General Information: AUTUMN CARE OF FOREST CITY
Nursing home name AUTUMN CARE OF FOREST CITY
Address830 BETHANY CHURCH RD
FOREST CITY, NC 28043
Phone number (828) 245-2852
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils BOTH
Certified number of beds 100
Total number of residents 95
Perc of occupied beds 95
Sprinkler status fully sprinklered
Last health survey date 04/03/2009
Fire survey date: 04/29/2009
Ratings Summary: AUTUMN CARE OF FOREST CITY
Overall rating 4 out of 5 stars
4 out of 5 stars
Nursing Home Staffing 2 out of 5 stars
2 out of 5 stars
Registered Nurses only 1 out of 5 stars
1 out of 5 stars
Health Inspections 4 out of 5 stars
4 out of 5 stars
Quality Measures 3 out of 5 stars
3 out of 5 stars
Nursing Home Staffing Info: AUTUMN CARE OF FOREST CITY
National AverageAUTUMN CARE OF FOREST CITY
Overall staff rating Not Available. 2 out of 5 stars
2 out of 5 stars
Registered Nurses only rating Not Available 1 out of 5 stars
1 out of 5 stars
Total Number of Residents 94.2 95
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.4 hours 1.29 hours
Registered Nurses Hours per Residents per Day 0.6 hours 0.36 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.8 hours 0.93 hours
Certified Nursing Assistants Hours per Residents per Day 0.6 hours 0.36 hours
Health Inpections: AUTUMN CARE OF FOREST CITY
Inspection Results: 04/03/2009
CorrectedCategoryDeficiencySeverity
04/27/2009Nutrition and Dietary Deficiencies Store, cook, and give out food in a safe and clean way. E
04/27/2009Quality Care Deficiencies Give professional services that meet a professional standard of quality. D
04/27/2009Quality Care Deficiencies Provide activities to meet the needs of each resident. D
Inspection Results: 05/29/2008
CorrectedCategoryDeficiencySeverity
05/29/2008Nutrition and Dietary Deficiencies Store, cook, and give out food in a safe and clean way. B
05/30/2008Nutrition 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. D

Fire Safety Inpections: AUTUMN CARE OF FOREST CITY
Inspection Results: 04/29/2009
CorrectedCategoryDeficiencySeverity
04/29/2009Building Construction Deficiencies approved construction type or materials. D
Inspection Results: 07/10/2008
CorrectedCategoryDeficiencySeverity
07/14/2008Automatic Sprinkler Systems Deficiencies properly working alarms on sprinkler valves. D
07/14/2008Fire Alarm Systems Deficiencies an approved installation, maintenance and testing program for fire alarm systems. D
Inspection Results: 07/13/2007
CorrectedCategoryDeficiencySeverity
09/06/2007Building Service Equipment Deficiencies restrictions on the use of portable space heaters. D
09/06/2007Furnishings and Decorations Deficiencies exits that are free from obstructions and can be used at all times. D
09/06/2007Automatic Sprinkler Systems Deficiencies automatic sprinkler systems that have been maintained in working order. F
09/06/2007Fire Alarm Systems Deficiencies an approved installation, maintenance and testing program for fire alarm systems. D
09/06/2007Corridor Walls and Doors Deficiencies corridor and hallway doors that block smoke. D
09/06/2007Building Construction Deficiencies approved construction type or materials. D

Resident Complaints: AUTUMN CARE OF FOREST CITY
Date Complaint Substantiated: 11/12/2009
CorrectedCategoryDeficiencySeverity
11/26/2009Quality Care Deficiencies Give professional services that meet a professional standard of quality. D
Date Complaint Substantiated: 06/29/2009
CorrectedCategoryDeficiencySeverity
07/06/2009Quality Care Deficiencies Give professional services that meet a professional standard of quality. D

Quality Measures: AUTUMN CARE OF FOREST CITY
Quality MeasuresNational AverageAUTUMN CARE OF FOREST CITY
Overall quality rating Not Available 3 out of 5 stars
3 out of 5 stars
Long-Stay Residents
Percent of low-risk long-stay residents who lose control of their bowels or bladder 50% 62%
Percent of long-stay residents who have moderate to severe pain 3% 0%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder 5% 3%
Percent of long-stay residents whose need for help with daily activities has increased 14% 21%
Percent of long-stay residents who lose too much weight 8% 10%
Percent of long-stay residents who were assessed and given pneumococcal vaccination 89% 90+%
Percent of high-risk long-stay residents who have pressure sores 11% 17%
Percent of long-stay residents who had a urinary tract infection 9% 20%
Percent of long-stay residents given influenza vaccination during the flu season 91% 90+%
Percent of low-risk long-stay residents who have pressure sores 2% 8%
Percent of long-stay residents who are more depressed or anxious 14% 5%
Percent of long-stay residents whose ability to move about in and around their room got worse 11% 9%
Percent of long-stay residents who were physically restrained 3% 8%
Percent of long-stay residents who spend most of their time in bed or in a chair 4% 12%
Short-Stay Residents
Percent of short-stay residents who have pressure sores 13% 16%
Percent of short-stay residents who had moderate to severe pain 19% 6%
Percent of short-stay residents given influenza vaccination during the flu season 83% 90+%
Percent of short-stay residents who have delirium 2% 0%
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.
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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