BETHANY WOODS NURSING AND REHABILITATION CENTER - ALBEMARLE, NC

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Address

33426 OLD SALISBURY ROAD BOX 1250
ALBEMARLE, NC, 28002

Phone (make sure to verify first before calling): (704) 983-1195

Number of Certified Beds: 180
Total Number of Residents: 173
Percent of Occupied Beds: 96%
Sprinkler Status: Partially Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: Yes
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 2 Stars
Health Inspections Star Rating: 2 Stars
Nurse Staffing Star Rating: 2 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 3 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 7.59
Certified Nurse Aides - Full Time: 75.56
Certified Nurse Aides - Part Time: 11.56
Food Service Personnel - Full Time: 14.23
Food Service Personnel - Part Time: 6.66
Housekeeping Personnel - Full Time: 22.23
Licensed Practical/ Vocational Nurses - Full Time: 26.29
Licensed Practical/ Vocational Nurses - Part Time: 1.90
Medical Directors - Under Contract: 0.11
Mental Health Services Personnel - Under Contract: 0.03
Nurses With Administrative Duties - Full Time: 5.31
Persons Not Included In Any Other Categories - Full Time: 4.86
Physical Therapists - Under Contract: 1.14
Registered Nurses - Full Time: 3.54
Rn Director Of Nursing - Full Time: 0.90
Social Workers - Full Time: 4.30
Activities Professionals - Full Time: 7.14
Activities Professionals - Part Time: 0.36
Dentists - Under Contract: 0.11
Occupational Therapists - Under Contract: 0.71
Pharmacists - Under Contract: 0.11
Podiatrists - Under Contract: 0.06
Speech Pathologists - Under Contract: 1.00
Dietitians - Full Time: 0.94
Persons Not Included In Any Other Categories - Part Time: 3.69
Registered Nurses - Part Time: 2.11
Occupational Therapy Assistants - Under Contract: 1.14
Housekeeping Personnel - Part Time: 2.43
Physical Therapy Aide - Under Contract: 1.14
Occupational Therapy Aides - Under Contract: 1.14

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 Onsite 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 Residents
Housekeeping Services Are Provided Onsite To Residents
Mental Health Services Are Provided Onsite 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 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

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.580
North Carolina:	0.671

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	0.580
North Carolina:	0.848

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.170
North Carolina:	1.518

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.030
North Carolina:	0.086

Number Therapy Hours Per Resident Per Day

Here:	0.030
North Carolina:	0.088

Quality Measures

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

Here:	23.6%
North Carolina:	19.4%

Percent of long-stay residents who self-report moderate to severe pain

This Nursing Home:	3.5%
State:	12.6%

Percent of long-stay high-risk residents with pressure ulcers

Here:	1.9%
North Carolina:	7.4%

Percent of long-stay residents who lose too much weight

Here:	9.2%
North Carolina:	8.7%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

This Nursing Home:	31.8%
State:	56.1%

Percent of long-stay residents with a urinary tract infection

Here:	5.0%
North Carolina:	8.1%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	25.2%
State:	6.2%

Percent of long-stay residents who were physically restrained

Here:	4.8%
North Carolina:	1.8%

Percent of long-stay residents experiencing one or more falls with major injury

This Nursing Home:	4.8%
North Carolina:	3.2%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	100.0%
North Carolina:	94.9%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	99.3%
State:	96.5%

Percent of short-stay residents who self-report moderate to severe pain

Here:	5.6%
State:	21.9%

Percent of short-stay residents with Pressure ulcers that are new or worsened

Here:	4.9%
North Carolina:	1.4%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	96.3%
State:	88.7%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	97.5%
North Carolina:	87.2%

Percent of short-stay residents who newly received an antipsychotic medication

Here:	2.5%
State:	2.6%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	15.2%
State:	21.0%

Complaint Deficiency

Exits that are accessible at all times: Few (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Few (Immediate jeopardy to resident health or safety)

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)

Automatic sprinkler systems that have been maintained in working order: 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)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (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 there is a pest control program to prevent/deal with mice, insects, or other pests: Some (Minimal harm or potential for actual harm)

Proper backup exit lighting: Few (Minimal harm or potential for actual harm)

Proper medical gas storage and administration areas: Few (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)

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)

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)

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

Proper backup exit lighting: Few (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)

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)

Exits that are accessible at all times: Few (Minimal harm or potential for actual harm)

Other nearby hospitals and nursing homes

A JACK WALL GROUP HOME (3.49 miles)
BMA ALBEMARLE (1.71 miles)
FORREST OAKES HEALTHCARE CENTER (4.31 miles)
MARIE G. SMITH GROUP HOME (4.09 miles)
ROBERT W THOMPSON GROUP HOME (4.23 miles)
STANLY REGIONAL MEDICAL CENTER (2.43 miles)

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