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East Glen
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53 Medical Park Drive East
Birmingham, AL 35235
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0 Recommendations
Details
| Type of Ownership | Non profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 108 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | Yes |
| Multi-Home Chain? | No |
| Located in a Hospital? | No |
| Special Focus Facility? | No |
View: Health Inspections | Quality Measures | Staffing | Fire Inspections
Health Inspections
Most Recent Inspection: 03/03/2011
| Date of last standard health inspection: | 03/03/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Health Deficiencies for this nursing home: | 7 |
| Average number of Health Deficiencies in AL: | 5 |
| Average number of Health Deficiencies in US: | 8 |
| Range of Health Deficiencies in AL: | 0 - 31 |
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep accurate and appropriate medical records. | 07/15/2011 | 09/16/2011 | Minimal harm or potential for actual harm | Isolated |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the nursing home area is free of dangers that cause accidents. | 07/15/2011 | 08/19/2011 | Actual harm | Isolated |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give each resident care and services to get or keep the highest quality of life possible. | 07/15/2011 | 09/16/2011 | Actual harm | Isolated |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have a program to keep infection from spreading. | 03/03/2011 | 04/01/2011 | Minimal harm or potential for actual harm | Isolated |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the attending doctor orders special diets. | 03/03/2011 | 04/01/2011 | Minimal harm or potential for actual harm | Isolated |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give professional services that meet a professional standard of quality. | 03/03/2011 | 04/01/2011 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide care for each resident in a way that keeps or builds the resident's quality of life. | 03/03/2011 | 04/01/2011 | Minimal harm or potential for actual harm | Isolated |
Inspection, 03/25/2010
Administration Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep accurate and appropriate medical records. | 03/25/2010 | 04/29/2010 | Minimal harm or potential for actual harm | Isolated |
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the nursing home area is free of dangers that cause accidents. | 03/25/2010 | 04/29/2010 | Actual harm | Isolated |
| Keep all essential equipment working safely. | 03/25/2010 | 04/29/2010 | Minimal harm or potential for actual harm | Isolated |
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have a program to keep infection from spreading. | 03/25/2010 | 04/29/2010 | Minimal harm or potential for actual harm | Pattern |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | 03/25/2010 | 04/29/2010 | Minimal harm or potential for actual harm | Pattern |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give professional services that meet a professional standard of quality. | 03/25/2010 | 04/29/2010 | Minimal harm or potential for actual harm | Pattern |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 03/25/2010 | 04/29/2010 | Minimal harm or potential for actual harm | Isolated |
| Make sure that each resident's nutritional needs were met. | 03/25/2010 | 04/29/2010 | Actual harm | Isolated |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Do a new assessment after any major change in a resident's physical or mental health. | 03/25/2010 | 04/29/2010 | Minimal harm or potential for actual harm | Isolated |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | 03/25/2010 | 04/29/2010 | Minimal harm or potential for actual harm | Pattern |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make a complete assessment that covers all questions for areas that are listed in official regulations. | 03/25/2010 | 04/29/2010 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | 03/25/2010 | 04/29/2010 | Minimal harm or potential for actual harm | Isolated |
Inspection, 05/14/2009
Administration Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep accurate and appropriate medical records. | 05/14/2009 | 06/18/2009 | Minimal harm or potential for actual harm | Pattern |
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the nursing home area is free of dangers that cause accidents. | 05/14/2009 | 06/18/2009 | Minimal harm or potential for actual harm | Isolated |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that residents are well nourished. | 05/14/2009 | 06/18/2009 | Minimal harm or potential for actual harm | Widespread |
| Store, cook, and give out food in a safe and clean way. | 05/14/2009 | 06/18/2009 | Minimal harm or potential for actual harm | Widespread |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | 05/14/2009 | 06/18/2009 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide proof that all residents' personal money which is deposited with the nursing home, is secure. | 05/14/2009 | 06/18/2009 | Minimal harm or potential for actual harm | Pattern |
| Let residents give themselves their drugs if they are able. | 05/14/2009 | 06/18/2009 | Minimal harm or potential for actual harm | Isolated |
Nursing Home Staffing
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
| National Average | Average in AL | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | 3 out of 5 stars |
| Total Number of Residents | 86 | 97 | 98 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
1 hour 29 minutes | 1 hour 38 minutes | 1 hour 24 minutes |
|
RN Hours per Resident per Day |
40 minutes | 35 minutes | 35 minutes |
|
LPN/LVN Hours per Resident per Day |
49 minutes | 1 hour 3 minutes | 49 minutes |
|
CNA Hours per Resident per Day |
2 hours 25 minutes | 2 hours 41 minutes | 2 hours 12 minutes |
1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.
