least 20 minutes. | D |
| 03/03/2010 | Smoke Compartmentation and Control Deficiencies | walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. | E |
| Inspection Results: 01/29/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 02/06/2009 | Electrical Deficiencies | properly installed electrical wiring and equipment. | C |
| 03/08/2009 | Automatic Sprinkler Systems Deficiencies | automatic sprinkler systems that have been maintained in working order. | F |
| 03/08/2009 | Smoke Compartmentation and Control Deficiencies | walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. | F |
| Resident Complaints: ASHLEY HEALTH AND REHABILITATION | |||
|---|---|---|---|
| Date Complaint Substantiated: 11/26/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 12/22/2009 | Administration Deficiencies | Give or get lab tests to meet the needs of residents. | E |
| 12/22/2009 | Nutrition and Dietary Deficiencies | Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | D |
| Date Complaint Substantiated: 10/13/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 10/13/2009 | Nutrition and Dietary Deficiencies | 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. | B |
| Date Complaint Substantiated: 06/05/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 06/27/2008 | Nutrition and Dietary Deficiencies | Provide food in a way that meets a resident's needs. | E |
| 06/27/2008 | Quality Care Deficiencies | Make sure that each resident's nutritional needs were met. | E |
| Quality Measures: ASHLEY HEALTH AND REHABILITATION | ||
|---|---|---|
| Quality Measures | National Average | ASHLEY HEALTH AND REHABILITATION |
| Overall quality rating | Not Available |
4 out of 5 stars |
| Long-Stay Residents | ||
| Percent of low-risk long-stay residents who have pressure sores | 2% | 3% |
| Percent of high-risk long-stay residents who have pressure sores | 11% | 12% |
| Percent of long-stay residents who lose too much weight | 8% | 9% |
| Percent of long-stay residents who are more depressed or anxious | 14% | 13% |
| Percent of long-stay residents who have moderate to severe pain | 3% | 3% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 11% | 10% |
| Percent of long-stay residents who had a urinary tract infection | 9% | 13% |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 50% | 35% |
| Percent of long-stay residents who were physically restrained | 3% | 0% |
| Percent of long-stay residents who spend most of their time in bed or in a chair | 4% | 3% |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | 89% | 90+% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 5% | 4% |
| Percent of long-stay residents given influenza vaccination during the flu season | 91% | 90+% |
| Percent of long-stay residents whose need for help with daily activities has increased | 14% | 15% |
| Short-Stay Residents | ||
| Percent of short-stay residents who have delirium | 2% | 0% |
| Percent of short-stay residents who have pressure sores | 13% | 11% |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | 83% | 73% |
| Percent of short-stay residents who had moderate to severe pain | 19% | 2% |
| Percent of short-stay residents given influenza vaccination during the flu season | 83% | 90+% |
| 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 |