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 110
Total number of residents 108
Perc of occupied beds 98
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints0
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: LEE HEALTH AND REHAB CENTER
Overall rating 2
2
Nursing Home Staffing 1
1
Registered Nurses only 1
1
Health Inspections 3
3
Quality Measures 3
3
Nursing Home Staffing Info: LEE HEALTH AND REHAB CENTER
National AverageVirginia AverageLEE HEALTH AND REHAB CENTER
Overall staff rating NA NA 1
1
Registered Nurses only rating NANA 1
1
Total Number of Residents NA NA 108
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.21 hours 3.12 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.85 hours 1.29 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.77 hours 0.25 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 1.07 hours 1.04 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.37 hours 1.83 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.12 hours 0.05 hours
Health Survey: LEE HEALTH AND REHAB CENTER
Heath Survey Summary on 2013-12-12
Total Number of Health Deficiencies 15
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-11-28
Total Number of Health Deficiencies 5
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-11-17
Total Number of Health Deficiencies 1
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: LEE HEALTH AND REHAB CENTER
Inspection Results: 12/12/2013
Corrected Deficiency Scope and Severity
01/22/2014 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated/Minimal harm or potential for actual harm
01/22/2014 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated/Minimal harm or potential for actual harm
01/22/2014 Ensure each resident receives an accurate assessment by a qualified health professional. Isolated/Minimal harm or potential for actual harm
01/22/2014 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated/Minimal harm or potential for actual harm
01/22/2014 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
01/22/2014 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
01/22/2014 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
01/22/2014 Provide or obtain laboratory services only when ordered by the attending physician. Isolated/Minimal harm or potential for actual harm
01/22/2014 Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Isolated/Minimal harm or potential for actual harm
01/22/2014 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm
01/22/2014 Ensure 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. Isolated/Minimal harm or potential for actual harm
01/22/2014 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated/Minimal harm or potential for actual harm
01/22/2014 Ensure 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. Isolated/Minimal harm or potential for actual harm
01/22/2014 Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated/Minimal harm or potential for actual harm
01/22/2014 Make sure that doctors visit residents regularly, as required. Isolated/Minimal harm or potential for actual harm
Inspection Results: 11/28/2012
Corrected Deficiency Scope and Severity
01/10/2013 Provide housekeeping and maintenance services. Isolated/Minimal harm or potential for actual harm
01/10/2013 Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Pattern/Minimal harm or potential for actual harm
01/10/2013 Provide 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. Isolated/Minimal harm or potential for actual harm
01/10/2013 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
01/10/2013 Ensure 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. Pattern/Minimal harm or potential for actual harm
Inspection Results: 11/17/2011
Corrected Deficiency Scope and Severity
12/20/2011 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm

Fire Safety Survey: LEE HEALTH AND REHAB CENTER
Fire Safety Survey Summary on 2013-12-19
Total Number of Fire SafetyDeficiencies 4
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-12-12
Total Number of Fire SafetyDeficiencies 2
Scope and Severity of most Severe Health Deficiency Widespread/Potential for minimal harm
Fire Safety Survey Summary on 2011-11-28
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey: LEE HEALTH AND REHAB CENTER
Fire Safety Survey Results: 12/19/2013
Corrected Deficiency Severity
01/13/2014 Approved construction type or materials. Widespread /Minimal harm or potential for actual harm
01/13/2014 Corridor and hallway doors that block smoke. Widespread /Minimal harm or potential for actual harm
01/13/2014 Exits that are accessible at all times. Widespread /Minimal harm or potential for actual harm
01/13/2014 Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 12/12/2012
Corrected Deficiency Severity
01/09/2013 Corridors or aisles that are unobstructed and are at least 8 feet in width. Widespread/Potential for minimal harm
01/09/2013 Automatic sprinkler systems that have been maintained in working order. Widespread/Potential for minimal harm
Fire Safety Survey Results: 11/28/2011
Corrected Deficiency Severity
11/28/2011 A two-hour-resistant firewall separation. Widespread /Minimal harm or potential for actual harm
12/20/2011 Exits that are accessible at all times. Widespread /Minimal harm or potential for actual harm
12/20/2011 Properly located and lighted "Exit" signs. Isolated/Minimal harm or potential for actual harm

Resident Complaints: LEE HEALTH AND REHAB CENTER
Not available

Quality Measures: LEE HEALTH AND REHAB CENTER
Quality Measures National Average Virginia Average LEE HEALTH AND REHAB CENTER
Overall quality rating NA NA 3
3
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 17.2% 14.8%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 8.0% 6.6%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.4% 7.9%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 8.0% 10.2%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 52.4% 47.4%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 2.8% 9.0%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 6.8% 6.9%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 3.8% 6.1%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 0.7% 1.4%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.3% 6.5%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 90.4% 89.9%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 93.3% 63.3%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 20.5% 21.8%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 17.7% 24.3%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.0% 0.9%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 83.7% 67.1%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 81.8% 60.9%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.5% 2.4%

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