FALLS RUN NURSING AND REHAB CENTER (FREDERICKSBURG, VA) Detailed Nursing Home Profile

Quality Measures

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

This Nursing Home:	4.3%
State:	18.8%

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

Here:	8.3%
State:	10.6%

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

Here:	9.1%
State:	7.0%

Percent of long-stay residents who lose too much weight

This Nursing Home:	4.1%
State:	7.6%

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

Here:	4.1%
State:	3.2%

Percent of long-stay residents with a urinary tract infection

Here:	10.2%
Virginia:	7.9%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	6.1%
Virginia:	4.7%

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

This Nursing Home:	2.0%
Virginia:	3.2%

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

This Nursing Home:	100.0%
Virginia:	93.7%

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

This Nursing Home:	100.0%
State:	94.6%

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

Here:	17.3%
Virginia:	19.3%

Percent of short-stay residents with Pressure ulcers that are new or worsened

This Nursing Home:	1.2%
State:	1.3%

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

This Nursing Home:	97.8%
Virginia:	85.3%

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

This Nursing Home:	97.8%
State:	83.6%

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

Here:	2.3%
State:	3.0%

Percent of long-stay residents who received an antipsychotic medication

Here:	18.4%
State:	22.2%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.630
State:	0.626

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

This Nursing Home:	0.260
Virginia:	1.051

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	0.890
Virginia:	1.671

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.120
State:	0.094

Number Therapy Hours Per Resident Per Day

Here:	0.120
Virginia:	0.096

Complaint Deficiency

Signs that state that exit doors are to be kept closed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for
- Harm: Potential for minimal harm
- Scope: Many
Allow residents to easily view the results of the nursing home's most recent survey
- Harm: Potential for minimal harm
- Scope: Many
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that a working call system is available in each resident's room or bathroom and bathing area
- 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: 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
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few

FALLS RUN NURSING AND REHAB CENTER - FREDERICKSBURG, VA

Quality Measures

Staff Information

Complaint Deficiency

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