General Information: ST JAMES HEALTH AND REHABILITATION CENTER
Nursing home name ST JAMES HEALTH AND REHABILITATION CENTER
Address239 CROOKED RIVER ROAD
CARRABELLE, FL 32322
Phone number (850) 697-2020
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 90
Total number of residents 69
Perc of occupied beds 76
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints16
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: ST JAMES HEALTH AND REHABILITATION CENTER
Overall rating 1
1
Nursing Home Staffing 2
2
Registered Nurses only 1
1
Health Inspections 1
1
Quality Measures 4
4
Nursing Home Staffing Info: ST JAMES HEALTH AND REHABILITATION CENTER
National AverageFlorida AverageST JAMES HEALTH AND REHABILITATION CENTER
Overall staff rating NA NA 2
2
Registered Nurses only rating NANA 1
1
Total Number of Residents NA NA 69
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.46 hours 4.23 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.67 hours 1.49 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.71 hours 0.3 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.96 hours 1.19 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.78 hours 2.74 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.13 hours 0.01 hours
Health Survey: ST JAMES HEALTH AND REHABILITATION CENTER
Heath Survey Summary on 2013-08-30
Total Number of Health Deficiencies 1
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-07-13
Total Number of Health Deficiencies 20
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Heath Survey Summary on 2011-05-27
Total Number of Health Deficiencies 2
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: ST JAMES HEALTH AND REHABILITATION CENTER
Inspection Results: 08/30/2013
Corrected Deficiency Scope and Severity
09/30/2013 Conduct initial and periodic assessments of each resident's functional capacity. Isolated/Minimal harm or potential for actual harm
Inspection Results: 07/13/2012
Corrected Deficiency Scope and Severity
08/13/2012 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
08/13/2012 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Pattern/Minimal harm or potential for actual harm
08/13/2012 Make sure that a working call system is available in each resident's room or bathroom and bathing area. Isolated/Minimal harm or potential for actual harm
08/13/2012 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern/Minimal harm or potential for actual harm
08/13/2012 At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated/Minimal harm or potential for actual harm
08/13/2012 Dispose of garbage and refuse properly. Isolated/Minimal harm or potential for actual harm
08/13/2012 Store, cook, and serve food in a safe and clean way. Isolated/Minimal harm or potential for actual harm
08/13/2012 Use a registered nurse at least 8 hours a day, 7 days a week. Widespread /Minimal harm or potential for actual harm
08/13/2012 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
08/13/2012 Ensure residents maintain acceptable nutritional status. Isolated/Minimal harm or potential for actual harm
08/13/2012 Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Isolated/Minimal harm or potential for actual harm
08/13/2012 Keep residents' personal and medical records private and confidential. Isolated/Minimal harm or potential for actual harm
08/13/2012 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
08/13/2012 Conduct initial and periodic assessments of each resident's functional capacity. Isolated/Minimal harm or potential for actual harm
08/13/2012 Maintain comfortable sound levels. Isolated/Minimal harm or potential for actual harm
08/13/2012 Give notice to the resident before a room or roommate change. Isolated/Minimal harm or potential for actual harm
08/13/2012 Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. Pattern/Minimal harm or potential for actual harm
08/13/2012 Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Isolated/Minimal harm or potential for actual harm
08/13/2012 Try to resolve each resident's complaints quickly. Isolated/Minimal harm or potential for actual harm
08/13/2012 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
Inspection Results: 05/27/2011
Corrected Deficiency Scope and Severity
06/27/2011 Conduct initial and periodic assessments of each resident's functional capacity. Isolated/Minimal harm or potential for actual harm
06/27/2011 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm

Fire Safety Survey: ST JAMES HEALTH AND REHABILITATION CENTER
Fire Safety Survey Summary on 2013-08-27
Total Number of Fire SafetyDeficiencies 1
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-07-13
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey Summary on 2011-05-27
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey: ST JAMES HEALTH AND REHABILITATION CENTER
Fire Safety Survey Results: 08/27/2013
Corrected Deficiency Severity
09/30/2013 A fire alarm system that can be heard throughout the facility. Pattern/Minimal harm or potential for actual harm

Resident Complaints: ST JAMES HEALTH AND REHABILITATION CENTER
Date Complaint Substantiated: 01/06/2014
CorrectedCategoryDeficiencySeverity
02/05/2014Provide written records when a resident is transferred or discharged. D
02/05/2014Provide timely notification to the resident before transfer or discharge. D
02/05/2014Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. D
02/05/20141) Hire only people with 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: 08/30/2013
CorrectedCategoryDeficiencySeverity
09/30/2013Keep accurate, complete and organized clinical records on each resident that meet professional standards. D
09/30/2013Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. D
Date Complaint Substantiated: 03/14/2013
CorrectedCategoryDeficiencySeverity
04/25/2013Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. D
04/25/2013Provide necessary care and services to maintain or improve the highest well being of each resident . E
04/25/2013Have enough nurses to care for every resident in a way that maximizes the resident's well being. E
Date Complaint Substantiated: 01/03/2013
CorrectedCategoryDeficiencySeverity
01/31/2013Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. E
01/31/2013Offer other nutritional food to each resident who will not eat the food served. D
Date Complaint Substantiated: 10/04/2012
CorrectedCategoryDeficiencySeverity
11/07/2012Provide written records when a resident is transferred or discharged. D
11/07/2012Upon the death of a resident, convey the residents personal funds and an accounting of those funds to the appropriate party. D
11/07/2012Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. D
11/07/2012Keep all essential equipment working safely. D
Date Complaint Substantiated: 09/20/2012
CorrectedCategoryDeficiencySeverity
10/20/2012Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. D
10/20/2012Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D

Quality Measures: ST JAMES HEALTH AND REHABILITATION CENTER
Quality Measures National Average Florida Average ST JAMES HEALTH AND REHABILITATION CENTER
Overall quality rating NA NA 4
4
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 13.2% 13.1%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 5.9% 1.4%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.3% 18.3%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 7.9% 20.6%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 48.1% 22.7%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 2.8% 2.2%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 7.1% 1.0%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 2.7% 7.1%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.9% 2.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 2.6% 2.0%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 91.8% 100.0%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 95.1% 100.0%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 21.7% 39.1%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 16.7% 8.3%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 0.8% 2.2%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 84.8% 80.0%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 86.6% 96.8%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 3.2% 2.1%

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