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 - Partnership
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 83
Perc of occupied beds 69
Sprinkler status Yes
Last health survey date 08/02/2012
Fire survey date: 07/31/2012
Ratings Summary: SOUTH CAMPUS REHABILITATION AND NURSING CENTER
Overall rating 2
2
Nursing Home Staffing 4
4
Registered Nurses only 2
2
Health Inspections 1
1
Quality Measures 2
2
Nursing Home Staffing Info: SOUTH CAMPUS REHABILITATION AND NURSING CENTER
National AverageSOUTH CAMPUS REHABILITATION AND NURSING CENTER
Overall staff rating Not Available. 4
4
Registered Nurses only rating Not Available 2
2
Total Number of Residents 88.1 83.00
Total Number of Licensed Nurse Staff Hours per Resident per Day 29.8 hours 1.52 hours
Registered Nurses Hours per Residents per Day 29.0 hours .48 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 29.0 hours 1.03 hours
Certified Nursing Assistants Hours per Residents per Day 29.0 hours .48 hours
Health Inpections: SOUTH CAMPUS REHABILITATION AND NURSING CENTER
Inspection Results: 08/02/2012
CorrectedCategoryDeficiencySeverity
09/02/2012Environmental DeficienciesKeep all essential equipment working safely. D
09/02/2012Environmental DeficienciesHave a program that investigates, controls and keeps infection from spreading. D
09/02/2012Pharmacy Service DeficienciesEnsure 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. D
09/02/2012Quality Care DeficienciesGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. D
09/02/2012Quality Care DeficienciesMake sure that residents receive treatments/services to maintain or improve their ability to care for themselves. D
09/02/2012Quality Care DeficienciesProvide necessary care and services to maintain or improve the highest well being of each resident. D
09/02/2012Quality Care DeficienciesProvide care by qualified persons according to each resident's written plan of care. D
09/02/2012Resident Assessment DeficienciesConduct initial and periodic assessments of each resident's functional capacity. D
09/02/2012Resident Rights DeficienciesEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. D
09/02/2012Resident Rights DeficienciesProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. D
09/02/2012Resident Rights DeficienciesTry to resolve each resident's complaints quickly. D
Inspection Results: 04/06/2011
CorrectedCategoryDeficiencySeverity
05/06/2011Resident Assessment DeficienciesConduct initial and periodic assessments of each resident's functional capacity. D
05/06/2011Environmental DeficienciesDispose of garbage and refuse properly. D
05/06/2011Environmental DeficienciesProvide housekeeping and maintenance services. B
05/06/2011Environmental DeficienciesProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. D
05/06/2011Quality Care DeficienciesProvide medically-related social services to help each resident achieve the highest possible quality of life. D
05/06/2011Resident Rights DeficienciesGive residents a notice of rights, rules, services and charges. E
Inspection Results: 04/23/2010
CorrectedCategoryDeficiencySeverity
06/03/2010Administration DeficienciesKeep accurate, complete and organized clinical records on each resident that meet professional standards. D
06/03/2010Administration DeficienciesTrain all employees on what to do in an emergency, and carry out unannounced staff drills. C
06/03/2010Nutrition and Dietary DeficienciesStore, cook, and serve food in a safe and clean way. F
06/03/2010Environmental DeficienciesEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. E
06/03/2010Resident Assessment DeficienciesAllow residents the right to participate in the planning or revision of care and treatment. D
06/03/2010Resident Assessment DeficienciesDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D
06/03/2010Environmental DeficienciesProvide housekeeping and maintenance services. D
06/03/2010Resident Rights DeficienciesProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home. B

