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AZALEA TRACE NURSING CENTER - COLUMBUS, GA

 



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Address
910 TALBOTTON RD
COLUMBUS, GA, 31904
Phone (make sure to verify first before calling): (706) 323-9513

Number of Certified Beds: 110
Total Number of Residents: 104
Percent of Occupied Beds: 95%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Both
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities


Overall Star Rating: 1 Star
Health Inspections Star Rating: 1 Star
Nurse Staffing Star Rating: 1 Star
Quality Measures Star Rating: 3 Stars
RN Only Star Rating: 1 Star

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Administration And Storage Of Blood Services Are Provided Offsite To Residents
  • Clinical Laboratory Services Are Provided Offsite To Residents
  • Dental Services Are Provided Offsite To Residents
  • Dental Services Are Provided Onsite To Residents
  • Diagnostic Xray Services Are Provided Offsite To Residents
  • Diagnostic Xray Services Are Provided Onsite To Residents
  • Dietary Services Are Provided Onsite To Non Residents
  • Dietary Services Are Provided Onsite To Residents
  • Housekeeping Services Are Provided Onsite To Residents
  • Mental Health Services Are Provided Offsite To Residents
  • Mental Health Services Are Provided Onsite To Residents
  • Nursing Services Are Provided Offsite To Residents
  • Nursing Services Are Provided Onsite To Residents
  • Occupational Therapy Services Are Provided Onsite To Residents
  • Pharmacy Services Are Provided Offsite To Residents
  • Pharmacy Services Are Provided Onsite To Residents
  • Physical Therapy Services Are Provided Onsite To Residents
  • Physician Extender Services Are Provided Offsite To Residents
  • Physician Extender Services Are Provided Onsite To Residents
  • Physician Services Are Provided Offsite To Residents
  • Physician Services Are Provided Onsite To Residents
  • Podiatry Services Are Provided Offsite To Residents
  • Podiatry Services Are Provided Onsite To Residents
  • Social Work Services Are Provided Onsite To Residents
  • Speech/Language Pathology Services Are Provided Onsite To Residents

Employment Full-Time Equivalent

Administrative Staff - Full Time: 2.29
Certified Nurse Aides - Full Time: 41.30
Certified Nurse Aides - Part Time: 4.44
Dietitians - Under Contract: 0.11
Food Service Personnel - Full Time: 8.23
Food Service Personnel - Part Time: 2.50
Housekeeping Personnel - Full Time: 5.40
Licensed Practical/ Vocational Nurses - Full Time: 16.24
Licensed Practical/ Vocational Nurses - Part Time: 0.99
Mental Health Services Personnel - Under Contract: 0.23
Nurses With Administrative Duties - Full Time: 2.29
Persons Not Included In Any Other Categories - Full Time: 2.29
Physical Therapists - Under Contract: 0.09
Registered Nurses - Full Time: 1.14
Rn Director Of Nursing - Full Time: 1.14
Activities Professionals - Full Time: 1.14
Medical Directors - Part Time: 0.11
Occupational Therapists - Under Contract: 0.09
Pharmacists - Under Contract: 0.23
Podiatrists - Under Contract: 0.11
Speech Pathologists - Under Contract: 0.01
Physician Extenders - Under Contract: 1.14
Registered Nurses - Part Time: 1.60
Housekeeping Personnel - Part Time: 3.00

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
Here:

0.330
Georgia:

0.470
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
This Nursing Home:

1.010
Georgia:

1.015
Total Number of Licensed Staff Hours Per Resident Per Day
Here:

1.330
State:

1.482

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased
Here:

13.9%
Georgia:

15.5%
Percent of long-stay residents who self-report moderate to severe pain
This Nursing Home:

9.7%
Georgia:

12.0%
Percent of long-stay high-risk residents with pressure ulcers
This Nursing Home:

6.4%
State:

7.3%
Percent of long-stay residents who lose too much weight
This Nursing Home:

7.8%
Georgia:

8.1%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
This Nursing Home:

41.9%
Georgia:

