LIBERTY COMMONS NSG AND REHAB CTR OF SPRINGWOOD (WINSTON-SALEM, NC) Detailed Nursing Home Profile

Quality Measures

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

Here:	26.5%
State:	19.4%

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

Here:	3.4%
State:	12.6%

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

This Nursing Home:	8.1%
North Carolina:	7.4%

Percent of long-stay residents who lose too much weight

Here:	17.2%
North Carolina:	8.7%

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

This Nursing Home:	41.5%
State:	56.1%

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

Here:	5.7%
North Carolina:	3.2%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	13.1%
North Carolina:	8.1%

Percent of long-stay residents who were physically restrained

This Nursing Home:	10.9%
State:	1.8%

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

Here:	6.1%
North Carolina:	3.2%

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

Here:	98.6%
North Carolina:	94.9%

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

Here:	100.0%
State:	96.5%

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

Here:	11.5%
North Carolina:	21.9%

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

Here:	1.2%
State:	1.4%

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

Here:	88.1%
North Carolina:	88.7%

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

Here:	93.5%
North Carolina:	87.2%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	14.7%
State:	21.0%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.450
North Carolina:	0.671

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

This Nursing Home:	1.190
North Carolina:	0.848

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.640
State:	1.518

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.070
North Carolina:	0.086

Number Therapy Hours Per Resident Per Day

Here:	0.070
State:	0.088

Complaint Deficiency

Exits that are accessible at all times
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Actual harm
- Scope: Few
A two-hour-resistant firewall in common walls
- Harm: Actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- 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
Keep each resident's personal and medical records private and confidential
- Harm: Potential for minimal harm
- Scope: Some
Conduct initial and periodic assessments of each resident's functional capacity
- 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 that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Immediate jeopardy to resident health or safety
- 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
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
Properly located and lighted Exit signs
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Keep each resident free from physical restraints, unless needed for medical treatment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide medically-related social services to help each resident achieve the highest possible quality of life
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide a safe, clean, comfortable and homelike environment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure each resident receives an accurate assessment by a qualified health professional
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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 necessary care and services to maintain the highest well being of each resident
- 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: Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- 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: Few
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Few
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Few

LIBERTY COMMONS NSG AND REHAB CTR OF SPRINGWOOD - WINSTON-SALEM, NC

Quality Measures

Staff Information

Complaint Deficiency

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