COLUMBIANA HEALTH AND REHABILITATION, LLC (COLUMBIANA, AL) Detailed Nursing Home Profile

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

This Nursing Home:	10.5%
Alabama:	13.9%

Percent of long-stay residents who self-report moderate to severe pain

This Nursing Home:	5.3%
Alabama:	9.6%

Percent of long-stay high-risk residents with pressure ulcers

Here:	5.7%
State:	5.9%

Percent of long-stay residents who lose too much weight

This Nursing Home:	5.9%
Alabama:	8.1%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

Here:	1.7%
Alabama:	3.4%

Percent of long-stay residents who have depressive symptoms

Here:	2.0%
State:	2.9%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	3.8%
State:	3.0%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	100.0%
Alabama:	95.1%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	100.0%
State:	91.7%

Percent of short-stay residents who self-report moderate to severe pain

Here:	9.3%
State:	19.6%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	100.0%
State:	87.4%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	100.0%
Alabama:	83.6%

Percent of short-stay residents who newly received an antipsychotic medication

Here:	10.8%
Alabama:	3.2%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	40.7%
Alabama:	27.0%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.410
State:	0.613

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	1.010
Alabama:	1.059

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.420
State:	1.672

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.160
State:	0.045

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.160
State:	0.048

Complaint Deficiency

Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper medical gas storage and administration areas
- Harm: Potential for minimal harm
- Scope: Many
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly working alarms on sprinkler valves
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Dispose of garbage and refuse properly
- Harm: Potential for minimal harm
- Scope: Many

COLUMBIANA HEALTH AND REHABILITATION, LLC - COLUMBIANA, AL

Quality Measures

Staff Information

Complaint Deficiency

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