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 73
Perc of occupied beds 81
Sprinkler status Yes
Last health survey date 07/13/2012
Fire survey date: 07/13/2012
Ratings Summary: ST JAMES HEALTH AND REHABILITATION CENTER
Overall rating 1
1
Nursing Home Staffing 1
1
Registered Nurses only 1
1
Health Inspections 1
1
Quality Measures 4
4
Nursing Home Staffing Info: ST JAMES HEALTH AND REHABILITATION CENTER
National AverageST JAMES HEALTH AND REHABILITATION CENTER
Overall staff rating Not Available. 1
1
Registered Nurses only rating Not Available 1
1
Total Number of Residents 88.1 73.00
Total Number of Licensed Nurse Staff Hours per Resident per Day 29.8 hours 1.13 hours
Registered Nurses Hours per Residents per Day 29.0 hours .27 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 29.0 hours .86 hours
Certified Nursing Assistants Hours per Residents per Day 29.0 hours .27 hours
Health Inpections: ST JAMES HEALTH AND REHABILITATION CENTER
Inspection Results: 07/13/2012
CorrectedCategoryDeficiencySeverity
08/13/2012Environmental DeficienciesMake sure there is a pest control program to prevent/deal with mice, insects, or other pests. E
08/13/2012Environmental DeficienciesMake sure that a working call system is available in each resident's room or bathroom and bathing area. D
08/13/2012Pharmacy Service DeficienciesMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. E
08/13/2012Pharmacy Service DeficienciesAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. D
08/13/2012Environmental DeficienciesDispose of garbage and refuse properly. D
08/13/2012Nutrition and Dietary DeficienciesStore, cook, and serve food in a safe and clean way. D
08/13/2012Quality Care DeficienciesUse a registered nurse at least 8 hours a day, 7 days a week. F
08/13/2012Pharmacy 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. D
08/13/2012Quality Care DeficienciesEnsure residents maintain acceptable nutritional status. D
08/13/2012Environmental DeficienciesEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
08/13/2012Resident Assessment DeficienciesAllow residents the right to participate in the planning or revision of care and treatment. D
08/13/2012Resident Assessment DeficienciesDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D
08/13/2012Resident Assessment DeficienciesConduct initial and periodic assessments of each resident's functional capacity. D
08/13/2012Environmental DeficienciesMaintain comfortable sound levels. D
08/13/2012Resident Rights DeficienciesProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home. D
08/13/2012Resident Rights DeficienciesListen to the resident groups and act on their complaints and suggestions that affect resident care and life. E
08/13/2012Resident Rights DeficienciesEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. D
08/13/2012Resident Rights DeficienciesTry to resolve each resident's complaints quickly. D
08/13/2012Resident Rights DeficienciesKeep residents' personal and medical records private and confidential. D
08/13/2012Resident Rights DeficienciesGive notice to the resident before a room or roommate change. D
Inspection Results: 05/27/2011
CorrectedCategoryDeficiencySeverity
06/27/2011Nutrition and Dietary DeficienciesStore, cook, and serve food in a safe and clean way. E
06/27/2011Resident Assessment DeficienciesConduct initial and periodic assessments of each resident's functional capacity. D
Inspection Results: 07/29/2010
CorrectedCategoryDeficiencySeverity
08/29/2010Pharmacy Service DeficienciesAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. D
08/29/2010Environmental DeficienciesHave a program that investigates, controls and keeps infection from spreading. D
08/29/2010Environmental DeficienciesMake sure that a working call system is available in each resident's room or bathroom and bathing area. D
08/29/2010Nutrition and Dietary DeficienciesStore, cook, and serve food in a safe and clean way. D
08/29/2010Pharmacy 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. D
08/29/2010Environmental DeficienciesEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
08/29/2010Resident Assessment DeficienciesDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D
08/29/2010Resident Rights DeficienciesProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. D

Fire Safety Inpections: ST JAMES HEALTH AND REHABILITATION CENTER
Inspection Results: 07/29/2010
CorrectedCategoryDeficiencySeverity
08/30/2010Electrical DeficienciesWeekly inspections and monthly testing of generators. B
08/30/2010Automatic Sprinkler Systems DeficienciesAutomatic sprinkler systems that have been maintained in working order. B

Resident Complaints: ST JAMES HEALTH AND REHABILITATION CENTER
Date Complaint Substantiated: 01/03/2013
CorrectedCategoryDeficiencySeverity
01/31/2013Nutrition and Dietary DeficienciesOffer other nutritional food to each resident who will not eat the food served. D
01/31/2013Nutrition and Dietary DeficienciesMake 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
Date Complaint Substantiated: 10/04/2012
CorrectedCategoryDeficiencySeverity
11/07/2012Resident Rights DeficienciesProvide written records when a resident is transferred or discharged. D
11/07/2012Environmental DeficienciesKeep all essential equipment working safely. D
11/07/2012Resident Rights DeficienciesUpon the death of a resident D
11/07/2012Resident Rights DeficienciesProperly hold D
Date Complaint Substantiated: 09/20/2012
CorrectedCategoryDeficiencySeverity
10/20/2012Pharmacy Service DeficienciesMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. D
10/20/2012Environmental DeficienciesEnsure 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 MeasuresNational AverageST JAMES HEALTH AND REHABILITATION CENTER
Overall quality rating Not Available 4
4
Long-Stay Residents
Percent of long-stay residents who have depressive symptoms. 16% 2.1000000000000001%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder. 13% 5.7000000000000002%
Percent of long-stay residents whose need for help with daily activities has increased. 27% 13.6%
Percent of long-stay low-risk residents who lose control of their bowels or bladder 62% 18.399999999999999%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine. 99% 100%
Percent of long-stay residents who received an antipsychotic medication. 31% 42.5%
Percent of long-stay residents experiencing one or more falls with major injury. 12% 3.3999999999999999%
Percent of long-stay residents with a urinary tract infection. 16% 1.3999999999999999%
Percent of long-stay residents who self-report moderate to severe pain. 22% 3.1000000000000001%
Percent of long-stay high-risk residents with pressure ulcers. 19% 13.6%
Percent of long-stay residents who lose too much weight. 16% 25.5%
Percent of long-stay residents who were physically restrained. 11% 2.3999999999999999%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine. 97% 100%
Short-Stay Residents
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine. 92% 98.200000000000003%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine. 87% 94.700000000000003%
Percent of short-stay residents who self-report moderate to severe pain. 36% 5.4000000000000004%
Percent of short-stay residents who newly received an antipsychotic medication. 27% 3.7000000000000002%
Percent of short-stay residents with Pressure ulcers that are new or worsened. 11% 1.8999999999999999%
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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