Heritage Healthcare Of Macon

Current State: None change

General
Medicaid Data
Medicare Cost Report
Staff
Quality Measures
Health Survey
Fire Safety Survey
Definitions

Overall Facility Star Rating:
Address:: 2255 Anthony Road
Macon, GA 31203, Bibb County
Phone:: (478)784-7900
Medicare Cost Reports Available from:: 1996-07-01 To 2010-06-30
Health Survey Star Rating:
Health Survey:: 29 Deficiencies Listed | 2009-12-30
Fire Survey:: 8 Deficiencies Listed | 2009-12-30 | Sprinkler Status: fully sprinklered

Item Name:	Item Value:
Preparer Name	J. Sam Johnson, Cpa
Preparer City	Toccoa
Preparer Addr.	161 East Doyle Street
Preparer Firm	J. Sam Johnson, Cpa, Pc
Preparer Phone	706-886-3173
Preparer Zip	30577
Facility Accounting Costs	1,375

Item Name:	Item Value:
Period Ended	2010-06-30
Administrator
Legal Name	Heritage Healthcare Of Macon, Llc
Admin Lic. #
Chg. Owner	no
Owner Type	corporation
Months	12

Item Name:	Item Value:
Certifier	Neil L. Pruitt, Jr.
Date	11/2/10
Position	officer
Title	Chairman & Ceo

Item Name:	Item Value:
Beg. Beds	228
End Beds	228
Bed days	83,220
% Occ.	83.1

Payor	Period	Rate	Patient Days	Pay Rate Revenue
Private	7/1/09 -6/30/10	209.7	595	124,798
Medicare	7/1/09 - 6/30/10	187.8	6,194	1,163,202
Medicaid	7/1/09 - 6/30/10	185.3	56,569	10,479,918
Other	7/1/09 - 6/30/10	180.2	5,561	1,002,202
Vent	7/1/09 - 6/30/10	216.6	225	48,737

Item Name:	Item Value:
Lease Beg.	7/1/09
Lease End	9/30/12
Amount	$71,785/month

Item Name:	Item Value:
Routine Service	12,818,857
Ancillary Service	2,683,775
Allowances and Adj.	-2,981,730
Net Revenue	12,520,902
Non-Operating Expense	0
Other Revenue	2,254
Net Income Pre-Tax	-1,125,496
Income Tax Provisions	0
Net Income	-1,125,496

Item Name:	Item Value:
Routine NF	5,393,182
Routine ICFMR	0
Special Services	827,880
Plant Oper. & Main.	870,701.8
Admin & Gen.	2,073,315
Property	372,563.1
Total	11,299,765.6

Item Name:	Item Value:
Private	124,798
Medicare	1,163,202
Medicaid	10,479,918
Other Government	0
Other	1,002,202
Total	12,770,120

Item Name:	Item Value:
Physican Care	0
Pharmacy	455,736
Oxygen	10,681
Intravenous	0
Physical Therapy	735,850
Speech Therapy	656,635
Occupational Therapy	782,230
Medical Supplies	26,550
Tube Feeding	0
Other	13,691
Radiology	2,402
Total	2,683,775

Item Name:	Item Value:
Salaries	105,566
Benefits	26,833
Supplies	7,570
Repairs	239,825
Contract	37,892
Utilities	218,335
Other	26,943
Total	870,701.8

Item Name:	Item Value:
Salaries	232,450
Benefits	34,124
Director Fees	0
Supplies	25,849
Contract	68,822
Legal	4,839
Audit & Accounting	1,375
Amortization	-694
Other	46,251

Item Name:	Item Value:
Deprec. and Amort.	49,262
Lease	25,996
Taxes	81,620
Insurance	7,252
Interest	11,972
Total	372,563.1

Item Name:	Item Value:
Dues & Subs.	13,934
Travel & Educ.	19,361
Communication	33,117
Advertising	8,413
Tax & Licenses	9,372
Insurance	-4,802
Interest	1,643
Home Office Alloc.	782,443
Nurse Training	0
Provider Fee	718,719
Total	1,276,497

Lessor	Description	Related Party Cost	Non-Related Party Cost
North Macon Healthcare Prop	Nursing Facility	861,420
Ellen Allen	Apt Lease		1,905
Various	Equipment		25,628
United Medical	Equipment	7,896

Item Name:	Item Value:
Salaries	3,782,451
Benefits	840,529
Supplies	716
Contract	6,190
Other	10,807
Related Party	752,489
Total	5,393,182

Item Name:	Item Value:
Salaries	0
Benefits	0
Supplies	0
Contract	0
Other	0
Related Party	0
Total	0

Item Name:	Item Value:
Salaries	0
Benefits	0
Supplies	0
Contract	0
Other	-234,095
Related	316,075
Total	81,980

Item Name:	Item Value:
Salaries	0
Benefits	0
Supplies	0
Contract	0
Other	0
Related	118,972
Total	118,972

Item Name:	Item Value:
Salaries	0
Benefits	0
Supplies	0
Contract	0
Other	-124,081
Related	176,662
Total	52,581

Item Name:	Item Value:
Benefits	0
Benefits	0
Supplies	0
Contract	0
Other	21,651
Related	113,225
Total	134,876

Item Name:	Item Value:
Salaries	0
Benefits	0
Supplies	0
Contract	0
Other	-202,368
Related	279,140
Total	76,772

Item Name:	Item Value:
Salaries	0
Benefits	0
Supplies	72
Contract	0
Other	-9,830
Related	112,747
Total	102,989

