General Information: SOUTH CAMPUS REHABILITATION AND NURSING CENTER
Nursing home name SOUTH CAMPUS REHABILITATION AND NURSING CENTER
Address715 E DIXIE AVE
LEESBURG, FL 34748
Phone number (352) 728-3020
Located within a hospital No
Type of ownership For profit - Individual
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 120
Total number of residents 97
Perc of occupied beds 80
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints9
Number of Fines2
Total Amount of Fines$31250
Total Number of Penalties0
Total Number of Penalties2
Ratings Summary: SOUTH CAMPUS REHABILITATION AND NURSING CENTER
Overall rating 2
2
Nursing Home Staffing 4
4
Registered Nurses only 3
3
Health Inspections 1
1
Quality Measures 4
4
Nursing Home Staffing Info: SOUTH CAMPUS REHABILITATION AND NURSING CENTER
National AverageFlorida AverageSOUTH CAMPUS REHABILITATION AND NURSING CENTER
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 3
3
Total Number of Residents NA NA 97
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.46 hours 4.28 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.67 hours 1.56 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.71 hours 0.58 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.96 hours 0.97 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.78 hours 2.72 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.13 hours 0.24 hours
Health Survey: SOUTH CAMPUS REHABILITATION AND NURSING CENTER
Heath Survey Summary on 2013-09-26
Total Number of Health Deficiencies 10
Scope and Severity of most Severe Health Deficiency Isolated/Actual harm
Heath Survey Summary on 2012-08-02
Total Number of Health Deficiencies 11
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-04-06
Total Number of Health Deficiencies 6
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: SOUTH CAMPUS REHABILITATION AND NURSING CENTER
Inspection Results: 09/26/2013
Corrected Deficiency Scope and Severity
10/26/2013 Provide activities to meet the interests and needs of each resident. Isolated/Minimal harm or potential for actual harm
10/26/2013 Ensure each resident receives an accurate assessment by a qualified health professional. Isolated/Actual harm
10/26/2013 Provide care by qualified persons according to each resident's written plan of care. Isolated/Actual harm
10/26/2013 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
10/26/2013 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
10/26/2013 Ensure residents maintain acceptable nutritional status. Isolated/Actual harm
10/26/2013 Store, cook, and serve food in a safe and clean way. Isolated/Minimal harm or potential for actual harm
10/26/2013 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated/Minimal harm or potential for actual harm
10/26/2013 Provide bedrooms that don't allow residents to see each other when privacy is needed. Pattern/Potential for minimal harm
10/26/2013 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
Inspection Results: 08/02/2012
Corrected Deficiency Scope and Severity
09/02/2012 Conduct initial and periodic assessments of each resident's functional capacity. Isolated/Minimal harm or potential for actual harm
09/02/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
09/02/2012 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
09/02/2012 Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Isolated/Minimal harm or potential for actual harm
09/02/2012 Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Isolated/Minimal harm or potential for actual harm
09/02/2012 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated/Minimal harm or potential for actual harm
09/02/2012 Try to resolve each resident's complaints quickly. Isolated/Minimal harm or potential for actual harm
09/02/2012 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated/Minimal harm or potential for actual harm
09/02/2012 Keep all essential equipment working safely. Isolated/Minimal harm or potential for actual harm
09/02/2012 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
09/02/2012 Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated/Minimal harm or potential for actual harm
Inspection Results: 04/06/2011
Corrected Deficiency Scope and Severity
05/06/2011 Give residents a notice of rights, rules, services and charges. Pattern/Minimal harm or potential for actual harm
05/06/2011 Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated/Minimal harm or potential for actual harm
05/06/2011 Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Isolated/Minimal harm or potential for actual harm
05/06/2011 Provide housekeeping and maintenance services. Pattern/Potential for minimal harm
05/06/2011 Conduct initial and periodic assessments of each resident's functional capacity. Isolated/Minimal harm or potential for actual harm
05/06/2011 Dispose of garbage and refuse properly. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: SOUTH CAMPUS REHABILITATION AND NURSING CENTER
Fire Safety Survey Summary on 2013-09-25
Total Number of Fire SafetyDeficiencies 7
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-07-31
Total Number of Fire SafetyDeficiencies 4
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-04-07
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey: SOUTH CAMPUS REHABILITATION AND NURSING CENTER
Fire Safety Survey Results: 09/25/2013
Corrected Deficiency Severity
10/26/2013 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm
10/26/2013 A fire alarm system that can be heard throughout the facility. Widespread /Minimal harm or potential for actual harm
10/26/2013 An approved installation, maintenance and testing program for fire alarm systems. Widespread /Minimal harm or potential for actual harm
10/26/2013 Properly working alarms on sprinkler valves. Widespread /Minimal harm or potential for actual harm
10/26/2013 Automatic sprinkler systems that have been maintained in working order. Isolated/Minimal harm or potential for actual harm
10/26/2013 Properly protected cooking facilities. Isolated/Minimal harm or potential for actual harm
10/26/2013 Restrictions on the use of flammable curtains. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 07/31/2012
Corrected Deficiency Severity
09/02/2012 Properly constructed windows in hallway walls or doors. Isolated/Minimal harm or potential for actual harm
09/02/2012 Exits that are accessible at all times. Isolated/Minimal harm or potential for actual harm
09/02/2012 An approved automatic sprinkler system connected to the fire alarm system. Isolated/Minimal harm or potential for actual harm
09/02/2012 Properly installed electrical wiring and equipment. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 04/07/2011
Corrected Deficiency Severity
05/06/2011 Fire resistant room wall surfaces. Isolated/Minimal harm or potential for actual harm
05/06/2011 Emergency lighting that can last at least 1 1/2 hours. Isolated/Minimal harm or potential for actual harm
05/06/2011 Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm

