WADDELL NURSING AND REHAB CENTER (GALAX, VA) Detailed Nursing Home Profile

Quality Measures

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

Here:	19.8%
Virginia:	18.8%

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

This Nursing Home:	24.2%
State:	10.6%

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

Here:	4.6%
State:	7.0%

Percent of long-stay residents who lose too much weight

Here:	8.4%
State:	7.6%

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

Here:	53.3%
Virginia:	51.2%

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

Here:	6.2%
State:	3.2%

Percent of long-stay residents with a urinary tract infection

Here:	24.5%
Virginia:	7.9%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	4.9%
Virginia:	4.7%

Percent of long-stay residents who were physically restrained

Here:	0.9%
State:	1.0%

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

This Nursing Home:	5.6%
State:	3.2%

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

Here:	99.1%
Virginia:	93.7%

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

Here:	97.2%
State:	94.6%

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

Here:	17.1%
State:	19.3%

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

Here:	1.3%
State:	1.3%

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

This Nursing Home:	99.0%
Virginia:	85.3%

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

This Nursing Home:	98.1%
Virginia:	83.6%

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

This Nursing Home:	5.7%
State:	3.0%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	28.0%
Virginia:	22.2%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.870
Virginia:	0.626

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

This Nursing Home:	1.580
Virginia:	1.051

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	2.450
Virginia:	1.671

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.120
State:	0.094

Number Therapy Hours Per Resident Per Day

Here:	0.120
Virginia:	0.096

Complaint Deficiency

Portable fire extinguishers
- 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
Make 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
- Harm: Minimal harm or potential for actual harm
- Scope: Some
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Give each resident enough fluids to keep them healthy and prevent dehydration
- Harm: Minimal harm or potential for actual harm
- Scope: Few
A separate and independent backup electrical power source
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- 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
Provide proof that all residents' personal money which is deposited with the nursing home, is secure
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses
- Harm: Potential for minimal harm
- Scope: Many
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home
- 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
Provide proper discharge planning and communication, of the resident's health status and summary of the resident's stay
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Emergency lighting that can last at least 1 1/2 hours
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Allow residents to easily view the results of the nursing home's most recent survey
- Harm: Potential for minimal harm
- Scope: Many
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Potential for minimal harm
- Scope: Some
Make sure each resident receives an accurate assessment by a qualified health professional
- Harm: Potential for minimal harm
- Scope: Some
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- 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: 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: Few
Operate and provide services according to Federal, State, and local laws and professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Give or get quality lab services/tests in a timely manner to meet the needs of residents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure medically necessary lab services/tests are ordered by the attending physician
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Some
Make sure services provided by the nursing facility meet professional standards of quality
- 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: Some
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
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- 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
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Dispose of garbage and refuse properly
- Harm: Potential for minimal harm
- Scope: Many
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure medically necessary lab services/tests are ordered by the attending physician
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Some

WADDELL NURSING AND REHAB CENTER - GALAX, VA

Quality Measures

Staff Information

Complaint Deficiency

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