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Culpeper Health & Rehabilitation Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 180
Continuing Care? No
Resident Council? Yes
Family Council? Yes
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: 09/02/2011

Date of last standard health inspection: 09/02/2011
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: 3
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in VA: 0 - 11

Inspection, 00/07/2010

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. 00/07/2010 02/00/2011 2 Some
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 00/07/2010 02/00/2011 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/07/2010 02/00/2011 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/07/2010 02/00/2011 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/07/2010 01/08/2009 3 Few
Have a program that investigates, controls and keeps infection from spreading. 00/07/2010 02/00/2011 2 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 00/07/2010 02/00/2011 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/07/2010 01/08/2009 3 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 00/07/2010 02/00/2011 2 Some
Prepare food that is nutritional 00/07/2010 02/00/2011 tasty appetizing
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. 00/07/2010 02/00/2011 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/07/2010 02/00/2011 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 00/07/2010 02/00/2011 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 00/07/2010 02/00/2011 2 Some
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. 00/07/2010 02/00/2011 1 Some
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. 00/07/2010 02/00/2011 2 Few
Keep residents' personal and medical records private and confidential. 00/07/2010 02/00/2011 2 Few
Try to resolve each resident's complaints quickly. 00/07/2010 02/00/2011 1 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/07/2010 02/00/2011 2 Few

Inspection, 00/02/2009

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. 00/02/2009 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. 00/02/2009 01/06/2010 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. 00/02/2009 01/06/2010 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/02/2009 01/06/2010 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. 00/02/2009 01/06/2010 2 Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/02/2009 01/06/2010 2 Few
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. 00/02/2009 01/06/2010 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/02/2009 01/06/2010 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/02/2009 02/02/2007 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 00/02/2009 01/06/2010 2 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 00/02/2009 01/06/2010 2 Some
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. 00/02/2009 01/06/2010 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Reasonably accommodate the needs and preferences of each resident. 00/02/2009 01/06/2010 2 Few
Give notice to the resident before a room or roommate change. 00/02/2009 01/06/2010 2 Few

Inspection, 01/07/2008

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep complete, dated laboratory records in the resident's file. 01/07/2008 01/07/2009 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/07/2008 01/07/2009 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. 01/07/2008 01/00/2008 3 Few
Have a program that investigates, controls and keeps infection from spreading. 01/07/2008 01/07/2009 2 Few
Keep all essential equipment working safely. 01/07/2008 01/07/2009 2 Few
Make sure that a working call system is available in each resident's room or bathroom and bathing area. 01/07/2008 01/07/2009 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/07/2008 01/00/2008 3 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. 01/07/2008 01/07/2009 2 Few
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. 01/07/2008 01/07/2009 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. 01/07/2008 01/07/2009 2 Few
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. 01/07/2008 01/07/2009 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/07/2008 01/07/2009 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/07/2008 01/07/2009 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. 01/07/2008 01/07/2009 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 01/07/2008 01/07/2009 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 01/07/2008 01/07/2009 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. 01/07/2008 01/07/2009 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/07/2008 01/07/2009 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 01/07/2008 01/07/2009 2 Few
Develop a complete care plan that meets all the resident's needs 01/07/2008 01/07/2009 Few with timetables and actions that can be measured.
Allow residents the right to participate in the planning or revision of care and treatment. 01/07/2008 01/07/2009 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. 01/07/2008 01/07/2009 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 2 out of 5 stars
Total Number of Residents 86 98 164
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 9 hours 34 minutes 1 hour
RN Hours
per Resident per Day
16 hours 3 minutes 8 hours 32 minutes 26 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 8 hours 57 minutes 34 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 10 hours 8 minutes 1 hour 24 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: 09/06/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 09/06/2011
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, 01/03/2010

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Portable fire extinguishers. 01/03/2010 02/06/2011 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 01/03/2010 02/06/2011 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/03/2010 02/06/2011 2 Few

Inspection, 00/06/2009

Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 00/06/2009 01/06/2010 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/06/2009 01/06/2010 2 Few
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. 00/06/2009 01/06/2010 2 Few
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. 00/06/2009 01/06/2010 2 Few

Inspection, 01/05/2008

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 01/05/2008 01/00/2009 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/05/2008 01/00/2009 2 Few
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly located and lighted Exit" signs." 01/05/2008 01/00/2009 2 Few
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 01/05/2008 01/00/2009 2 Few
 

602 Madison Road
Culpeper, VA 22701

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