Item Name:	Item Value:
Salaries	154,021
Benefits	36,018
Supplies	5,473
Contract	0
Other	1,802
Related	247
Total	197,561

Item Name:	Item Value:
Salaries	0
Benefits	0
Supplies	0
Contract	0
Other	0
Related	247
Total	0

Item Name:	Item Value:
Salaries	0
Benefits	0
Supplies	0
Contract	30,013
Related	0
Other	-6,264
Total	23,749

Item Name:	Item Value:
Contract	38,400
Related	0
Total	38,400

Item Name:	Item Value:
Salaries	0
Benefits	0
Supplies	0
Contract	0
Other	0
Related	0
Total	0

Item Name:	Item Value:
Salaries	0
Benefits	0
Supplies	250
Contract	0
Other	0
Total	250

Item Name:	Item Value:
Salaries	30,298
Benefits	6,291
Supplies	0
Contract	0
Other	0
Related	40,860
Total	77,449

Item Name:	Item Value:
Salaries	0
Benefits	0
Supplies	0
Contract	0
Other	0
Total	0

Item Name:	Item Value:
Salaries	84
Benefits	316
Supplies	0
Contract	0
Other	0
Total	400

Organization	Purpose	Amount	Allowable
Quality Nursing Home Care	Dues	9,400	4,700
Dietetic Registration	Dues	50	25
Clia	Certificate Fee	150	150
Cons Billing	Subscription	280	280
State Of Ga	State Dues	10	5
Ghca	Dues	13,000	6,500
Natl Association	Subscription	59	59
Nursing Home Quality	Subscription	795	795
Rba Record	Dues	2,840	1,420

Item Name:	Item Value:
Routine	6,190
Physician Care	0
Phys. Therapy	0
Pharmacy	0
Speech Therapy	0
Oxygen Therapy	0
Occu. Therapy	0
Med. Supplies	0
Rec. Activities	0
Other	0
Radiology	30,013
Med. Director	38,400
Intravenous	0
Plant Oper.	37,892
Admin & Gen.	68,822
Beauty & Barber	0
Med. Records	0
Religious	0
Training	0

Name	description	Original Cost	Cost
United Medical	Parker Bath	39838.0	40277.0
Uni Choice	Renovation	4564.0	4600.0
United Medical	Wallguard	38464.0	43096.0
Totals From Pg 2 & 3

Related Party	Description	Fee Arrangment	Amount
Pruitt Corp	Maintenance	Allocation
Uni Choice	Environmental Svc Maintenance/Repairs	Allocation	56,934
United Rehab	Pt, St, Ot	Allocation	839,142
United Medical	Purchase Of Supplies	Purchases	1,306,735
Ups	Prescription Drugs	Purchases	280,793
Ups	Medical Records	Allocation	9,576
United Clinical Svc	Home Office Allocation	Percentage Allocation	290,859
Pruitt Corp	Home Office Allocation	Percentage Allocation	839,052
Ups	Non Prescription Drugs	Purchases	63,007
United Collection Svc	Collection Svcs	Allocation	595
Ups Home Office	Consulting	Allocation	42,600
Uni Health	Managed Care	Allocation	25,728

Entity Name	Service	Fee Arrangement	Amount
Med Ctr Of Ga	Lab	As Needed	25,948
Ga Card Ctr	Ekg	As Needed	1,607
Pri X Ray	X Ray	As Needed	28,182
Coast To Coast	Ambulance	As Needed	35,753
Dr. Muhammad Rehan	Medical Director	Monthly	18,000
Dr Farhan Siddiqui	Medical Director	Monthly	20,400
Ecolab Pest	Pest Control	Monthly	4,940
Fire Systems	Fire Extinguishers	As Needed	5,032
Grounds Cont Land	Landscaping Svc	Monthly	6,285
Waste Usa	Waste Disposal	Monthly	16,589
Accr Busker	Maint Contr Svc	As Needed	1,362
Integrated Doc	Doc Storage	As Needed	2,031
Jones Security	Security	As Needed	59,570
Pointright	Quality Reports	Monthly	6,190
Arnald Golden	Legal Svc	As Needed	3,980

Item Name:	Item Value:
Insurance	13,727
Taxes	5,109
Interest	0
Rent	0
Licenses	0
Other	4,415

Item Name:	Item Value:
Assets and Cap. Leases	1,445,930
Acccum. Depreciation	109,125
Total	1,336,805

Item Name:	Item Value:
Long-term Investments	0
Fixed Asset Replacement	0
Deferred Loan Costs	0
Deferred Finance Costs	0
Org. Expense	0
Goodwill	0
Total	792

Item Name:	Item Value:
Mortgage Notes	0
Notes	85,114
Cap. Lease Obligations	0
Loans pre-1966	0
Loans post-1966	0
Deferred Taxes	0
Total	85,114

Item Name:	Item Value:
Fixed Assets	1,336,805
Other Assets	792
Current Liabilities	3,153,879
Long Term Liabilities	85,114
Interest Bearing Debt	1,622,415
Capital	-670,267
Liabilities & Capital	2,568,726
Liabilities	3,238,993
Current Assets	1,231,129

Item Name:	Item Value:
Pension	3,490
Profit Sharing	0
Property Tax	43,738
Sales Tax	0
Interest	0
Third Party Advances	0
Third Party Payables	0
Income Tax	0

Item Name:	Item Value:
Trade	581,092
Acc. Payable-Officers	0
Employees	0
Bank	0
Notes Payable-Officers	0
Long-term Debt	1,537,301

