| General Information: ACADIAN NURSING AND REHABILITATION CENTER | |
|---|---|
| Nursing home name | ACADIAN NURSING AND REHABILITATION CENTER |
| Address | 4005 NORTH BLVD BATON ROUGE, LA 70806 |
| Phone number | (225) 387-5934 |
| 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 | 184 |
| Total number of residents | 137 |
| Perc of occupied beds | 74 |
| Sprinkler status | fully sprinklered |
| Last health survey date | 04/21/2009 |
| Fire survey date: | 04/14/2009 |
| Ratings Summary: ACADIAN NURSING AND REHABILITATION CENTER | |
|---|---|
| Overall rating |
1 out of 5 stars |
| Nursing Home Staffing |
1 out of 5 stars |
| Registered Nurses only |
1 out of 5 stars |
| Health Inspections |
2 out of 5 stars |
| Quality Measures |
4 out of 5 stars |
| Nursing Home Staffing Info: ACADIAN NURSING AND REHABILITATION CENTER | ||
|---|---|---|
| National Average | ACADIAN NURSING AND REHABILITATION CENTER | |
| Overall staff rating | Not Available. |
1 out of 5 stars |
| Registered Nurses only rating | Not Available |
1 out of 5 stars |
| Total Number of Residents | 94.2 | 137 |
| Total Number of Licensed Nurse Staff Hours per Resident per Day | 1.4 hours | 0.92 hours |
| Registered Nurses Hours per Residents per Day | 0.6 hours | 0.17 hours |
| Licensed Practical or Vacation Nurses Hours per Resident per Day | 0.8 hours | 0.75 hours |
| Certified Nursing Assistants Hours per Residents per Day | 0.6 hours | 0.17 hours |
| Health Inpections: ACADIAN NURSING AND REHABILITATION CENTER | |||
|---|---|---|---|
| Inspection Results: 04/21/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 06/05/2009 | Administration Deficiencies | Set up or keep a group of people to review and ensure quality. | E |
| 06/05/2009 | Administration Deficiencies | Keep accurate and appropriate medical records. | D |
| 06/05/2009 | Pharmacy Service Deficiencies | Properly mark drugs and other similar products. | D |
| 06/05/2009 | Pharmacy Service Deficiencies | Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | E |
| 06/05/2009 | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | D |
| 06/05/2009 | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | E |
| 06/05/2009 | 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 |
| 06/05/2009 | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | D |
| 06/05/2009 | Resident Rights Deficiencies | Let residents give themselves their drugs if they are able. | D |
| 06/05/2009 | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | E |
| Inspection Results: 02/21/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 04/06/2008 | Nutrition and Dietary Deficiencies | Store, cook, and give out food in a safe and clean way. | E |
| 04/06/2008 | Environmental Deficiencies | Put firmly secured handrails on each side of hallways. | E |
| 04/06/2008 | Nutrition and Dietary Deficiencies | Make sure that residents are well nourished. | E |
| 04/06/2008 | Quality Care Deficiencies | Develop/implement required procedures for the administration of immunizations. | E |
| Inspection Results: 04/20/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 06/04/2007 | Pharmacy Service Deficiencies | Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | E |
| 06/04/2007 | Environmental Deficiencies | Keep all essential equipment working safely. | E |
| 06/04/2007 | Environmental Deficiencies | Make sure there is a program to prevent/deal with mice, insects, or other pests. | D |
| 06/04/2007 | 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 |
| 06/04/2007 | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | E |
| 06/04/2007 | Quality Care Deficiencies | Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. | D |
| 06/04/2007 | 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. | E |
| 06/04/2007 | Resident Assessment Deficiencies | Make a complete assessment that covers all questions for areas that are listed in official regulations. | D |
| 06/04/2007 | 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. | E |
| Fire Safety Inpections: ACADIAN NURSING AND REHABILITATION CENTER | |||
|---|---|---|---|
| Inspection Results: 04/14/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 06/05/2009 | Automatic Sprinkler Systems Deficiencies | an approved automatic sprinkler system connected to the fire alarm system. | D |
| 05/01/2009 | Fire Alarm Systems Deficiencies | an approved installation, maintenance and testing program for fire alarm systems. | D |
| 06/05/2009 | Illumination and Emergency Power Deficiencies | proper backup exit lighting. | F |
| 06/05/2009 | Hazardous Area Deficiencies | construction that can resist fire for one hour or an approved fire extinguishing system. | F |
| 06/05/2009 | Smoke Compartmentation and Control Deficiencies | smoke barrier doors that can resist smoke for at least 20 minutes. | E |
| 06/05/2009 | Corridor Walls and Doors Deficiencies | corridor and hallway doors that block smoke. | E |
| Inspection Results: 02/21/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 02/26/2008 | Illumination and Emergency Power Deficiencies | proper backup exit lighting. | D |
| 03/18/2008 | Automatic Sprinkler Systems Deficiencies | automatic sprinkler systems that have been maintained in working order. | F |
| 03/12/2008 | Fire Alarm Systems Deficiencies | an approved installation, maintenance and testing program for fire alarm systems. | F |
