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Pepper Hill Nursing & Rehab Center, Llc

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? No
Certified Beds 9
Continuing Care? No
Resident Council? No
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: 07/13/2011

Date of last standard health inspection: 07/13/2011
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 SC: 3
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in SC: 0 - 7

Inspection, 02/06/2009

Administration Deficiencies
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. 02/06/2009 02/04/2010 2 Few
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. 02/06/2009 02/04/2010 2 Few
Dispose of garbage and refuse properly. 02/06/2009 01/06/2010 2 Some
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. 02/06/2009 02/06/2009 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide residents with private access to a telephone. 02/06/2009 01/06/2010 1 Many

Inspection, 01/03/2007

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Employ staff that are licensed, certified, or registered in accordance with state laws. 01/03/2007 00/04/2008 2 Many
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/03/2007 00/02/2008 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. 01/03/2007 00/02/2008 2 Some
Store, cook, and serve food in a safe and clean way. 01/03/2007 00/04/2008 2 Many
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. 01/03/2007 00/02/2008 3 Few
Ensure that residents are safe from serious medication errors. 01/03/2007 00/04/2008 3 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure residents maintain acceptable nutritional status. 01/03/2007 00/01/2008 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 01/03/2007 00/01/2008 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 01/03/2007 01/04/2007 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/03/2007 02/08/2007 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 01/03/2007 02/08/2007 2 Few

Inspection, 02/00/2004

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 02/00/2004 02/06/2004 1 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain comfortable sound levels. 02/00/2004 02/07/2004 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. 02/00/2004 02/06/2004 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that special or therapeutic diets are ordered by the attending doctor. 02/00/2004 01/00/2005 2 Few
Pharmacy Service Deficiencies
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. 02/00/2004 03/00/2004 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 02/00/2004 00/03/2005 2 Some
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. 02/00/2004 03/00/2004 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 SC Golden Living Center, Asheville
RN Staff Only1 N/A N/A 4 out of 5 stars
Total Number of Residents 86 90 132
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 12 hours 35 minutes 1 hour 26 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 11 hours 40 minutes 40 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 11 hours 55 minutes 46 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 13 hours 26 minutes 2 hours 35 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: 07/15/2011

Automatic Sprinkler Systems in all required areas 88
Date of last standard fire safety inspection: 07/15/2011
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 SC: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in SC: 0 - 0

Inspection, 02/06/2009

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/06/2009 01/06/2010 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/06/2009 01/02/2010 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/06/2009 01/02/2010 2 Few

Inspection, 02/00/2004

Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 02/00/2004 02/01/2004 2 Few
 

3525 Augustus Road
Aiken, SC 29802

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