US Nursing Home Finder: APPLING NURSING AND REHABILITATION PAVILION BAXLEY GA

General Information: APPLING NURSING AND REHABILITATION PAVILION
Nursing home name	APPLING NURSING AND REHABILITATION PAVILION
Address	163 EAST TOLLISON STREET BAXLEY, GA 31513
Phone number	(912) 367-4663
Located within a hospital	Yes
Type of ownership	Government - City/county
Owner operates multiple homes	No
Accept Medicare or Medicaid	Medicare and Medicaid
Continue Care Retirement Community	No
Resident and family councils	RESIDENT
Certified number of beds	101
Total number of residents	100
Perc of occupied beds	99
Sprinkler status	fully sprinklered
Last health survey date	11/05/2009
Fire survey date:	11/05/2009

Ratings Summary: APPLING NURSING AND REHABILITATION PAVILION
Overall rating	1 out of 5 stars
Nursing Home Staffing	4 out of 5 stars
Registered Nurses only	2 out of 5 stars
Health Inspections	1 out of 5 stars
Quality Measures	1 out of 5 stars

Nursing Home Staffing Info: APPLING NURSING AND REHABILITATION PAVILION
	National Average	APPLING NURSING AND REHABILITATION PAVILION
Overall staff rating	Not Available.	4 out of 5 stars
Registered Nurses only rating	Not Available	2 out of 5 stars
Total Number of Residents	94.2	100
Total Number of Licensed Nurse Staff Hours per Resident per Day	1.4 hours	2.02 hours
Registered Nurses Hours per Residents per Day	0.6 hours	0.37 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day	0.8 hours	1.65 hours
Certified Nursing Assistants Hours per Residents per Day	0.6 hours	0.37 hours

Health Inpections: APPLING NURSING AND REHABILITATION PAVILION
Inspection Results: 11/05/2009
Corrected	Category	Deficiency	Severity
12/20/2009	Administration Deficiencies	Give or get lab tests to meet the needs of residents.	D
12/20/2009	Pharmacy Service Deficiencies	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	D
12/20/2009	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
12/20/2009	Quality Care Deficiencies	Make sure that each resident's nutritional needs were met.	D
12/20/2009	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	G
12/20/2009	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
12/20/2009	Quality Care Deficiencies	Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.	G
12/20/2009	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	G
12/20/2009	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
12/20/2009	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	D
12/20/2009	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	D
12/20/2009	Resident Rights Deficiencies	Quickly give a resident's personal money to the heads of his or her estate after the resident's death.	D
12/20/2009	Resident Rights Deficiencies	Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.	C
Inspection Results: 09/25/2008
Corrected	Category	Deficiency	Severity
11/09/2008	Resident Assessment Deficiencies	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.	D
11/09/2008	Environmental Deficiencies	Make sure there is a program to prevent/deal with mice, insects, or other pests.	D
11/09/2008	Pharmacy Service Deficiencies	Properly mark drugs and other similar products.	D
11/09/2008	Pharmacy Service Deficiencies	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	D
11/09/2008	Resident Assessment Deficiencies	Make sure that doctors visit residents regularly, as required.	D
11/09/2008	Quality Care Deficiencies	Develop/implement required procedures for the administration of immunizations.	D
11/09/2008	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.	D
12/10/2008	Quality Care Deficiencies	Make sure that each resident's nutritional needs were met.	E
11/09/2008	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
12/10/2008	Quality Care Deficiencies	Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable.	D
12/10/2008	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	D
11/09/2008	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	D
11/09/2008	Administration Deficiencies	Keep accurate and appropriate medical records.	D
11/09/2008	Environmental Deficiencies	Provide needed housekeeping and maintenance.	B
11/09/2008	Mistreatment Deficiencies	1) Hire only people who have 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
11/09/2008	Mistreatment Deficiencies	Protect each resident from all abuse, physical punishment, and being separated from others.	D
11/09/2008	Resident Rights Deficiencies	Allow residents to easily see the results of the nursing home's most recent survey.	C
Inspection Results: 10/18/2007
Corrected	Category	Deficiency	Severity
12/02/2007	Administration Deficiencies	Give or get lab tests to meet the needs of residents.	D
12/02/2007	Administration Deficiencies	Quickly tell the resident's doctor the results of lab tests.	D
12/02/2007	Administration Deficiencies	Keep accurate and appropriate medical records.	B
12/02/2007	Administration Deficiencies	Make sure that nurse aides show they have the skills to be able to care for residents.	E
12/02/2007	Environmental Deficiencies	Make sure there is a program to prevent/deal with mice, insects, or other pests.	D
12/02/2007	Environmental Deficiencies	Put firmly secured handrails on each side of hallways.	B
12/02/2007	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	B
12/02/2007	Pharmacy Service Deficiencies	Properly mark drugs and other similar products.	D
12/02/2007	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	F
12/02/2007	Pharmacy Service Deficiencies	Make sure that residents are safe from serious medication errors.	D
12/02/2007	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
12/02/2007	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
12/02/2007	Quality Care Deficiencies	Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.	D
12/02/2007	Quality Care Deficiencies	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	E
12/02/2007	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	G
12/02/2007	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	D
12/02/2007	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	E
12/02/2007	Environmental Deficiencies	Provide needed housekeeping and maintenance.	C
12/02/2007	Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.	E
12/02/2007	Mistreatment Deficiencies	1) Hire only people who have 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
12/02/2007	Resident Rights Deficiencies	Keep each resident's personal and medical records private and confidential.	D

