General Information: LEE HEALTH AND REHAB CENTER
Nursing home name LEE HEALTH AND REHAB CENTER
Address208 HEALTH CARE DRIVE
PENNINGTON GAP, VA 24277
Phone number (276) 546-4566
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 RESIDENT
Certified number of beds 120
Total number of residents 104
Perc of occupied beds 87
Sprinkler status Yes
Last health survey date 11/28/2012
Fire survey date: 12/12/2012
Ratings Summary: LEE HEALTH AND REHAB CENTER
Overall rating 3
3
Nursing Home Staffing 1
1
Registered Nurses only 2
2
Health Inspections 4
4
Quality Measures 2
2
Nursing Home Staffing Info: LEE HEALTH AND REHAB CENTER
National AverageLEE HEALTH AND REHAB CENTER
Overall staff rating Not Available. 1
1
Registered Nurses only rating Not Available 2
2
Total Number of Residents 88.1 104.00
Total Number of Licensed Nurse Staff Hours per Resident per Day 29.8 hours 1.43 hours
Registered Nurses Hours per Residents per Day 29.0 hours .47 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 29.0 hours .95 hours
Certified Nursing Assistants Hours per Residents per Day 29.0 hours .47 hours
Health Inpections: LEE HEALTH AND REHAB CENTER
Inspection Results: 11/28/2012
CorrectedCategoryDeficiencySeverity
01/10/2013Environmental DeficienciesProvide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. D
01/10/2013Nutrition and Dietary DeficienciesStore, cook, and serve food in a safe and clean way. E
01/10/2013Environmental DeficienciesProvide housekeeping and maintenance services. D
01/10/2013Quality Care DeficienciesMake sure that residents receive treatments/services to maintain or improve their ability to care for themselves. E
01/10/2013Pharmacy 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. E
Inspection Results: 11/17/2011
CorrectedCategoryDeficiencySeverity
12/20/2011Nutrition and Dietary DeficienciesStore, cook, and serve food in a safe and clean way. E
Inspection Results: 12/09/2010
CorrectedCategoryDeficiencySeverity
01/18/2011Administration DeficienciesKeep accurate, complete and organized clinical records on each resident that meet professional standards. D
01/18/2011Administration DeficienciesProvide or obtain laboratory services only when ordered by the attending physician. D
01/18/2011Administration DeficienciesGive or get quality laboratory services/tests in a timely manner to meet the needs of residents. D
01/18/2011Quality Care DeficienciesEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. D
01/18/2011Quality Care DeficienciesProvide necessary care and services to maintain or improve the highest well being of each resident. E
01/18/2011Quality Care DeficienciesEnsure services provided by the nursing facility meet professional standards of quality. D
01/18/2011Resident Rights DeficienciesAllow residents to self-administer drugs if determined safe. D
01/18/2011Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D

Fire Safety Inpections: LEE HEALTH AND REHAB CENTER
Inspection Results: 12/12/2012
CorrectedCategoryDeficiencySeverity
01/09/2013Automatic Sprinkler Systems DeficienciesAutomatic sprinkler systems that have been maintained in working order. C
01/09/2013Exits and Egress DeficienciesCorridors or aisles that are unobstructed and are at least 8 feet in width. C
Inspection Results: 11/28/2011
CorrectedCategoryDeficiencySeverity
12/20/2011Illumination and Emergency Power DeficienciesProperly located and lighted "Exit" signs. D
12/20/2011Exits and Egress DeficienciesExits that are accessible at all times. F
11/28/2011Building Construction DeficienciesA two-hour-resistant firewall separation. F
Inspection Results: 03/14/2011
CorrectedCategoryDeficiencySeverity
05/03/2011Electrical DeficienciesProperly installed electrical wiring and equipment. D
05/03/2011Automatic Sprinkler Systems DeficienciesAutomatic sprinkler systems that have been maintained in working order. F
05/03/2011Fire Alarm Systems DeficienciesAn approved installation, maintenance and testing program for fire alarm systems. F
05/03/2011Exits and Egress DeficienciesExits that are accessible at all times. F
05/03/2011Corridor Walls and Doors DeficienciesCorridor and hallway doors that block smoke. D
05/03/2011Building Construction DeficienciesApproved construction type or materials. F
05/03/2011Building Construction DeficienciesA two-hour-resistant firewall separation. F

Resident Complaints: LEE HEALTH AND REHAB CENTER
Not available

Quality Measures: LEE HEALTH AND REHAB CENTER
Quality MeasuresNational AverageLEE HEALTH AND REHAB CENTER
Overall quality rating Not Available 2
2
Long-Stay Residents
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine. 99% 79.700000000000003%
Percent of long-stay residents whose need for help with daily activities has increased. 27% 28%
Percent of long-stay high-risk residents with pressure ulcers. 19% 8.8000000000000007%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine. 97% 97.5%
Percent of long-stay residents who lose too much weight. 16% 8.4000000000000004%
Percent of long-stay low-risk residents who lose control of their bowels or bladder 62% 43.299999999999997%
Percent of long-stay residents experiencing one or more falls with major injury. 12% 2.7999999999999998%
Percent of long-stay residents who received an antipsychotic medication. 31% 22.399999999999999%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder. 13% 7.9000000000000004%
Percent of long-stay residents who were physically restrained. 11% 5%
Percent of long-stay residents who self-report moderate to severe pain. 22% 9%
Percent of long-stay residents with a urinary tract infection. 16% 8.8000000000000007%
Percent of long-stay residents who have depressive symptoms. 16% 6.5999999999999996%
Short-Stay Residents
Percent of short-stay residents who newly received an antipsychotic medication. 27% 5.5999999999999996%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine. 87% 73.299999999999997%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine. 92% 89.599999999999994%
Percent of short-stay residents who self-report moderate to severe pain. 36% 13.1%
Percent of short-stay residents with Pressure ulcers that are new or worsened. 11% 0.90000000000000002%
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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