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Carriage Hill Health And Rehab Center

Details

Type of Ownership For profit - Partnership
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 150
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: 03/08/2012

Date of last standard health inspection: 03/08/2012
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, 01/02/2012

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%. 01/02/2012 01/01/2001 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. 01/02/2012 01/01/2001 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide doctor's orders for the resident's immediate care at the time the resident was admitted. 01/02/2012 01/01/2001 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/02/2012 01/01/2001 2 Few

Inspection, 01/09/2009

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 01/09/2009 00/00/0000 Some complete and organized clinical records on each re
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. 01/09/2009 00/00/0000 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly care for residents needing special services 01/09/2009 00/00/0000 colostomy including: injections

Inspection, 01/01/2008

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. 01/01/2008 03/00/2008 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/01/2008 03/00/2008 2 Few

Inspection, 02/07/2007

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 02/07/2007 00/00/0000 Few complete and organized clinical records on each re
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. 02/07/2007 00/00/0000 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. 02/07/2007 01/09/2009 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/07/2007 01/09/2009 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/07/2007 01/09/2009 2 Few
Properly care for residents needing special services 02/07/2007 00/00/0000 colostomy including: injections
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide doctor's orders for the resident's immediate care at the time the resident was admitted. 02/07/2007 01/09/2009 2 Few
Develop a complete care plan that meets all the resident's needs 02/07/2007 01/09/2009 Few with timetables and actions that can be measured.
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. 02/07/2007 01/09/2009 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 02/07/2007 01/09/2009 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 01/08/2006

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. 01/08/2006 00/00/0000 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 01/08/2006 00/00/0000 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 01/07/2006

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. 01/07/2006 02/09/2007 2 Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/07/2006 02/09/2007 2 Some
Operate and provide services according to Federal 01/07/2006 02/09/2007 and local laws and professional standards. State
Keep accurate 01/07/2006 02/09/2007 Some complete and organized clinical records on each re
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. 01/07/2006 02/09/2007 3 Few
Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. 01/07/2006 02/09/2007 2 Few
Keep all essential equipment working safely. 01/07/2006 02/09/2007 2 Many
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/07/2006 02/09/2007 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. 01/07/2006 02/09/2007 2 Few
1) Hire only people with no legal history of abusing 01/07/2006 02/09/2007 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
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/07/2006 02/09/2007 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. 01/07/2006 02/06/2008 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/07/2006 02/06/2008 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/07/2006 02/09/2007 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. 01/07/2006 02/09/2007 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 01/07/2006 02/09/2007 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/07/2006 02/06/2008 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Completely assess the resident at least every twelve months. 01/07/2006 02/09/2007 2 Few
Assure that each resident 01/07/2006 02/09/2007 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 01/07/2006 02/09/2007 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. 01/07/2006 02/09/2007 2 Few
Make sure that doctors visit residents regularly, as required. 01/07/2006 02/09/2007 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 01/07/2006 02/09/2007 2 Few
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 01/07/2006 02/09/2007 2 Few

Inspection, 01/00/2005

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 01/00/2005 00/02/2010 Few complete and organized clinical records on each re
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 01/02/2006 2 Some
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. 01/00/2005 00/02/2010 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. 01/00/2005 01/09/2009 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/00/2005 01/09/2009 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/00/2005 01/09/2009 3 Few
Properly care for residents needing special services 01/00/2005 00/02/2010 colostomy including: injections
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide doctor's orders for the resident's immediate care at the time the resident was admitted. 01/00/2005 01/09/2009 2 Few
Develop a complete care plan that meets all the resident's needs 01/00/2005 01/09/2009 Few with timetables and actions that can be measured.
Allow residents the right to participate in the planning or revision of care and treatment. 01/00/2005 01/02/2006 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. 01/00/2005 01/09/2009 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 01/00/2005 01/09/2009 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 00/08/2003

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. 00/08/2003 02/02/2004 2 Few
Quickly tell the resident's doctor the results of laboratory tests. 00/08/2003 02/02/2004 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/08/2003 02/02/2004 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/08/2003 02/02/2004 2 Few
Have a program that investigates, controls and keeps infection from spreading. 00/08/2003 02/02/2004 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. 00/08/2003 02/02/2004 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. 00/08/2003 02/02/2004 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/08/2003 02/02/2004 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assess in a timely manner the resident when the resident enters the nursing home. 00/08/2003 02/02/2004 2 Few
Assure that each resident 00/08/2003 02/02/2004 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 00/08/2003 02/02/2004 2 Some
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/08/2003 02/02/2004 2 Some
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. 00/08/2003 02/02/2004 2 Few
Make sure that doctors visit residents regularly, as required. 00/08/2003 02/02/2004 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 VA Golden Living Center, Asheville
RN Staff Only1 N/A N/A 1 out of 5 stars
Total Number of Residents 86 98 119
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 9 hours 34 minutes 1 hour 45 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 8 hours 32 minutes 24 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 8 hours 57 minutes 1 hour 21 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 10 hours 8 minutes 2 hours 16 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: 03/15/2012

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 03/15/2012
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

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An adequate water supply for the sprinkler system. 01/07/2012 01/07/2001 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/07/2012 01/07/2001 2 Some

Inspection, 02/04/2006

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/04/2006 02/08/2007 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/04/2006 02/08/2007 2 Some
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Restrictions on the use of highly flammable decorations. 02/04/2006 02/08/2007 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. 02/04/2006 02/08/2007 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. 02/04/2006 02/08/2007 2 Few

Inspection, 01/05/2003

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/05/2003 02/06/2004 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. 01/05/2003 02/06/2004 2 Few
Corridor and hallway doors that block smoke. 01/05/2003 02/06/2004 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/05/2003 02/06/2004 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. 01/05/2003 02/06/2004 2 Few
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly located and lighted Exit" signs." 01/05/2003 02/06/2004 2 Some
 

6106 Health Center Lane
Fredericksburg, VA 22407

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