WILLOWBROOKE COURT AT MAGNOLIA TRACE (HUNTSVILLE, AL) Detailed Nursing Home Profile

Complaint Deficiency

Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that special or therapeutic diets are ordered by the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Actual harm
- Scope: Few
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: Actual harm
- Scope: Few
A two-hour-resistant firewall in common walls
- Harm: Actual harm
- Scope: Few
Provide proof that all residents' personal money which is deposited with the nursing home, is secure
- Harm: 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
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
Have a program that investigates, controls and keeps infection from spreading
- Harm: Actual harm
- Scope: Few
Be administered in an acceptable way that maintains the well-being of each resident
- Harm: Actual harm
- Scope: Few
Corridor and hallway doors that block smoke
- 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: Some
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: Minimal harm or potential for actual harm
- Scope: Few
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Assess the resident when the resident enters the nursing home, in a timely manner
- 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
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: Few
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
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
Properly maintained smoke detectors
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.710
State:	0.613

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

This Nursing Home:	0.890
Alabama:	1.059

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.600
Alabama:	1.672

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.030
State:	0.045

Number Therapy Hours Per Resident Per Day

Here:	0.030
State:	0.048

Quality Measures

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

This Nursing Home:	9.4%
State:	13.9%

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

Here:	4.0%
State:	9.6%

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

Here:	5.4%
State:	5.9%

Percent of long-stay residents who lose too much weight

Here:	2.3%
State:	8.1%

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

Here:	4.0%
Alabama:	3.4%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	22.7%
State:	5.7%

Percent of long-stay residents who have depressive symptoms

Here:	2.3%
State:	2.9%

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

This Nursing Home:	2.3%
State:	3.0%

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

Here:	97.7%
Alabama:	95.1%

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

This Nursing Home:	97.7%
Alabama:	91.7%

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

This Nursing Home:	29.2%
State:	19.6%

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

Here:	98.6%
State:	87.4%

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

This Nursing Home:	100.0%
State:	83.6%

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

Here:	1.6%
Alabama:	3.2%

Percent of long-stay residents who received an antipsychotic medication

Here:	31.8%
Alabama:	27.0%

WILLOWBROOKE COURT AT MAGNOLIA TRACE - HUNTSVILLE, AL

Complaint Deficiency

Staff Information

Quality Measures

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