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Atlantic Shores Rehabilitation & Health Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 181
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: 11/22/2011

Date of last standard health inspection: 11/22/2011
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 DE: 7
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in DE: 0 - 15

Inspection, 02/02/2011

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. 02/02/2011 03/01/2001 2 Few
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. 02/02/2011 03/01/2001 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. 02/02/2011 03/01/2001 2 Few
Have a program that investigates 02/02/2011 03/01/2001 Few controls and keeps infection from spreading.
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 02/02/2011 03/01/2001 2 Few
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 02/02/2011 03/01/2001 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. 02/02/2011 03/01/2001 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 02/02/2011 03/01/2001 2 Few
Ensure residents maintain acceptable nutritional status. 02/02/2011 03/01/2001 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/02/2011 03/01/2001 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 02/02/2011 03/01/2001 and that incontinent patients receive proper servi unless medically necessary
Ensure residents maintain acceptable nutritional status. 02/02/2011 03/01/2001 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/02/2011 03/01/2001 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 02/02/2011 03/01/2001 2 Few
Develop a complete care plan that meets all the resident's needs 02/02/2011 03/01/2001 Few with timetables and actions that can be measured.
Allow residents the right to participate in the planning or revision of care and treatment. 02/02/2011 03/01/2001 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 02/02/2011 03/01/2001 2 Few
Keep residents' personal and medical records private and confidential. 02/02/2011 03/01/2001 2 Few
Allow residents to self-administer drugs if determined safe. 02/02/2011 03/01/2001 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/02/2011 03/01/2001 2 Few
Immediately tell the resident 02/02/2011 03/01/2001 and a family member of situations (injury/decline/ the resident's doctor
Keep residents' personal and medical records private and confidential. 02/02/2011 03/01/2001 2 Few
Allow residents to self-administer drugs if determined safe. 02/02/2011 03/01/2001 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/02/2011 03/01/2001 2 Few

Inspection, 00/01/2008

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/01/2008 03/00/2009 2 Few
Provide housekeeping and maintenance services. 00/01/2008 03/00/2009 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 00/01/2008 03/00/2009 2 Few
1) Hire only people with no legal history of abusing 00/01/2008 03/00/2009 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 00/01/2008 03/00/2009 2 Few
Store 00/01/2008 03/00/2009 and serve food in a safe and clean way. cook
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 00/01/2008 03/00/2009 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/01/2008 03/00/2009 2 Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 00/01/2008 03/00/2009 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/01/2008 03/00/2009 2 Some
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 00/01/2008 03/00/2009 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/01/2008 03/00/2009 2 Few
At least once a month 00/01/2008 03/00/2009 Few have a licensed pharmacist review each resident's
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/01/2008 03/00/2009 2 Some
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. 00/01/2008 03/00/2009 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 00/01/2008 03/00/2009 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/01/2008 03/00/2009 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 00/01/2008 03/00/2009 and that incontinent patients receive proper servi unless medically necessary
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 00/01/2008 03/00/2009 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/01/2008 03/00/2009 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 00/01/2008 03/00/2009 2 Few
Conduct initial and periodic assessments of each resident's functional capacity. 00/01/2008 03/00/2009 2 Few
Develop a complete care plan that meets all the resident's needs 00/01/2008 03/00/2009 Few with timetables and actions that can be measured.
Allow residents the right to participate in the planning or revision of care and treatment. 00/01/2008 03/00/2009 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/01/2008 03/00/2009 2 Few
Reasonably accommodate the needs and preferences of each resident. 00/01/2008 03/00/2009 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/01/2008 03/00/2009 2 Few
Reasonably accommodate the needs and preferences of each resident. 00/01/2008 03/00/2009 2 Few

Inspection, 01/06/2007

Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store 01/06/2007 01/04/2010 and serve food in a safe and clean way. cook
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/06/2007 01/04/2010 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. 01/06/2007 01/04/2010 3 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 01/06/2007 01/04/2010 and that incontinent patients receive proper servi unless medically necessary
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 01/06/2007 01/04/2010 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 01/00/2005

