US Nursing Home Finder: BELOIT HEALTH AND REHAB CTR BELOIT WI

General Information: BELOIT HEALTH AND REHAB CTR
Nursing home name	BELOIT HEALTH AND REHAB CTR
Address	1905 W HART RD BELOIT, WI 53511
Phone number	(608) 365-2554
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	BOTH
*This is a specail focus facility with a recent history of persistent poor quality of care.
Certified number of beds	152
Total number of residents	114
Perc of occupied beds	75
Sprinkler status	fully sprinklered
Last health survey date	01/11/2010
Fire survey date:	01/05/2010

Ratings Summary: BELOIT HEALTH AND REHAB CTR
Overall rating	2 out of 5 stars
Nursing Home Staffing	4 out of 5 stars
Registered Nurses only	3 out of 5 stars
Health Inspections	1 out of 5 stars
Quality Measures	4 out of 5 stars

Nursing Home Staffing Info: BELOIT HEALTH AND REHAB CTR
	National Average	BELOIT HEALTH AND REHAB CTR
Overall staff rating	Not Available.	4 out of 5 stars
Registered Nurses only rating	Not Available	3 out of 5 stars
Total Number of Residents	94.2	114
Total Number of Licensed Nurse Staff Hours per Resident per Day	1.4 hours	1.16 hours
Registered Nurses Hours per Residents per Day	0.6 hours	0.55 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day	0.8 hours	0.61 hours
Certified Nursing Assistants Hours per Residents per Day	0.6 hours	0.55 hours

Health Inpections: BELOIT HEALTH AND REHAB CTR
Inspection Results: 01/11/2010
Corrected	Category	Deficiency	Severity
02/11/2010	Administration Deficiencies	Keep accurate and appropriate medical records.	E
02/11/2010	Environmental Deficiencies	Have a program to keep infection from spreading.	E
02/11/2010	Quality Care Deficiencies	Develop/implement required procedures for the administration of immunizations.	E
02/11/2010	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
02/11/2010	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	E
02/11/2010	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	D
02/11/2010	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	E
02/11/2010	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	E
02/11/2010	Resident Rights Deficiencies	Tell the resident completely about his or her health status.	D
Inspection Results: 06/16/2009
Corrected	Category	Deficiency	Severity
08/04/2009	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	D
08/04/2009	Pharmacy Service Deficiencies	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	E
08/04/2009	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	E
08/04/2009	Pharmacy Service Deficiencies	Make sure that residents are safe from serious medication errors.	D
08/04/2009	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	G
08/04/2009	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	D
08/04/2009	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	G
08/04/2009	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	E
08/04/2009	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	D
08/04/2009	Resident Rights Deficiencies	Honor all of the resident's rights as a resident of the nursing home and as a citizen or resident of the United States.	E
Inspection Results: 12/30/2008
Corrected	Category	Deficiency	Severity
02/03/2009	Administration Deficiencies	Keep accurate and appropriate medical records.	D
02/04/2009	Administration Deficiencies	Give or get x-rays and other tests to meet the needs of residents.	D
02/04/2009	Administration Deficiencies	Give lab tests only when the attending doctor ordered them.	D
02/04/2009	Environmental Deficiencies	Keep a resident apart from the others if the resident has an infection that can spread.	E
02/04/2009	Resident Assessment Deficiencies	Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.	E
02/04/2009	Administration Deficiencies	post nurse staffing information.	C
02/04/2009	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	D
02/04/2009	Quality Care Deficiencies	Give each resident enough fluids to keep them healthy and prevent dehydration.	J
02/04/2009	Quality Care Deficiencies	Make sure that each resident's nutritional needs were met.	G
02/17/2009	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	J
02/04/2009	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	J
02/04/2009	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	G
02/04/2009	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	D
02/04/2009	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	D
02/04/2009	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	E
02/04/2009	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	E
02/04/2009	Quality Care Deficiencies	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	J
02/04/2009	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
02/17/2009	Resident Rights Deficiencies	Let residents give themselves their drugs if they are able.	D
02/04/2009	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.	G
02/04/2009	Resident Rights Deficiencies	Honor all of the resident's rights as a resident of the nursing home and as a citizen or resident of the United States.	D

