HENRY COUNTY HEALTH AND REHABILITATION FACILITY (ABBEVILLE, AL) Detailed Nursing Home Profile

Quality Measures

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

This Nursing Home:	12.6%
Alabama:	13.9%

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

This Nursing Home:	5.1%
State:	9.6%

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

Here:	3.3%
Alabama:	5.9%

Percent of long-stay residents who lose too much weight

This Nursing Home:	17.6%
State:	8.1%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

Here:	43.2%
State:	38.9%

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

Here:	4.2%
Alabama:	3.4%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	5.9%
State:	5.7%

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

This Nursing Home:	2.5%
Alabama:	3.0%

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

Here:	100.0%
State:	95.1%

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

Here:	99.2%
Alabama:	91.7%

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

Here:	9.8%
State:	19.6%

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

Here:	4.0%
State:	0.9%

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

Here:	89.7%
State:	87.4%

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

This Nursing Home:	92.5%
State:	83.6%

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

This Nursing Home:	3.8%
Alabama:	3.2%

Percent of long-stay residents who received an antipsychotic medication

Here:	21.7%
State:	27.0%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.550
Alabama:	0.613

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

This Nursing Home:	1.370
State:	1.059

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.920
Alabama:	1.672

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.020
Alabama:	0.045

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.020
Alabama:	0.048

Complaint Deficiency

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
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible
- 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
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions
- 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: Some
Send and promptly deliver unopened mail to residents
- Harm: Potential for minimal harm
- Scope: Many
1) 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
- Harm: Potential for minimal harm
- Scope: Many
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Fire-resistant interior walls
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Corridor and hallway doors that block smoke
- 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
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exits that are accessible at all times
- 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
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed
- Harm: Potential for minimal harm
- Scope: Some
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- 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
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Few
Did not have a written emergency evacuation plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly protected cooking facilities
- Harm: Potential for minimal harm
- Scope: Many

HENRY COUNTY HEALTH AND REHABILITATION FACILITY - ABBEVILLE, AL

Quality Measures

Staff Information

Complaint Deficiency

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