45.1%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
This Nursing Home:

1.8%
Georgia:

2.7%
Percent of long-stay residents with a urinary tract infection
This Nursing Home:

14.7%
State:

7.6%
Percent of long-stay residents who have depressive symptoms
This Nursing Home:

11.4%
Georgia:

10.7%
Percent of long-stay residents experiencing one or more falls with major injury
This Nursing Home:

2.8%
Georgia:

3.6%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

91.5%
Georgia:

96.0%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

92.5%
Georgia:

95.5%
Percent of long-stay residents who received an antipsychotic medication
This Nursing Home:

16.0%
State:

28.2%

Complaint Deficiency

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Some (Minimal harm or potential for actual harm)

Corridors that are separated from common areas by walls constructed to limit the passage of smoke: Few (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Some (Minimal harm or potential for actual harm)

Proper stairway enclosures and vertical shafts: Few (Minimal harm or potential for actual harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Few (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Minimal harm or potential for actual harm)

Protected exits that allow the resident to escape the building: Some (Minimal harm or potential for actual harm)

Exit stairways and towers that are smoke proof: Some (Minimal harm or potential for actual harm)

A fire alarm system that can be heard throughout the facility: Few (Minimal harm or potential for actual harm)

An approved installation, maintenance and testing program for fire alarm systems: Few (Minimal harm or potential for actual harm)

Properly working alarms on sprinkler valves: Few (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Some (Minimal harm or potential for actual harm)

Portable fire extinguishers: Some (Minimal harm or potential for actual harm)

Properly protected cooking facilities: Few (Minimal harm or potential for actual harm)

No-smoking signs where oxygen is used: Few (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Some (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Many (Potential for minimal harm)

Make sure each resident receives an accurate assessment by a qualified health professional: Few (Minimal harm or potential for actual harm)

Provide care by qualified persons according to each resident's written plan of care: Few (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Minimal harm or potential for actual harm)

Provide special eating equipment and utensils for each resident who needs them: Few (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Few (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Few (Minimal harm or potential for actual harm)

Emergency lighting that can last at least 1 1/2 hours: Few (Minimal harm or potential for actual harm)

A fire alarm system that can be heard throughout the facility: Few (Minimal harm or potential for actual harm)

Reasonably accommodate the needs and preferences of each resident: Few (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Some (Minimal harm or potential for actual harm)

Provide care by qualified persons according to each resident's written plan of care: Few (Immediate jeopardy to resident health or safety)

Provide necessary care and services to maintain the highest well being of each resident : Few (Immediate jeopardy to resident health or safety)

Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: Few (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Minimal harm or potential for actual harm)

Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Minimal harm or potential for actual harm)

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses: Few (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor: Few (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Many (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: Few (Minimal harm or potential for actual harm)

Proper medical gas storage and administration areas: Few (Minimal harm or potential for actual harm)

Other fire safety features required by fire safety codes: Few (Minimal harm or potential for actual harm)

Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident: Few (Minimal harm or potential for actual harm)

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Minimal harm or potential for actual harm)

Reasonably accommodate the needs and preferences of each resident: Few (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Few (Minimal harm or potential for actual harm)

Make sure each resident receives an accurate assessment by a qualified health professional: Few (Minimal harm or potential for actual harm)

Allow the resident the right to participate in the planning or revision of the resident's care plan: Few (Minimal harm or potential for actual harm)

Make sure services provided by the nursing facility meet professional standards of quality: Few (Minimal harm or potential for actual harm)

Provide care by qualified persons according to each resident's written plan of care: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Minimal harm or potential for actual harm)

Develop policies and procedures for influenza and pneumococcal immunizations: Few (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Some (Minimal harm or potential for actual harm)

Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing: Few (Minimal harm or potential for actual harm)

Make sure that doctors visit residents regularly, as required: Few (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Many (Minimal harm or potential for actual harm)

Give or get quality lab services/tests in a timely manner to meet the needs of residents: Few (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm)

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action: Few (Minimal harm or potential for actual harm)

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