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BERKELEY SPRINGS REHABILITATION AND NURSING - BERKELEY SPRINGS, WV

 



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Address
456 AUTUMN ACRES ROAD
BERKELEY SPRINGS, WV, 25411
Phone (make sure to verify first before calling): (304) 258-3673

Number of Certified Beds: 120
Total Number of Residents: 88
Percent of Occupied Beds: 73%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 2 Stars
Health Inspections Star Rating: 3 Stars
Nurse Staffing Star Rating: 1 Star
Quality Measures Star Rating: 3 Stars
RN Only Star Rating: 1 Star

Employment Full-Time Equivalent

Administrative Staff - Full Time: 9.67
Certified Nurse Aides - Full Time: 39.31
Certified Nurse Aides - Part Time: 8.10
Dietitians - Under Contract: 0.11
Food Service Personnel - Full Time: 18.44
Housekeeping Personnel - Full Time: 13.26
Licensed Practical/ Vocational Nurses - Full Time: 19.29
Licensed Practical/ Vocational Nurses - Part Time: 1.14
Medical Directors - Under Contract: 0.23
Nurses With Administrative Duties - Full Time: 3.43
Persons Not Included In Any Other Categories - Full Time: 4.24
Physical Therapists - Under Contract: 0.37
Registered Nurses - Full Time: 2.54
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.09
Activities Professionals - Full Time: 1.04
Pharmacists - Under Contract: 0.06
Speech Pathologists - Under Contract: 0.07
Other Physicians - Under Contract: 0.46
Occupational Therapy Assistants - Under Contract: 1.14
Licensed Practical/ Vocational Nurses - Under Contract: 0.33

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
  • Clinical Laboratory Services Are Provided Onsite To Residents
  • Diagnostic Xray Services Are Provided Offsite To Residents
  • Dietary Services Are Provided Onsite To Residents
  • Housekeeping Services Are Provided Onsite To Residents
  • Mental Health Services Are Provided Offsite 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 Onsite To Residents
  • Physical Therapy Services Are Provided Onsite To Residents
  • Physician Services Are Provided Offsite To Residents
  • Physician Services Are Provided Onsite 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

Quality Measures

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

27.8%
State:

19.9%
Percent of long-stay residents who self-report moderate to severe pain
This Nursing Home:

3.5%
State:

14.0%
Percent of long-stay high-risk residents with pressure ulcers
This Nursing Home:

11.3%
West Virginia:

7.1%
Percent of long-stay residents who lose too much weight
This Nursing Home:

15.9%
West Virginia:

8.9%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Here:

1.2%
State:

4.3%
Percent of long-stay residents with a urinary tract infection
Here:

3.7%
State:

9.4%
Percent of long-stay residents who have depressive symptoms
This Nursing Home:

1.2%
West Virginia:

7.3%
Percent of long-stay residents experiencing one or more falls with major injury
Here:

4.8%
State:

5.1%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

98.8%
West Virginia:

96.1%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

98.8%
West Virginia:

94.0%
Percent of short-stay residents who self-report moderate to severe pain
Here:

4.8%
West Virginia:

25.2%
Percent of short-stay residents with Pressure ulcers that are new or worsened
This Nursing Home:

4.8%
West Virginia:

2.0%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

100.0%
State:

85.4%
Percent of long-stay residents who received an antipsychotic medication
Here:

25.0%
State:

21.3%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
This Nursing Home:

0.340
State:

0.714
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
This Nursing Home:

1.220
West Virginia:

0.879
Total Number of Licensed Staff Hours Per Resident Per Day
Here:

1.560
West Virginia:

1.591
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
This Nursing Home:

0.050
West Virginia:

0.060
Number Therapy Hours Per Resident Per Day
This Nursing Home:

0.050
State:

0.069

Complaint Deficiency

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: Some (Minimal harm or potential for actual harm)

A two-hour-resistant firewall in common walls: Some (Minimal harm or potential for actual harm)

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

Restrictions on the use of flammable curtains: Few (Minimal harm or potential for actual harm)

Restrictions on the use of portable space heaters: Few (Minimal harm or potential for actual harm)

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

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Few (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (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)

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

Provide medically-related social services to help each resident achieve the highest possible quality of life: Few (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Some (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: Some (Minimal harm or potential for actual harm)

1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: Few (Minimal harm or potential for actual harm)

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: Few (Minimal harm or potential for actual harm)

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Some (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: Some (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)

Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property: Some (Minimal harm or potential for actual harm)

Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Some (Minimal harm or potential for actual harm)

Conduct initial and periodic assessments of each resident's functional capacity: 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: Some (Minimal harm or potential for actual harm)

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

Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so: Some (Minimal harm or potential for actual harm)

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%: Some (Minimal harm or potential for actual harm)

Make sure that residents are safe from serious medication errors: 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)

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Many (Minimal harm or potential for actual harm)

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

Keep all essential equipment working safely: Some (Minimal harm or potential for actual harm)

1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews: Some (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: Some (Potential for minimal harm)

Exits that are accessible at all times: Some (Potential for minimal harm)

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