Item Name:	Item Value:
Bonus & Salaries	500,998
Vacation & Sick Pay	172,130
Payroll Taxes	13,800
Patients Deposits	0
Dividends	0
Other	0
Total	3,153,879

Item Name:	Item Value:
Cash	5,852
Investments	0
Inpatient Receivables	2,044,414
Third Party Receivables	0
Employees	0
Officers	0
Notes Receivable	0

Item Name:	Item Value:
Other Receivables	-207,680
Accrued Interest	0
Doubtful Acc. Allow.	-634,708
Inventories	0
Other	0
Deposits	0
Total	1,231,129

Payable To	Loan Date	Ending Balance	Loan Purpose	Interest Rate
United Health Services		83,026	Liability Insurance
United Health Services Property	7/09		Property Insurance	4.8
United Health Services	9/06		Equipment	7
United Health Services	8/08	52,050	Equipment	5.9
Suntrust	10/09	3,091	Equipment	4.8
United Medical	10/04		Equipment	5.6
Synovus	1/08	88,346	Equipment	5.5
United Capital Resource	7/10	1,395,902	Working Capital

Item Name:	Item Value:
Routine NF	3,782,451
Routine ICFMR	0
Special	154,021
Op. & Main.	105,566
Admin & Gen.	262,832
Nurse Training	0
Total	5,219,127

Item Name:	Item Value:
Wor. Comp.	197,974
Payroll Tax	429,309
Life Ins.	0
Health Ins.	423,714
Retirement	114,305
Profit Sharing	0
Other	48,851
Total	1,214,153

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Other Cost Report Years:

Fiscal Year Begin: 2009-07-01 | Fiscal Year End: 2010-06-30

Worksheet	Description
Worksheet S, Part 1 & 2	Certification and Settlement Summary
Worksheet S-2	Complex Identification Data
Worksheet S-3	Statistical Data
Worksheet S-3, Part 2 & 3	SNF Wage Index Information
Worksheet S-7, Part 4	Prospective Payment for SNF Statistical Data (RUGs)
Worksheet A	Reclassification and Adjustment of Trial Balance of Expenses
Worksheet A-7	Analysis of Changes During Cost Reporting Period in Capital Asset Balances
Worksheet A-8	Adjustments to Expenses
Worksheet A-8-1	Statement of Costs of Services from Related Organizations
Worksheet B, Part 1	Cost Allocation - General Service Costs
Worksheet B, Part 2	Allocation of Capital - Related Costs
Worksheet B-1, Part 1	Cost Allocation - General Service Costs
Worksheet C	Ratio of Cost to Charges for Ancillary and Outpatient Cost Centers
Worksheet D, Part 1 (Title XVIII) SNF Facility Type	Apportionment of Ancillary and Outpatient Cost and Reduction of Therapy Costs
Worksheet D, Part 2 & 3 (Title XVIII) SNF Facility Type	Apportionment of Ancillary and Outpatient Cost and Reduction of Therapy Costs for Title XVIII (SNF)
Worksheet D-1, Part 1 & 2 (Title XVIII) SNF Facility Type	Computation of Inpatient Routine Costs
Worksheet E, Part 3 (Title XVIII) SNF Facility Type	Calculation of Reimbursement Settlement (SNF, Title XVIII)
Worksheet E-1 (Title XVIII) SNF Facility Type	Analysis of Payments to Providers for Services Rendered (SNF, Title XVIII)
Worksheet G	Balance Sheet
Worksheet G-2, Part 1 & 2	Statement of Patient Revenues and Operating Expenses
Worksheet G-3	Statement of Revenues and Expenses

	National Average	Georgia Average	Heritage Healthcare Of Macon
Nurse Staffing Star Rating
Total Number of Residents	88.90	96.21	180.0
Total Number of Licensed Nurse Staff Hours per Resident per Day	1 hour and 34 minutes	1 hour and 29 minutes	1 hour and 34 minutes
RN Hours per Resident per Day	44 minutes	27 minutes	24 minutes
RN Staff Only Star Rating
LPN/LVN Hours per Resident per Day	50 minutes	1 hour and 2 minutes	1 hour and 10 minutes
CNA Hours per Resident per Day	2 hours and 28 minutes	2 hours and 13 minutes	2 hours and 22 minutes

Quality Measures	National Average	Georgia Average	Heritage Healthcare Of Macon
Quality Measures Star Rating
Long-Stay Residents
NOTE: For the following Measures, Higher Percentages are better.
Percent of long-stay residents given influenza vaccination during the flu season	86.96%	86.96%	95%
Percent of long-stay residents who were assessed and given pneumococcal vaccination	85.82%	85.82%	93%
NOTE: for the following measures, lower percentages are better.
Percent of long-stay residents whose need for help with daily activities has increased	13.41%	13.41%	10%
Percent of long-stay residents who have moderate to severe pain	3.08%	3.08%	0%
Percent of high-risk long-stay residents who have pressure sores	9.79%	9.79%	18%
Percent of low-risk long-stay residents who have pressure sores	1.52%	1.52%	3%
Percent of long-stay residents who were physically restrained	2.62%	2.62%	2%
Percent of long-stay residents who are more depressed or anxious	13.72%	13.72%	33%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	47.77%	47.77%	52%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	4.79%	4.79%	5%
Percent of long-stay residents who spend most of their time in bed or in a chair	3.84%	3.84%	13%
Percent of long-stay residents whose ability to move about in and around their room got worse	10.29%	10.29%	10%
Percent of long-stay residents who had a urinary tract infection	8.48%	8.48%	10%
Percent of long-stay residents who lose too much weight	7.25%	7.25%	8%
Short-Stay Residents
NOTE: For the following Measures, Higher Percentages are better.
Percent of short-stay residents given influenza vaccination during the flu season	78.26%	78.26%	84%
Percent of short-stay residents who were assessed and given pneumococcal vaccination	77.32%	77.32%	82%
NOTE: For the following Measures, Lower Percentages are better.
Percent of short-stay residents who have delirium	1.31%	1.31%	1%
Percent of short-stay residents who had moderate to severe pain	17.26%	17.26%	1%
Percent of short-stay residents who have pressure sores	10.85%	10.85%	15%

