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Elderberry Health Care
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415 Elderberry Lane
Marshall, NC 28753
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0 Recommendations
Details
| Type of Ownership | For profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 80 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | No |
| 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: 10/06/2011
| Date of last standard health inspection: | 10/06/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Health Deficiencies for this nursing home: | 5 |
| Average number of Health Deficiencies in NC: | 5 |
| Average number of Health Deficiencies in US: | 8 |
| Range of Health Deficiencies in NC: | 0 - 29 |
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. | 10/06/2011 | 10/28/2011 | Minimal harm or potential for actual harm | Pattern |
| Have a program to keep infection from spreading. | 10/06/2011 | 10/28/2011 | Minimal harm or potential for actual harm | Isolated |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | 10/06/2011 | 10/23/2011 | Potential for minimal harm | Pattern |
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. | 10/06/2011 | 10/28/2011 | Minimal harm or potential for actual harm | Isolated |
| Give each resident care and services to get or keep the highest quality of life possible. | 10/06/2011 | 10/28/2011 | Minimal harm or potential for actual harm | Isolated |
Inspection, 08/26/2010
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep accurate and appropriate medical records. | 08/26/2010 | 09/23/2010 | 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 |
| 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. | 08/26/2010 | 09/23/2010 | 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. | 08/26/2010 | 09/23/2010 | 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 in a way that keeps or builds each resident's dignity and self respect. | 08/26/2010 | 09/23/2010 | Minimal harm or potential for actual harm | Isolated |
Inspection, 07/22/2009
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and give out food in a safe and clean way. | 07/22/2009 | 08/14/2009 | 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. | 07/22/2009 | 08/14/2009 | Minimal harm or potential for actual harm | Isolated |
| Give professional services that follow each resident's written care plan. | 07/22/2009 | 08/14/2009 | Minimal harm or potential for actual harm | Isolated |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | 07/22/2009 | 08/14/2009 | 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 NC | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | 3 out of 5 stars |
| Total Number of Residents | 86 | 88 | 78 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
1 hour 29 minutes | 1 hour 30 minutes | 1 hour 46 minutes |
|
RN Hours per Resident per Day |
40 minutes | 39 minutes | 38 minutes |
|
LPN/LVN Hours per Resident per Day |
49 minutes | 50 minutes | 1 hour 7 minutes |
|
CNA Hours per Resident per Day |
2 hours 25 minutes | 2 hours 25 minutes | 2 hours 28 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 | 6% |
| Percent of long-stay residents given influenza vaccination during the flu season | 90+% |
| Percent of long-stay residents who are more depressed or anxious | 5% |
| Percent of long-stay residents who had a urinary tract infection | 17% |
| Percent of long-stay residents who have moderate to severe pain | 1% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 4% |
| 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 | 2% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 14% |
| Percent of long-stay residents whose need for help with daily activities has increased | 29% |
| Percent of low-risk long-stay residents who have pressure sores | 2% |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 40% |
Short-Term Residents
| Percent of long-stay residents who lose too much weight | 3% |
| Percent of short-stay residents given influenza vaccination during the flu season | 90+% |
| Percent of short-stay residents who had moderate to severe pain | 0% |
| Percent of short-stay residents who have delirium | 1% |
| Percent of short-stay residents who have pressure sores | 3% |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | 82% |
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: 10/19/2011
| Automatic Sprinkler Systems in all required areas | fully sprinklered |
| Date of last standard fire safety inspection: | 10/19/2011 |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Fire Safety Deficiencies for this nursing home: | 5 |
| Average number of Fire Safety Deficiencies in NC: | 3 |
| Average number of Fire Safety Deficiencies in US: | 4 |
| Range of Fire Safety Deficiencies in NC: | 0 - 11 |
Automatic Sprinkler Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| an approved automatic sprinkler system connected to the fire alarm system. | 10/19/2011 | 11/16/2011 | Minimal harm or potential for actual harm | Widespread |
Building Construction Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| approved construction type or materials. | 10/19/2011 | 11/16/2011 | Minimal harm or potential for actual harm | Pattern |
Medical Gases and Anesthetizing Areas Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| proper medical gas storage and administration areas. | 10/19/2011 | 11/16/2011 | Minimal harm or potential for actual harm | Isolated |
Miscellaneous Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| fire safety features required by current fire safety codes. | 10/19/2011 | 11/16/2011 | 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. | 10/19/2011 | 11/16/2011 | Minimal harm or potential for actual harm | Widespread |
Inspection, 09/29/2010
Electrical Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| properly installed electrical wiring and equipment. | 09/29/2010 | 10/20/2010 | Minimal harm or potential for actual harm | Isolated |
Illumination and Emergency Power Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| proper backup exit lighting. | 09/29/2010 | 10/20/2010 | Minimal harm or potential for actual harm | Isolated |
Inspection, 08/19/2009
Fire Alarm Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| an approved installation, maintenance and testing program for fire alarm systems. | 08/19/2009 | 08/21/2009 | 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 |
| smoke barrier doors that can resist smoke for at least 20 minutes. | 08/19/2009 | 08/21/2009 | Minimal harm or potential for actual harm | Isolated |