Resident Complaints: SOUTH CAMPUS REHABILITATION AND NURSING CENTER
Date Complaint Substantiated: 05/18/2013
CorrectedCategoryDeficiencySeverity
05/25/2013Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. D
Date Complaint Substantiated: 04/15/2013
CorrectedCategoryDeficiencySeverity
05/15/2013Provide necessary care and services to maintain or improve the highest well being of each resident . D
05/15/2013Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
Date Complaint Substantiated: 11/27/2012
CorrectedCategoryDeficiencySeverity
12/27/2012Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. G
Date Complaint Substantiated: 04/23/2012
CorrectedCategoryDeficiencySeverity
05/23/2012Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
Date Complaint Substantiated: 10/12/2011
CorrectedCategoryDeficiencySeverity
11/12/2011Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. D
11/12/2011Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. D
Date Complaint Substantiated: 09/19/2011
CorrectedCategoryDeficiencySeverity
10/19/2011Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. D
10/19/2011Hire sufficient dietary support personnel. D
Date Complaint Substantiated: 05/18/2011
CorrectedCategoryDeficiencySeverity
06/18/2011Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. D
06/18/2011Conduct initial and periodic assessments of each resident's functional capacity. D
06/18/2011Allow residents the right to participate in the planning or revision of care and treatment. D
Date Complaint Substantiated: 05/03/2011
CorrectedCategoryDeficiencySeverity
05/11/20111) 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

Quality Measures: SOUTH CAMPUS REHABILITATION AND NURSING CENTER
Quality Measures National Average Florida Average SOUTH CAMPUS REHABILITATION AND NURSING 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% 13.2% 21.3%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 5.9% 7.9%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.3% 10.4%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 7.9% 7.4%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 48.1% 35.8%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 2.8% 3.2%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 7.1% 5.3%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 2.7% 2.7%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.9% 2.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 2.6% 0.4%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 91.8% 93.1%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 95.1% 91.9%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 21.7% 15.9%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 16.7% 12.7%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 0.8% 1.5%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 84.8% 88.1%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 86.6% 83.5%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 3.2% 5.7%

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