Resident Assessment Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. 1) develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.	2009-12-30	2010-02-13	Minimal harm or potential for actual harm	Isolated
2. Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	2008-10-16	2008-11-30	Minimal harm or potential for actual harm	Isolated
3. Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.	2007-08-15	2007-09-28	Minimal harm or potential for actual harm	Pattern
4. Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	2007-08-15	2007-09-28	Minimal harm or potential for actual harm	Isolated

Quality Care Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	2009-12-30	2010-02-13	Minimal harm or potential for actual harm	Isolated
2. Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	2009-12-30	2010-02-13	Minimal harm or potential for actual harm	Isolated
3. Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	2008-11-13	2008-11-30	Minimal harm or potential for actual harm	Isolated
4. Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	2008-10-16	2008-11-30	Minimal harm or potential for actual harm	Isolated
5. 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.	2008-10-16	2008-11-30	Minimal harm or potential for actual harm	Isolated
6. Give professional services that follow each resident's written care plan.	2008-10-16	2008-11-30	Actual harm	Isolated
7. Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	2007-08-15	2007-09-28	Minimal harm or potential for actual harm	Isolated

Environmental Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. Provide needed housekeeping and maintenance.	2009-12-30	2010-02-13	Potential for minimal harm	Widespread
2. Make sure that the nursing home area is safe, easy to use, clean and comfortable.	2009-12-30	2010-02-13	Minimal harm or potential for actual harm	Isolated
3. Make sure that the nursing home area is free of dangers that cause accidents.	2009-12-30	2010-02-13	Minimal harm or potential for actual harm	Pattern
4. Make sure that a working call system is available in each resident's room or bathroom and bathing area.	2009-12-30	2010-02-13	Minimal harm or potential for actual harm	Isolated
5. Keep temperature levels comfortable and safe.	2009-12-30	2010-02-13	Minimal harm or potential for actual harm	Pattern
6. Have a program to keep infection from spreading.	2009-12-30	2010-02-13	Minimal harm or potential for actual harm	Widespread
7. Provide needed housekeeping and maintenance.	2008-10-16	2008-11-30	Potential for minimal harm	Widespread
8. Make sure there is a program to prevent/deal with mice, insects, or other pests.	2008-10-16	2008-11-30	Minimal harm or potential for actual harm	Pattern
9. Make sure that the nursing home area is free of dangers that cause accidents.	2008-10-16	2008-11-30	Actual harm	Isolated
10. Provide needed housekeeping and maintenance.	2007-08-15	2007-09-28	Potential for minimal harm	Widespread
11. Make sure that the nursing home area is free of dangers that cause accidents.	2007-08-15	2007-09-28	Minimal harm or potential for actual harm	Isolated

Resident Rights Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. Tell each resident who can get medicaid benefits about 1) which items and services medicaid covers and which the resident must pay for; or 2) how to apply for medicaid, along with the names and addresses of state groups that can help.	2009-12-30	2010-02-13	Potential for minimal harm	Widespread
2. Allow residents to easily see the results of the nursing home's most recent survey.	2008-10-16	2008-11-30	Potential for minimal harm	Pattern
3. Provide enough notice before discharging or transferring a resident.	2007-08-15	2007-09-28	Minimal harm or potential for actual harm	Isolated

Nutrition and Dietary Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. Store, cook, and give out food in a safe and clean way.	2009-12-30	2010-02-13	Minimal harm or potential for actual harm	Widespread
2. Store, cook, and give out food in a safe and clean way.	2008-10-16	2008-11-30	Minimal harm or potential for actual harm	Widespread
3. Store, cook, and give out food in a safe and clean way.	2007-08-15	2007-09-28	Minimal harm or potential for actual harm	Widespread

Mistreatment Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. 1) hire only people who have 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.	2008-10-16	2008-11-30	Minimal harm or potential for actual harm	Isolated

Corridor Walls and Doors Deficiencies

Inspectors determined that the building did not have:	Inspection Date	Correction Date	Level of Harm	Scope
1. Corridor and hallway doors that block smoke.	2009-12-30	2010-02-13	Minimal harm or potential for actual harm	Isolated
2. Corridor and hallway doors that block smoke.	2008-10-16	2008-11-30	Minimal harm or potential for actual harm	Pattern
3. Corridor and hallway doors that block smoke.	2007-08-15	2007-09-28	Minimal harm or potential for actual harm	Pattern

Electrical Deficiencies

Inspectors determined that the building did not have:	Inspection Date	Correction Date	Level of Harm	Scope
1. Properly installed electrical wiring and equipment.	2008-10-16	2008-11-30	Minimal harm or potential for actual harm	Isolated
2. Properly installed electrical wiring and equipment.	2007-08-15	2007-09-28	Minimal harm or potential for actual harm	Isolated