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. 01/00/2005 02/02/2006 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 01/00/2005 02/02/2006 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report

Inspection, 02/02/2003

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 02/02/2003 01/06/2006 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide food in a way that meets a resident's needs. 02/02/2003 01/06/2006 2 Few
Pharmacy Service Deficiencies
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. 02/02/2003 01/06/2006 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. 02/02/2003 01/06/2006 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/02/2003 01/06/2006 3 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs 02/02/2003 01/06/2006 Few with timetables and actions that can be measured.
Allow residents the right to participate in the planning or revision of care and treatment. 02/02/2003 01/06/2006 2 Few
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. 02/02/2003 01/06/2006 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 02/02/2003 01/06/2006 and a family member of situations (injury/decline/ the resident's doctor
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/02/2003 01/06/2006 2 Few

Inspection, 01/01/2003

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide bedrooms that don't allow residents to see each other when privacy is needed. 01/01/2003 00/07/2006 2 Some
Provide bedrooms that don't allow residents to see each other when privacy is needed. 01/01/2003 00/07/2006 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 01/01/2003 00/07/2006 2 Few
1) Hire only people with no legal history of abusing 01/01/2003 00/07/2006 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Pharmacy Service Deficiencies
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%. 01/01/2003 00/07/2006 2 Some
Keep the rate of medication errors (wrong drug 01/01/2003 00/07/2006 wrong time) to less than 5%. wrong dose
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 01/01/2003 00/07/2006 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/01/2003 00/07/2006 2 Few
Provide care by qualified persons according to each resident's written plan of care. 01/01/2003 00/07/2006 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/01/2003 00/07/2006 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/01/2003 00/07/2006 3 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure each resident receives an accurate assessment by a qualified health professional. 01/01/2003 00/07/2006 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/01/2003 00/07/2006 2 Few
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. 01/01/2003 01/05/2006 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 01/01/2003 00/07/2006 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Try to resolve each resident's complaints quickly. 01/01/2003 00/07/2006 2 Few
Reasonably accommodate the needs and preferences of each resident. 01/01/2003 00/07/2006 2 Few
Try to resolve each resident's complaints quickly. 01/01/2003 00/07/2006 2 Few
Reasonably accommodate the needs and preferences of each resident. 01/01/2003 00/07/2006 2 Few

Inspection, 00/04/2001

Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly hold 00/04/2001 01/07/2002 and manage each resident's personal money which is secure
Send unopened mail from residents and promptly deliver unopened mail to residents. 00/04/2001 02/02/2003 2 Few
Ensure residents have the right to have a choice over activities 00/04/2001 02/02/2003 and health care according to their interests their schedules

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 DE Golden Living Center, Asheville
RN Staff Only1 N/A N/A 4 out of 5 stars
Total Number of Residents 86 87 175
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 4 hours 28 minutes 1 hour 29 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 3 hours 32 minutes 40 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 3 hours 27 minutes 48 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 5 hours 9 minutes 2 hours 23 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: 11/16/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 11/16/2011
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 DE: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in DE: 0 - 0

Inspection, 01/06/2011

Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 01/06/2011 00/01/2012 2 Few

Inspection, 01/04/2003

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 01/04/2003 01/04/2005 1 Some
Automatic sprinkler systems that have been maintained in working order. 01/04/2003 01/04/2005 1 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/04/2003 01/04/2005 1 Some
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 01/04/2003 01/04/2005 1 Some
Hazardous Area Deficiencies
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. 01/04/2003 01/04/2005 1 Many
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 01/04/2003 01/04/2005 1 Some
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 01/04/2003 01/04/2005 1 Some
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes. 01/04/2003 01/04/2005 1 Some
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. 01/04/2003 01/04/2005 1 Some
 

231 South Washington Street
Millsboro, DE 19966

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