Quality Measures
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
Long-Term Residents
| Percent of high-risk long-stay residents who have pressure sores | 7% |
| Percent of long-stay residents given influenza vaccination during the flu season | 90+% |
| Percent of long-stay residents who are more depressed or anxious | 12% |
| Percent of long-stay residents who had a urinary tract infection | 1% |
| Percent of long-stay residents who have moderate to severe pain | 2% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 7% |
| Percent of long-stay residents who spend most of their time in bed or in a chair | 7% |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | 90+% |
| Percent of long-stay residents who were physically restrained | 0% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 5% |
| Percent of long-stay residents whose need for help with daily activities has increased | 7% |
| Percent of low-risk long-stay residents who have pressure sores | 3% |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 37% |
Short-Term Residents
| Percent of long-stay residents who lose too much weight | 14% |
| Percent of short-stay residents given influenza vaccination during the flu season | 80% |
| Percent of short-stay residents who had moderate to severe pain | 9% |
| Percent of short-stay residents who have delirium | 3% |
| Percent of short-stay residents who have pressure sores | 6% |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | 65% |
Fire Safety Inspections
Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.
Most Recent Inspection: 03/09/2011
| Automatic Sprinkler Systems in all required areas | fully sprinklered |
| Date of last standard fire safety inspection: | 03/09/2011 |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Fire Safety Deficiencies for this nursing home: | 2 |
| Average number of Fire Safety Deficiencies in AL: | 5 |
| Average number of Fire Safety Deficiencies in US: | 4 |
| Range of Fire Safety Deficiencies in AL: | 0 - 11 |
Building Construction Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| a two-hour-resistant firewall in common walls. | 03/09/2011 | 04/13/2011 | Minimal harm or potential for actual harm | Pattern |
Building Service Equipment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| properly protected cooking facilities. | 03/09/2011 | 04/13/2011 | Minimal harm or potential for actual harm | Pattern |
Inspection, 03/25/2010
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| automatic sprinkler systems that have been maintained in working order. | 03/25/2010 | 04/29/2010 | Minimal harm or potential for actual harm | Pattern |
Corridor Walls and Doors Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| corridor and hallway doors that block smoke. | 03/25/2010 | 06/18/2010 | Minimal harm or potential for actual harm | Isolated |
Electrical Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| properly installed electrical wiring and equipment. | 03/25/2010 | 04/29/2010 | Minimal harm or potential for actual harm | Widespread |
Exits and Egress Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| exits that are accessible at all times. | 03/25/2010 | 04/29/2010 | Minimal harm or potential for actual harm | Isolated |
Fire Alarm Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| an approved installation, maintenance and testing program for fire alarm systems. | 03/25/2010 | 04/29/2010 | Minimal harm or potential for actual harm | Isolated |
Furnishings and Decorations Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| exits that are free from obstructions and can be used at all times. | 03/25/2010 | 04/29/2010 | Minimal harm or potential for actual harm | Isolated |
Smoke Compartmentation and Control Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. | 03/25/2010 | 04/29/2010 | Minimal harm or potential for actual harm | Widespread |
Smoking Regulations Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| posted "No-smoking" signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed. | 03/25/2010 | 04/29/2010 | Minimal harm or potential for actual harm | Isolated |
Inspection, 05/14/2009
Corridor Walls and Doors Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| corridor and hallway doors that block smoke. | 05/14/2009 | 06/14/2009 | Minimal harm or potential for actual harm | Pattern |
Exits and Egress Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| exits that are accessible at all times. | 05/14/2009 | 06/14/2009 | Minimal harm or potential for actual harm | Pattern |
Fire Alarm Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| a fire alarm system that can be heard throughout the facility. | 05/14/2009 | 06/14/2009 | Minimal harm or potential for actual harm | Isolated |
Hazardous Area Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| construction that can resist fire for one hour or an approved fire extinguishing system. | 05/14/2009 | 06/14/2009 | Minimal harm or potential for actual harm | Isolated |