Hazardous Area Deficiencies

Inspectors determined that the building did not have:	Inspection Date	Correction Date	Level of Harm	Scope
1. Construction that can resist fire for one hour or an approved fire extinguishing system.	2009-12-30	2010-02-13	Minimal harm or potential for actual harm	Isolated
2. Construction that can resist fire for one hour or an approved fire extinguishing system.	2008-10-16	2008-11-30	Minimal harm or potential for actual harm	Isolated

Smoke Compartmentation and Control Deficiencies

Inspectors determined that the building did not have:	Inspection Date	Correction Date	Level of Harm	Scope
1. Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.	2008-10-16	2008-11-30	Minimal harm or potential for actual harm	Isolated

Resident Councils

The law requires nursing homes to allow councils to be set up by residents and families. Resident and family councils can facilitate communications with staff. If a nursing home does not have a resident and family council, ask the administrator why. If there is a council, ask to talk with council presidents to get a sense of how the nursing home has acted on their concerns.

Ownership Type

Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations, or government entities. Quality of nursing homes can vary within each of these different types of ownership. Each nursing home needs to be judged on its own merits.

Multiple Nursing Home Ownership

Multi-nursing home chains have two or more homes under one ownership or operation.

Registered Nurse

Registered nurses (RNs) have between 2 and 6 years of education

Licensed Practical and Vocational Nurse

Licensed practical and vocational nurses (LPNs/LVNs) generally have 1 year of training. By law, RNs must assess residents' needs. RNs and LPNs/LVNs work together to plan care, implement care and treatment, and evaluate residents' outcomes. Nurses must be licensed in the state and are on site to provide care to residents twenty-four hours per day, seven days a week.

Certified Nursing Assistant

Certified nursing assistants (CNAs) provide care on a twenty-four hour basis. They work under the direction of a licensed nurse to assist residents with activities of daily living, i.e., eating, grooming, hygiene, dressing, transferring, and toileting. To become a full time certified nursing assistants (CNAs) one must have completed a competency evaluation program or nurse assistant training within 4 months of their permanent employment. They must also pursue continuing education each year.

On Site Services

On site services provide insight into the actual services that the Nursing Home offers. These services include dental service, dietary service, mental health service and others. This information will allow you to see if the Nursing Home provides these services or if they contract with an outside agency for these services.

Percentage of Residents Whose Ability to Move about in and around Their Room Got Worse

This measure indicates the percentage of residents whose ability to move about, either by walking or using a wheelchair, in their room and the hallway near their room, got worse since their last assessment. (Lower percentages are better.)

A decline in physical activity may come with age due to muscle loss, joint stiffness, worsening illness, fear of injury, or depression. Residents who lose mobility may also lose the ability to perform other activities of daily living, like eating, dressing, or getting to the bathroom. In some cases, however, the decline measured may be temporary and due to a short-term illness the resident is experiencing at the time of the assessment.

A lack of movement affects the resident in many ways. It becomes difficult to participate in physical and social activities. Sleep quality can suffer. The risk of heart disease, stroke, diabetes, or blood clots can increase. Depression and anxiety can worsen. Staying in one position and constant pressure on the skin can increase the chance of pressure sores. It is important for residents to be as active as possible.

Nursing home staff can help residents move around more. For instance, they can encourage residents to take part in physical and social activities or take them for regular walks if they need help. Most residents value being able to move about on their own and take care of themselves. It is important that nursing home staff encourage residents to do as much as they can for themselves and stay as active as physically possible. Some residents will decline in their ability to move about, even though the nursing home staff makes a good effort to keep them more active

Percentage of High Risk Residents Who Have Pressure Sores

This measure indicates the percent of residents, among all residents at high risk for getting pressure sores, who get a pressure sore in the nursing home. (Lower percentages are better.) A resident is at high risk for getting pressure sores if he or she is in a coma, doesn't get the nutrients they need (like water, vitamins, and minerals), or can't move or change position on their own.

A pressure sore is a skin wound. Pressure sores are sometimes called bedsores. These sores can be caused by pressure on the skin from chairs, wheelchairs, or beds. Pressure sores usually develop on bony parts of the body such as the tailbone, hip, ankle, or heel. They are usually caused by constant pressure on one part of the skin.

Pressure sores may:

be painful
take a long time to heal
cause other complications such as skin and bone infections

Percentage of Residents Who Spend Most of Their Time in Bed or in a Chair

This measure indicates the percentage of residents who spent most of their time in bed or in a chair in their room during the 7-day assessment period. (Lower percentages are better.)

A decline in physical activity may come with age due to muscle loss, joint stiffness, fear of injury, worsening illness, or depression. Residents who spend too much time in bed or a chair may lose the ability to perform activities of daily living, like eating, dressing, or getting to the bathroom.

Staying in a bed or chair affects the resident in many ways. Unused muscles get weaker. It becomes difficult to participate in physical and social activities. Sleep quality can suffer. The risk of heart disease, stroke, diabetes, or blood clots can increase. Depression and anxiety can worsen. Staying in one position, and constant pressure on the skin can increase the chance of pressure sores. It is important for residents to be as active as possible.

Nursing home staff can help residents be more active. For instance, they can encourage residents to take part in physical activities or take them for regular walks if they need help. Most residents value being able to take care of themselves. It is important that nursing home staff encourage residents to do as much as they can for themselves and stay as active as physically possible. Some residents will choose to remain in bed or in a chair even though the nursing home staff makes a good effort to keep them more active. It is also important to note that some residents may be counted in this measure if their assessment period occurs when they are temporarily ill and are remaining in bed due to a short-term problem.

