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Va Bap Hosp Div Cen
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3300 Rivermont Ave
Lynchburg, VA 24503
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0 Recommendations
Details
| Type of Ownership | Non profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 166 |
| 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: 06/30/2011
| Date of last standard health inspection: | 06/30/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Health Deficiencies for this nursing home: | 0 |
| Average number of Health Deficiencies in VA: | 4 |
| Average number of Health Deficiencies in US: | 3 |
| Range of Health Deficiencies in VA: | 0 - 16 |
Inspection, 01/02/2007
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | 01/02/2007 | 02/05/2008 | 2 | Few |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | 01/02/2007 | 02/05/2008 | 2 | Few |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | 01/02/2007 | 02/05/2008 | 2 | Few |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide housekeeping and maintenance services. | 01/02/2007 | 02/05/2008 | 1 | Many |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 01/02/2007 | 03/01/2010 | 3 | Few |
| Keep all essential equipment working safely. | 01/02/2007 | 02/05/2008 | 2 | Some |
| Provide housekeeping and maintenance services. | 01/02/2007 | 02/05/2008 | 1 | Many |
| Keep all essential equipment working safely. | 01/02/2007 | 02/05/2008 | 2 | Some |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and serve food in a safe and clean way. | 01/02/2007 | 02/05/2008 | 2 | Many |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | 01/02/2007 | 02/05/2008 | 2 | Few |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | 01/02/2007 | 02/05/2008 | 2 | Few |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure services provided by the nursing facility meet professional standards of quality. | 01/02/2007 | 02/05/2008 | 2 | Few |
| Ensure services provided by the nursing facility meet professional standards of quality. | 01/02/2007 | 02/05/2008 | 2 | Few |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | 01/02/2007 | 03/01/2010 | 2 | Few |
| Allow residents to self-administer drugs if determined safe. | 01/02/2007 | 02/05/2008 | 2 | Few |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 01/02/2007 | 03/01/2010 | 2 | Few |
| Allow residents to self-administer drugs if determined safe. | 01/02/2007 | 02/05/2008 | 2 | Few |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 01/02/2007 | 00/00/0000 | 2 | Few |
Inspection, 00/09/2007
Administration Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | 00/09/2007 | 02/03/2008 | 2 | Few |
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have a program that investigates, controls and keeps infection from spreading. | 00/09/2007 | 02/03/2008 | 2 | Few |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | 00/09/2007 | 02/03/2008 | 2 | Few |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | 00/09/2007 | 02/03/2008 | 2 | Few |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 00/09/2007 | 02/03/2008 | 2 | Few |
Inspection, 03/00/2006
Administration Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. | 03/00/2006 | 01/04/2008 | 2 | Many |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | 03/00/2006 | 01/04/2008 | 2 | Few |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | 03/00/2006 | 01/04/2008 | 2 | Few |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | 03/00/2006 | 01/04/2008 | 2 | Many |
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 03/00/2006 | 01/04/2008 | 3 | Few |
| Keep all essential equipment working safely. | 03/00/2006 | 01/04/2008 | 2 | Few |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | 03/00/2006 | 01/04/2008 | 2 | Some |
| 1) Hire only people with 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. | 03/00/2006 | 01/04/2008 | 2 | Many |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | 03/00/2006 | 01/04/2008 | 2 | Many |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure each resident receives an accurate assessment by a qualified health professional. | 03/00/2006 | 01/04/2008 | 2 | Few |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 03/00/2006 | 01/04/2008 | 2 | Few |
| Allow residents the right to participate in the planning or revision of care and treatment. | 03/00/2006 | 01/04/2008 | 2 | Few |
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 VA | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | 4 out of 5 stars |
| Total Number of Residents | 85 | 98 | 135 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
15 hours 26 minutes | 9 hours 33 minutes | 3 hours 4 minutes |
|
RN Hours per Resident per Day |
14 hours 37 minutes | 8 hours 31 minutes | 54 minutes |
|
LPN/LVN Hours per Resident per Day |
14 hours 52 minutes | 8 hours 57 minutes | 2 hours 10 minutes |
|
CNA Hours per Resident per Day |
16 hours 21 minutes | 10 hours 8 minutes | 2 hours 25 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
Short-Term Residents
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: 07/13/2011
| Automatic Sprinkler Systems in all required areas | Yes |
| Date of last standard fire safety inspection: | 07/13/2011 |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Fire Safety Deficiencies for this nursing home: | 0 |
| Average number of Fire Safety Deficiencies in VA: | 0 |
| Average number of Fire Safety Deficiencies in US: | 2 |
| Range of Fire Safety Deficiencies in VA: | 0 - 0 |
Inspection, 01/03/2007
Automatic Sprinkler Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Automatic sprinkler systems that have been maintained in working order. | 01/03/2007 | 00/06/2008 | 2 | Many |
| Automatic sprinkler systems that have been maintained in working order. | 01/03/2007 | 02/00/2009 | 2 | Many |
Building Construction Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Approved construction type or materials. | 01/03/2007 | 00/06/2008 | 2 | Some |
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. | 01/03/2007 | 02/00/2009 | 2 | Some |
Electrical Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly installed electrical wiring and equipment. | 01/03/2007 | 02/00/2009 | 2 | Few |
Hazardous Area Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | 01/03/2007 | 02/00/2009 | 2 | Few |