Fire Safety Inpections: SOUTH CAMPUS REHABILITATION AND NURSING CENTER
Inspection Results: 07/31/2012
CorrectedCategoryDeficiencySeverity
09/02/2012Electrical DeficienciesProperly installed electrical wiring and equipment. E
09/02/2012Automatic Sprinkler Systems DeficienciesAn approved automatic sprinkler system connected to the fire alarm system. D
09/02/2012Exits and Egress DeficienciesExits that are accessible at all times. D
09/02/2012Corridor Walls and Doors DeficienciesProperly constructed windows in hallway walls or doors. D
Inspection Results: 04/07/2011
CorrectedCategoryDeficiencySeverity
05/06/2011Illumination and Emergency Power DeficienciesEmergency lighting that can last at least 1 1/2 hours. D
05/06/2011Automatic Sprinkler Systems DeficienciesAutomatic sprinkler systems that have been maintained in working order. E
05/06/2011Interior Finish DeficienciesFire resistant room wall surfaces. D
Inspection Results: 04/19/2010
CorrectedCategoryDeficiencySeverity
06/07/2010Fire Alarm Systems DeficienciesAn approved installation, maintenance and testing program for fire alarm systems. D
06/07/2010Electrical DeficienciesWeekly inspections and monthly testing of generators. F
06/07/2010Emergency Plans and Fire Drills DeficienciesRecord of quarterly fire drills for each shift under varying conditions. F
06/07/2010Emergency Plans and Fire Drills DeficienciesA written emergency evacuation plan. F
06/07/2010Interior Finish DeficienciesFire resistant room wall surfaces. D

Resident Complaints: SOUTH CAMPUS REHABILITATION AND NURSING CENTER
Date Complaint Substantiated: 11/27/2012
CorrectedCategoryDeficiencySeverity
12/27/2012Environmental DeficienciesEnsure 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
05/23/2012Environmental DeficienciesEnsure 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
11/12/2011Pharmacy Service DeficienciesMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. D
11/12/2011Pharmacy Service DeficienciesProvide 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
10/19/2011Nutrition and Dietary DeficienciesHire sufficient dietary support personnel. D
10/19/2011Resident Rights DeficienciesProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. D
Date Complaint Substantiated: 05/18/2011
CorrectedCategoryDeficiencySeverity
06/18/2011Quality Care DeficienciesMake sure that residents receive treatments/services to maintain or improve their ability to care for themselves. D
06/18/2011Resident Assessment DeficienciesAllow residents the right to participate in the planning or revision of care and treatment. D
06/18/2011Resident Assessment DeficienciesConduct initial and periodic assessments of each resident's functional capacity. D
Date Complaint Substantiated: 05/03/2011
CorrectedCategoryDeficiencySeverity
05/11/2011Mistreatment Deficiencies1) Hire only people with no legal history of abusing D
Date Complaint Substantiated: 12/02/2010
CorrectedCategoryDeficiencySeverity
01/02/2011Resident Rights DeficienciesImmediately tell the resident D
Date Complaint Substantiated: 10/12/2010
CorrectedCategoryDeficiencySeverity
11/12/2010Quality Care DeficienciesProvide care by qualified persons according to each resident's written plan of care. D
11/12/2010Environmental DeficienciesProvide a safe D

Quality Measures: SOUTH CAMPUS REHABILITATION AND NURSING CENTER
Quality MeasuresNational AverageSOUTH CAMPUS REHABILITATION AND NURSING CENTER
Overall quality rating Not Available 2
2
Long-Stay Residents
Percent of long-stay residents whose need for help with daily activities has increased. 27% 14.4%
Percent of long-stay high-risk residents with pressure ulcers. 19% 7.2000000000000002%
Percent of long-stay low-risk residents who lose control of their bowels or bladder 62% 41.399999999999999%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder. 13% 2%
Percent of long-stay residents who were physically restrained. 11% 6.0999999999999996%
Percent of long-stay residents who have depressive symptoms. 16% 1.6000000000000001%
Percent of long-stay residents who lose too much weight. 16% 5.2000000000000002%
Percent of long-stay residents who received an antipsychotic medication. 31% 10.6%
Percent of long-stay residents with a urinary tract infection. 16% 13.6%
Percent of long-stay residents who self-report moderate to severe pain. 22% 3.7000000000000002%
Percent of long-stay residents experiencing one or more falls with major injury. 12% 5.5999999999999996%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine. 97% 88.200000000000003%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine. 99% 93.400000000000006%
Short-Stay Residents
Percent of short-stay residents who self-report moderate to severe pain. 36% 25.5%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine. 87% 96.700000000000003%
Percent of short-stay residents who newly received an antipsychotic medication. 27% 5%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine. 92% 92.599999999999994%
Percent of short-stay residents with Pressure ulcers that are new or worsened. 11% 1.7%
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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