Percentage of Residents Who Were Physically Restrained

This measure indicates the percent of residents in the nursing home who were physically restrained daily during the 7-day assessment period. (Lower percentages are better.)

A physical restraint is any device, material, or equipment attached or adjacent to a resident's body, which the individual cannot remove easily, that keeps a resident from moving freely or prevents them normal access to their body. Examples of physical restraints include special types of vests, chairs with lap trays, lap belts, and enclosed walkers. Bed rails (side rails) are also considered restraints in certain situations, but they are not used in the calculation of this measure.

Restraints should only be used when they are necessary as part of the treatment of a resident's medical condition. Only a doctor can order a restraint. Restraints should never be used to punish a resident or to make things easier for the staff. Facilities are not allowed to use restraints based solely on a family's request, unless there is a documented medical need and a doctor's order. A resident who is restrained daily can become weak, lose the ability to go to the bathroom by themselves, and develop pressure sores or other medical complications.

Percentage of Residents Whose Need for Help with Daily Activities Has Increased

The daily activities that this measure counts include:

feeding oneself
moving from one chair to another
changing positions while in bed
going to the bathroom alone

Residents are checked routinely to see how they function doing these basic daily activities. Some loss of function may be expected in the elderly. If they are in poor health or if they are ill (for example, if they have pneumonia, an infection, a recent injury, or a chronic problem like asthma that has flared up), they may have a temporary loss of function. Sudden or rapid loss of one or more of these basic daily tasks could mean the resident needs medical attention.

Most residents value being able to take care of themselves. It is important that nursing home staff encourage residents to do as much as they can for themselves. In some cases, it may take more staff time to allow residents to do these tasks than to do the tasks for them. Residents who still do these basic daily activities with little help may feel better about themselves and stay more active. This can affect their health in a good way. When people stop taking care of themselves, it may mean that their health has gotten worse. The resident's ability to perform daily functions is important in maintaining their current health status and quality of life. Some residents will lose function in their basic daily activities even though the nursing home provides good care.

Percentage of Low Risk Residents Who Lose Control of Their Bowels and Bladder

This measure indicates the percent of residents who often lose control of their bowels or bladder. (Lower percentages are better.) This information is only based on residents who have a low risk for losing control of their bowel or bladder. Residents have a low risk for losing bowel and bladder control if they do not have either severe dementia (memory loss) or a very limited ability to move on their own.

Loss of bowel or bladder control is not a normal sign of aging and can often be successfully treated. Loss of bowel and bladder control can be caused by:

physical problems (like constipation, muscle weakness, or a bladder infection)
location problems (like the bathroom being too far away)
reaction to medication
limited ability to walk or move around
diet and fluid intake
toilet routine (timing trips to the bathroom)
whether someone can provide assistance when needed
certain medical conditions, such as diabetes, dementia, spinal cord injury, or neurological disease

Finding the cause and treating a problem with bowel or bladder control is important for many reasons. Physically, it can help prevent infections and pressure sores. Mentally, treatment can help the well being of the resident by restoring dignity and social interaction. Having fewer residents with bowel and bladder control problems can give the nursing home staff more time to provide other care.

Five Star Quality Rating

Much Above Avg. 5 out of 5 stars
Above Avg. 4 out of 5 stars
Average 3 out of 5 stars
Below Avg. 2 out of 5 stars
Much Below Avg. 1 out of 5 stars

Percentage of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder

This measure indicates the percent of residents who had a catheter inserted and left in their bladder for a period of time during the 14-day assessment period. (Lower percentages are better.)

A catheter is a thin, soft tube that is inserted into the bladder and attached to a bag that collects the urine. It may be inserted into the bladder of a patient who has lost control of their bladder or cannot use a toilet (for instance, someone in a coma). Catheters may be used because there is a physical reason the urine cannot drain naturally, to keep a patient with pressure sores that are not healing clean and dry, or to measure the amount of urine being produced.

A catheter should only be used when it is medically necessary. Residents may need a lot of help to get to the toilet, or they may have to go frequently. A catheter should not be used for the convenience of the nursing home staff. Using a catheter may result in complications like urinary tract or blood infections, physical injury, skin problems, bladder stones, or blood in the urine. Some studies have shown that long-term use of indwelling catheters (over many years) may increase the rates of bladder cancer in patients with spinal cord injuries.

Percentage of Residents with a Urinary Tract Infection

This measure indicates the percentage of residents who had an infection in their urinary tract at any time during the 30 days before their most recent assessment. (Lower percentages are better.)

A urinary tract infection (UTI) is an infection in the urethra that, if left untreated, can spread to the bladder (bladder infection) and kidney (kidney infection).

If the area where waste (urine and bowel movements) leaves the body is not kept clean, bacteria from the colon may multiply and enter the urethra (the tube that passes urine from the bladder to outside the body), causing a UTI. A UTI may also be caused by bacteria on a catheter (a soft tube) being used to drain urine from the bladder.

Most urinary tract infections can be prevented by keeping the area clean, emptying the bladder regularly, and drinking enough fluid. Nursing home staff should make sure the resident has good hygiene. Finding the cause and getting early treatment of a UTI can prevent the infection from spreading and becoming more serious or causing complications like delirium. It is important to find out whether the UTI is caused by a physical problem, like an enlarged prostate, so proper medical treatment can be given.

Percentage of Residents Who Are More Depressed or Anxious

This measure indicates the percentage of residents who have become more depressed or anxious in the nursing home since the last time they were checked. (Lower percentages are better.)