Fire Safety Inpections: BELOIT HEALTH AND REHAB CTR
Inspection Results: 01/05/2010
Corrected	Category	Deficiency	Severity
02/11/2010	Hazardous Area Deficiencies	properly installed hallway dispensers for alcohol-based hand rub.	D
02/11/2010	Electrical Deficiencies	properly installed electrical wiring and equipment.	D
02/11/2010	Furnishings and Decorations Deficiencies	restrictions on the use of flammable curtains.	E
02/11/2010	Building Service Equipment Deficiencies	restrictions on the use of portable space heaters.	D
02/11/2010	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	E
02/11/2010	Automatic Sprinkler Systems Deficiencies	an approved automatic sprinkler system connected to the fire alarm system.	F
02/11/2010	Fire Alarm Systems Deficiencies	an automatic smoke detection system in all hallways.	D
	Emergency Plans and Fire Drills Deficiencies	did not have a written emergency evacuation plan.	C
	Exit and Exit Access Deficiencies	at least two remote exits on each floor or fire section of the building.	D
02/11/2010	Hazardous Area Deficiencies	construction that can resist fire for one hour or an approved fire extinguishing system.	E
02/11/2010	Vertical Openings Deficiencies	proper stairway enclosures and vertical shafts.	D
	Smoke Compartmentation and Control Deficiencies	walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.	F
	Smoke Compartmentation and Control Deficiencies	smoke barrier doors that can resist smoke for at least 20 minutes.	E
Inspection Results: 06/18/2009
Corrected	Category	Deficiency	Severity
08/04/2009	Hazardous Area Deficiencies	properly installed hallway dispensers for alcohol-based hand rub.	E
08/04/2009	Electrical Deficiencies	properly installed electrical wiring and equipment.	D
08/04/2009	Furnishings and Decorations Deficiencies	restrictions on the use of flammable curtains.	E
08/04/2009	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	E
	Exit and Exit Access Deficiencies	at least two remote exits on each floor or fire section of the building.	D
Inspection Results: 12/11/2008
Corrected	Category	Deficiency	Severity
02/03/2009	Automatic Sprinkler Systems Deficiencies	portable fire extinguishers.	E
01/21/2009	Emergency Plans and Fire Drills Deficiencies	record of quarterly fire drills for each shift under varying conditions.	C
02/03/2009	Exits and Egress Deficiencies	exits that are accessible at all times.	D
12/12/2008	Hazardous Area Deficiencies	construction that can resist fire for one hour or an approved fire extinguishing system.	E

Resident Complaints: BELOIT HEALTH AND REHAB CTR
Date Complaint Substantiated: 07/08/2009
Corrected	Category	Deficiency	Severity
08/04/2009	Quality Care Deficiencies	Give each resident enough fluids to keep them healthy and prevent dehydration.	G
08/04/2009	Administration Deficiencies	Give or get lab tests to meet the needs of residents.	G
Date Complaint Substantiated: 10/13/2008
Corrected	Category	Deficiency	Severity
11/13/2008	Pharmacy Service Deficiencies	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	D
11/13/2008	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	D
11/13/2008	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
Date Complaint Substantiated: 06/18/2008
Corrected	Category	Deficiency	Severity
07/22/2008	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	G
07/22/2008	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.	G
Date Complaint Substantiated: 04/10/2008
Corrected	Category	Deficiency	Severity
05/15/2008	Quality Care Deficiencies	Make sure that each resident's nutritional needs were met.	G
06/11/2008	Administration Deficiencies	Keep accurate and appropriate medical records.	D
05/15/2008	Quality Care Deficiencies	Give each resident enough fluids to keep them healthy and prevent dehydration.	G
06/11/2008	Quality Care Deficiencies	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	D
05/15/2008	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	J
06/11/2008	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
Date Complaint Substantiated: 03/13/2008
Corrected	Category	Deficiency	Severity
05/15/2008	Nutrition and Dietary Deficiencies	Make sure that the attending doctor orders special diets.	D
Date Complaint Substantiated: 11/08/2007
Corrected	Category	Deficiency	Severity
12/11/2007	Pharmacy Service Deficiencies	Make sure that residents are safe from serious medication errors.	G
12/11/2007	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	D
12/11/2007	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	D
12/11/2007	Pharmacy Service Deficiencies	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	D
Date Complaint Substantiated: 01/30/2007
Corrected	Category	Deficiency	Severity
02/15/2007	Administration Deficiencies	Quickly tell the resident's doctor the results of lab tests.	J
02/15/2007	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.	E
02/15/2007	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.	J
02/15/2007	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	G

Quality Measures: BELOIT HEALTH AND REHAB CTR
Quality Measures	National Average	BELOIT HEALTH AND REHAB CTR
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%	0%
Percent of long-stay residents who had a urinary tract infection	9%	7%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	5%	7%
Percent of long-stay residents given influenza vaccination during the flu season	91%	90+%
Percent of long-stay residents who were assessed and given pneumococcal vaccination	89%	90+%
Percent of long-stay residents who have moderate to severe pain	3%	4%
Percent of long-stay residents who were physically restrained	3%	0%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	50%	56%
Percent of long-stay residents whose need for help with daily activities has increased	14%	12%
Percent of long-stay residents whose ability to move about in and around their room got worse	11%	7%
Percent of long-stay residents who lose too much weight	8%	5%
Percent of long-stay residents who are more depressed or anxious	14%	23%
Percent of high-risk long-stay residents who have pressure sores	11%	11%
Percent of long-stay residents who spend most of their time in bed or in a chair	4%	1%
Short-Stay Residents
Percent of short-stay residents given influenza vaccination during the flu season	83%	90%
Percent of short-stay residents who have pressure sores	13%	9%
Percent of short-stay residents who were assessed and given pneumococcal vaccination	83%	90+%
Percent of short-stay residents who had moderate to severe pain	19%	40%
Percent of short-stay residents who have delirium	2%	1%

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™: BELOIT HEALTH AND REHAB CTR BELOIT WI