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Lynchburg Hlth & Rehab Cntr

Details

Type of Ownership For profit - Partnership
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 180
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: 01/26/2012

Date of last standard health inspection: 01/26/2012
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 1
Average number of Health Deficiencies in VA: 3
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in VA: 0 - 11
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop and implement policies for 1) screening and training employees; and the 2) prevention 00/09/2012 01/01/2001 investigation identification

Inspection, 00/09/2012

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Operate and provide services according to Federal, State, and local laws and professional standards. 00/09/2012 01/01/2001 2 Few
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 00/09/2012 01/01/2001 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/09/2012 01/01/2001 2 Some
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. 00/09/2012 01/01/2001 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 00/09/2012 01/01/2001 2 Few
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. 00/09/2012 01/01/2001 2 Few
Ensure that residents are safe from serious medication errors. 00/09/2012 01/01/2001 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/09/2012 01/01/2001 2 Many
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 00/09/2012 01/01/2001 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. 00/09/2012 01/01/2001 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 00/09/2012 01/01/2001 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. 00/09/2012 01/01/2001 2 Few
Allow residents to self-administer drugs if determined safe. 00/09/2012 01/01/2001 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/09/2012 01/01/2001 2 Few

Inspection, 02/08/2002

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. 02/08/2002 00/08/2004 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/08/2002 00/08/2004 2 Few
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 02/08/2002 00/08/2004 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. 02/08/2002 00/08/2004 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/08/2002 00/08/2004 2 Some
Have a program that investigates, controls and keeps infection from spreading. 02/08/2002 00/08/2004 2 Some
Keep all essential equipment working safely. 02/08/2002 00/08/2004 2 Many
Provide a safe 02/08/2002 00/08/2004 comfortable and home-like environment; and allow r clean
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/08/2002 00/08/2004 2 Some
Have a program that investigates 02/08/2002 00/08/2004 Some controls and keeps infection from spreading.
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. 02/08/2002 00/08/2004 2 Some
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. 02/08/2002 00/08/2004 2 Some
1) Hire only people with no legal history of abusing 02/08/2002 00/08/2004 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Develop and implement policies for 1) screening and training employees; and the 2) prevention 02/08/2002 00/08/2004 investigation identification
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. 02/08/2002 00/08/2004 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. 02/08/2002 00/08/2004 2 Some
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 02/08/2002 00/08/2004 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 02/08/2002 00/08/2004 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/08/2002 00/08/2004 2 Few
Keep the rate of medication errors (wrong drug 02/08/2002 00/08/2004 wrong time) to less than 5%. wrong dose
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. 02/08/2002 00/08/2004 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/08/2002 00/08/2004 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/08/2002 00/08/2004 2 Few
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 02/08/2002 00/08/2004 2 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 02/08/2002 00/08/2004 2 Few
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 02/08/2002 00/08/2004 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. 02/08/2002 00/08/2004 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 02/08/2002 00/08/2004 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Try to resolve each resident's complaints quickly. 02/08/2002 00/08/2004 2 Few

Inspection, 02/06/2001

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. 02/06/2001 02/03/2002 2 Few
Keep accurate 02/06/2001 02/03/2002 Few complete and organized clinical records on each re
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 02/06/2001 02/03/2002 2 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that residents are safe from serious medication errors. 02/06/2001 00/01/2005 2 Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/06/2001 02/03/2002 2 Few
Ensure that residents are safe from serious medication errors. 02/06/2001 00/01/2005 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 02/06/2001 02/03/2002 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/06/2001 02/03/2002 2 Few
Ensure residents maintain acceptable nutritional status. 02/06/2001 02/03/2002 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 02/06/2001 02/03/2002 2 Few
Provide medically-related social services to help each resident achieve the highest possible quality of life. 02/06/2001 02/03/2002 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/06/2001 02/03/2002 2 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. 02/06/2001 02/03/2002 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 02/06/2001 02/03/2002 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. 02/06/2001 02/03/2002 2 Some
Reasonably accommodate the needs and preferences of each resident. 02/06/2001 02/03/2002 2 Few
Immediately tell the resident 02/06/2001 02/03/2002 and a family member of situations (injury/decline/ the resident's doctor

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 3 out of 5 stars
Total Number of Residents 86 98 163
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 9 hours 34 minutes 1 hour 40 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 8 hours 32 minutes 34 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 8 hours 57 minutes 1 hour 6 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 10 hours 8 minutes 2 hours 15 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: 02/07/2012

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 02/07/2012
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, 01/07/2012

Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/07/2012 02/01/2001 2 Few
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly sized and located linen or trash receptacles. 01/07/2012 02/01/2001 2 Few
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. 01/07/2012 02/01/2001 2 Some

Inspection, 00/04/2003

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Signs that state that exit doors are to be kept closed. 00/04/2003 00/00/0000 2 Some
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 00/04/2003 00/00/0000 2 Some
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. 00/04/2003 00/00/0000 2 Many

Inspection, 00/07/2002

Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/07/2002 01/04/2003 2 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. 00/07/2002 01/04/2003 2 Few
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 00/07/2002 01/04/2003 2 Some
 

5615 Seminole Avenue
Lynchburg, VA 24502

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