| 03/17/2008 | Building Service Equipment Deficiencies | properly protected cooking facilities. | D |
| 02/26/2008 | Hazardous Area Deficiencies | construction that can resist fire for one hour or an approved fire extinguishing system. | E |
| Inspection Results: 04/17/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 04/18/2007 | Furnishings and Decorations Deficiencies | properly sized and located linen or trash receptacles. | F |
| 04/18/2007 | Medical Gases and Anesthetizing Areas Deficiencies | proper medical gas storage and administration areas. | D |
| 04/18/2007 | Automatic Sprinkler Systems Deficiencies | an approved automatic sprinkler system connected to the fire alarm system. | D |
| 06/14/2007 | Emergency Plans and Fire Drills Deficiencies | record of quarterly fire drills for each shift under varying conditions. | E |
| 04/18/2007 | Exits and Egress Deficiencies | exits that are accessible at all times. | D |
| 04/17/2007 | Exit and Exit Access Deficiencies | at least two remote exits on each floor or fire section of the building. | D |
| 05/26/2007 | Smoke Compartmentation and Control Deficiencies | smoke barrier doors that can resist smoke for at least 20 minutes. | D |
| 05/26/2007 | Corridor Walls and Doors Deficiencies | corridor and hallway doors that block smoke. | F |
| Resident Complaints: ACADIAN NURSING AND REHABILITATION CENTER | |||
|---|---|---|---|
| Date Complaint Substantiated: 08/07/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 09/11/2009 | Environmental Deficiencies | Make sure there is a program to prevent/deal with mice, insects, or other pests. | B |
| 09/11/2009 | Resident Assessment Deficiencies | Make a complete assessment that covers all questions for areas that are listed in official regulations. | E |
| 09/11/2009 | 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 |
| 09/11/2009 | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | E |
| Date Complaint Substantiated: 06/30/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 07/16/2009 | Environmental Deficiencies | Keep all essential equipment working safely. | E |
| Date Complaint Substantiated: 01/06/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 02/06/2009 | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | D |
| 02/06/2009 | Quality Care Deficiencies | Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | D |
| Date Complaint Substantiated: 06/06/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 08/06/2008 | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | E |
| 08/06/2008 | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | E |
| Date Complaint Substantiated: 10/24/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 12/08/2007 | Resident Assessment Deficiencies | Make a complete assessment that covers all questions for areas that are listed in official regulations. | D |
| 12/08/2007 | Quality Care Deficiencies | Make sure that each resident's nutritional needs were met. | D |
| Date Complaint Substantiated: 07/19/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 09/02/2007 | Resident Rights Deficiencies | Write and use a policy that lets each resident return to the nursing home after a hospital stay or leave for therapy. | D |
| 09/02/2007 | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | D |
| 09/02/2007 | Resident Rights Deficiencies | Tell the resident or the resident's representative in writing how long the nursing home will hold the resident's bed when the resident temporarily leaves the facility. | D |
| Date Complaint Substantiated: 05/30/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 07/02/2007 | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | D |
| Quality Measures: ACADIAN NURSING AND REHABILITATION CENTER | ||
|---|---|---|
| Quality Measures | National Average | ACADIAN NURSING AND REHABILITATION CENTER |
| 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% | 2% |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | 89% | 29% |
| Percent of high-risk long-stay residents who have pressure sores | 11% | 10% |
| Percent of long-stay residents whose need for help with daily activities has increased | 14% | 8% |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 50% | 25% |
| Percent of long-stay residents who had a urinary tract infection | 9% | 5% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 11% | 3% |
| Percent of long-stay residents who were physically restrained | 3% | 21% |
| Percent of long-stay residents who have moderate to severe pain | 3% | 12% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 5% | 4% |
| Percent of long-stay residents who spend most of their time in bed or in a chair | 4% | 4% |
| Percent of long-stay residents who lose too much weight | 8% | 14% |
| Percent of long-stay residents who are more depressed or anxious | 14% | 11% |
| Percent of long-stay residents given influenza vaccination during the flu season | 91% | 69% |
| Short-Stay Residents | ||
| Percent of short-stay residents given influenza vaccination during the flu season | 83% | 68% |
| Percent of short-stay residents who have delirium | 2% | 0% |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | 83% | 40% |
| Percent of short-stay residents who have pressure sores | 13% | 7% |
| Percent of short-stay residents who had moderate to severe pain | 19% | 22% |
| 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 |