Fire Safety Inpections: APPLING NURSING AND REHABILITATION PAVILION
Inspection Results: 11/05/2009
Corrected	Category	Deficiency	Severity
12/20/2009	Fire Alarm Systems Deficiencies	an approved installation, maintenance and testing program for fire alarm systems.	D
Inspection Results: 09/25/2008
Corrected	Category	Deficiency	Severity
11/09/2008	Medical Gases and Anesthetizing Areas Deficiencies	proper medical gas storage and administration areas.	D
11/09/2008	Hazardous Area Deficiencies	gift shops separated and protected as hazardous areas.	D
Inspection Results: 10/18/2007
Corrected	Category	Deficiency	Severity
12/02/2007	Building Service Equipment Deficiencies	properly protected cooking facilities.	D
12/02/2007	Building Service Equipment Deficiencies	restrictions on the use of portable space heaters.	D
12/02/2007	Automatic Sprinkler Systems Deficiencies	an approved automatic sprinkler system connected to the fire alarm system.	D
12/02/2007	Illumination and Emergency Power Deficiencies	properly located and lighted "Exit" signs.	B
12/02/2007	Illumination and Emergency Power Deficiencies	emergency lighting that can last at least 1 1/2 hours.	B
12/02/2007	Smoke Compartmentation and Control Deficiencies	walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.	D
12/02/2007	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	B

Resident Complaints: APPLING NURSING AND REHABILITATION PAVILION
Date Complaint Substantiated: 12/10/2008
Corrected	Category	Deficiency	Severity
01/09/2009	Mistreatment Deficiencies	Protect residents from mistreatment, neglect, and/or theft of personal property.	G
Date Complaint Substantiated: 06/17/2008
Corrected	Category	Deficiency	Severity
08/01/2008	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D

Quality Measures: APPLING NURSING AND REHABILITATION PAVILION
Quality Measures	National Average	APPLING NURSING AND REHABILITATION PAVILION
Overall quality rating	Not Available	1 out of 5 stars
Long-Stay Residents
Percent of long-stay residents who spend most of their time in bed or in a chair	4%	16%
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%	3%
Percent of high-risk long-stay residents who have pressure sores	11%	16%
Percent of low-risk long-stay residents who have pressure sores	2%	2%
Percent of long-stay residents who were physically restrained	3%	2%
Percent of long-stay residents who had a urinary tract infection	9%	14%
Percent of long-stay residents whose ability to move about in and around their room got worse	11%	14%
Percent of long-stay residents given influenza vaccination during the flu season	91%	90+%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	50%	50%
Percent of long-stay residents who lose too much weight	8%	11%
Percent of long-stay residents whose need for help with daily activities has increased	14%	15%
Percent of long-stay residents who are more depressed or anxious	14%	11%
Percent of long-stay residents who have moderate to severe pain	3%	7%
Short-Stay Residents
Percent of short-stay residents given influenza vaccination during the flu season	83%	90+%
Percent of short-stay residents who have delirium	2%	6%
Percent of short-stay residents who have pressure sores	13%	20%
Percent of short-stay residents who had moderate to severe pain	19%	19%
Percent of short-stay residents who were assessed and given pneumococcal vaccination	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

US Nursing Home Finder™: APPLING NURSING AND REHABILITATION PAVILION BAXLEY GA