Depression is a medical problem of the brain that can affect how a person thinks, feels, and behaves. Signs of depression may include fatigue, a loss of interest in normal activities, poor appetite, and problems with concentration and sleeping.

Anxiety is excessive worry. Signs of anxiety can include trembling, muscle aches, problems sleeping, stomach pain, dizziness, and irritability.

Feeling depressed or anxious can lessen one's quality of life and lead to other health problems. Nursing home residents are at a high risk for developing depression and anxiety for many reasons, such as loss of a spouse, family members, or friends; chronic pain and illness; difficulty adjusting to the nursing home; and frustration with memory loss. Identifying depression and anxiety can be difficult in elderly patients because the signs may be confused with the normal aging process, a side effect of a medication, or the result of a medical condition. Proper treatment may include medication, therapy, or an increase in social support.

Percentage of Residents Who Lose Too Much Weight

This measure indicates the percentage of residents who have lost too much weight. (Lower percentages are better.)

A loss of 5% or more of body weight in one month is usually considered unhealthy (for example, a 150 pound person should not lose more than 7.5 pounds in one month). Too much weight loss can make a person weak, change how medicine works in the body, or cause the skin to break down, which can lead to pressure sores. Too much weight loss may mean that the resident is ill, refuses to eat, is depressed, or has a medical problem that makes eating difficult (like weakness caused by a stroke). It could also mean that the resident is not being fed properly, their medical care is not being properly managed, or that the nursing home's nutrition program is poor. To help prevent unhealthy weight loss, it is important that the resident's diet is balanced and nutritious, and that staff spend enough time feeding people who can't feed themselves. Sometimes it may be necessary for a person to lose weight for medical reasons. In these cases, the medical staff may plan in advance for the resident to lose weight on a special weight loss program, but the person should not lose more than 5% of body weight in one month.

Percentage of Residents Who Have Moderate to Severe Pain

This indicates the percentage of residents who are reported to have moderate to severe pain during the 7-day assessment period. This measure is shown to encourage you to talk to the nursing home staff about how they check and manage pain, and to make you aware of how important it is. Pain can be caused by a variety of medical conditions. Checking for pain and pain management are very complex.

Comparing these percentages is different from the other measures because the percentages may mean different things. Generally, a lower percentage on this measure is better. However, this isn't always true. For example, two nursing homes could provide the same quality of care and have the same number of residents with pain. However, if one of the nursing homes does a better job checking the residents for pain, they could have a higher percentage on this measure. Or, if for personal or cultural reasons, more residents in one of the nursing homes refuse to take pain medication, that nursing home's percentage would be higher. In these examples, although the percentage for one nursing home is higher, it does not mean they are not providing good care.

Residents should always be checked regularly by nursing home staff to see if they are having pain. Residents (or someone on their behalf) should let staff know if they are in pain so efforts can be made to find the cause and make the resident more comfortable. If pain is not treated, a resident may not be able to perform daily routines, may become depressed, or may have an overall poor quality of life. This percentage may include some residents who are getting or have been prescribed treatment for their pain but who refuse pain medicines or choose to take less. Some residents may choose to accept a certain level of pain so they can stay more alert.

Percentage of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination

A pneumococcal vaccination otherwise known as pneumococcal shot may help you prevent, or lower the risk of becoming seriously ill from pneumonia caused by bacteria. It may also help you prevent future infections.

Residents of nursing homes should be asked if they have been vaccinated for pneumonia, and if not, you should be given the pneumococcal shot unless there is a medical reason why you should not receive it.

Percentage of Long-Stay Residents Given Influenza Vaccination During the Flu Season

Influenza is also known as the "flu" and is a contagious form of a respiratory infection. The flu is easily transmitted from person to person. The most common form of spreading this condition is when a person coughs or sneezes.

Receiving an immunization (influenza vaccination or flu shot) can prevent you from getting the flu or at the least help to reduce your risk of becoming seriously ill from the flu. People 65 years of age and older tend to be at a higher risk of becoming seriously ill from the flu. These illnesses can develop into serious and sometime life threatening medical complications. It is recommended that if you are 65 or older you should get a flu shot once a year if no medical condition would preclude you from receiving one.

The flu season is between October and March of each year. Residents of nursing homes should have a flu shot once every year during the flu season. You doctor will explain to you if you have a medical condition or situation that would not allow you to receive a flu shot.

Overall Rating

The overall rating is a combination of the health inspection rating, the staffing rating, and the quality measures rating. Analysis was conducted on these three data sources and each of these ratings were combined into one overall rating.

When looking at the five-star ratings, more stars are better. Five (5) stars are the most a nursing home can get. One (1) star is the fewest.

Health Inspection Result Rating

Strengths:

Comprehensive: The nursing home health inspection process looks at all major aspects of care in a nursing home (about 180 different items).
Onsite Visits by Trained Inspectors: It is the only source of information that comes from a trained team of objective surveyors who visit each nursing home to check on the quality of care, inspect medical records, and talk with residents about their care.
Federal Quality Checks: Federal surveyors check on the state surveyors' work to make sure they are following the national process and that any differences between states stay within reasonable bounds.

Limits:

Variation between States: There are some differences in how different states carry out the inspection process, even though the standards are the same across the country.
Medicaid Program Differences: There are also differences in state licensing requirements that affect quality, and in state Medicaid programs that pay for much of the care in nursing homes

Staffing Rating

Strengths:

Overall Staffing: The quality ratings look at the overall number of staff compared to the number of residents and how many of the staff are trained nurses.
Adjusted for the Population: The ratings consider differences in how sick the nursing home residents are in each nursing home, since that will make a difference in how many staff are needed.

Limits:

Self-Reported: The staffing data are self-reported by the nursing home, rather than collected and reported by an independent agency.
Snap-Shot in Time: Staffing data are reported just once a year and reflect staffing over a 2 week period of time.

Quality Measures Rating

Strengths:

In-Depth Look: The quality measures provide an important in-depth look at how well each nursing home performs on ten important aspects of care. For example, these measures show how well the nursing home helps people keep their ability to dress and eat, or how well the nursing home prevents and treats skin ulcers.
National Measures: The ten quality measures we use in the Five-Star rating are used in all nursing homes.

Limits:

Self-Reported Data: The quality measures are self-reported by the nursing home, rather than collected and reported by an independent agency.
Just a Few Aspects of Care: The quality measures represent only a few of the many aspects of care that may be important to you.

Name	Position	Compensation	Hours Paid	Retirement or Pension
Ivey, Flora	Rn	11,629	447	3,954
Logan, Evelyn	Don	87,144	2,080	29,629
Thompkins, Althea	Rn	54,003	1,971	18,361
Tharpe, Camilla	Rn	2,926	116	995
Allen, Ellen S	Administrator	90,547	2,080	30,786
Kamera, Josephinie	Rn	57,283	2,037	19,476
Tudor, Marcella	Rn	36,818	1,415	12,518
Hughes, Lavonia M	Rn	10,752	406	3,656
Brookshire, Rachel	Dietary Mgr	35,594	1,260	12,102
Dugan Deborah	Rn	37,398	1,405	12,715
Berry, Debra R	Resp Therapy	128	5	44
Mirville, Peterson	Resp Therapy	16,098	476	5,473
Orourke, Kathleen	Rn	2,491	99	847
Hart, Diana	Asst Admin	12,632	424	4,295
Howard, Nashanuna E	Rn	48,823	1,889	16,600
Staley, Courtney L	Rn	42,224	1,615	14,356
Jackson, Ylencia D	Rn	46,966	1,633	15,968
Wallace, Heather E	Rn	43,139	1,603	14,667
Newkirk, Rhonda Y	Rn	4,011	154	1,364
Johnson, Yvonne G	Rn	3,206	114	1,090
Mc Elroy, Portia M	Rn	13,058	369	4,440
Pauldo, Towanda L	Resp Therapy	7,405	289	2,518
Meharg, Stephen W	Resp Therapy	4,522	149	1,537
Lawson, Cynthia O	Resp Therapy	5,823	207	1,980
Jordan, Verdale	Resp Therapy	1,078	32	367
Vining, Valencier T	Resp Therapy	138	6	47
Sharp, Eddie L	Resp Therapy	838	27	285
Mc Cray, Nakisha A	Resp Therapy	8,232	323	2,799
Lately, Rhonda D	Resp Therapy	888	23	302

Name	Title	Relationship	Hours	Compensation
Allen, Ellen S	Administrator	None	40	90,547
Hart, Diana	Asst Administrator	None	40	12,632

Item Name:	Item Value:
Coverage Type	Health Ins
Contributions	Yes
Claims	--
Captive Ins.	no
Captive Ins. Type	Workers Comp and Liability Ins
Self-Insured	no

Preparer Information (View Report Statewide)

Facility Summary (View Report Statewide)

Certifier Information (View Report Statewide)

Occupancy (View Report Statewide)

Rate Data (View Report Statewide)

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Plant Operation and Maintenance (View Report Statewide)

Administrative and General 1 (View Report Statewide)

Property (View Report Statewide)

Administrative and General 2 (View Report Statewide)

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Routine Service (View Report Statewide)

Physician Care (View Report Statewide)

Physical Therapy (View Report Statewide)

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Radiology (View Report Statewide)

Medical Director (View Report Statewide)

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Beauty and Barber Shop (View Report Statewide)

Medical Records (View Report Statewide)

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In-Service Training (View Report Statewide)

Dues and Subscriptions (View Report Statewide)

Summary (View Report Statewide)

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Summary (View Report Statewide)

Accrued Liabilities (View Report Statewide)

Current Liabilities 1 (View Report Statewide)

Current Liabilities 2 (View Report Statewide)

Current Assets 1 (View Report Statewide)

Current Assets 2 (View Report Statewide)

Interest Bearing Debt (View Report Statewide)

Wage and Employee Benefits Compensation (View Report Statewide)

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Other Cost Report Years:

Fiscal Year Begin: 2009-07-01 | Fiscal Year End: 2010-06-30

Resident Assessment Deficiencies

Quality Care Deficiencies

Environmental Deficiencies

Resident Rights Deficiencies

Nutrition and Dietary Deficiencies

Mistreatment Deficiencies

Corridor Walls and Doors Deficiencies

Electrical Deficiencies

Hazardous Area Deficiencies

Smoke Compartmentation and Control Deficiencies

Resident Councils

Ownership Type

Multiple Nursing Home Ownership

Registered Nurse

Licensed Practical and Vocational Nurse

Certified Nursing Assistant

On Site Services

Percentage of Residents Whose Ability to Move about in and around Their Room Got Worse

Percentage of High Risk Residents Who Have Pressure Sores

Percentage of Residents Who Spend Most of Their Time in Bed or in a Chair

Percentage of Residents Who Were Physically Restrained

Percentage of Residents Whose Need for Help with Daily Activities Has Increased

Percentage of Low Risk Residents Who Lose Control of Their Bowels and Bladder