CAL TURNER REHAB AND SPECIALTY CARE (SCOTTSVILLE, KY) Detailed Nursing Home Profile

Process of Care

Heart Failure

Percent of patients who were given an evaluation of Left Ventricular Systolic Dysfunction (LVSD)

This Nursing Home:	68.0%
State:	97.6%

Percent of Patients Given Discharge Instructions

This Nursing Home:	64.0%
Kentucky:	88.1%

Pneumonia

Percent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival

This Nursing Home:	92.0%
Kentucky:	95.8%

Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics

Here:	94.0%
State:	96.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Nursing Home:	100.0%
State:	98.6%

Percent of Patients Given the Most Appropriate Initial Antibiotic(s)

Here:	88.0%
Kentucky:	92.0%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	100.0%
Kentucky:	92.9%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	96.0%
Kentucky:	95.3%

Outcome of Care

30-Day Mortality Rates from Heart Failure

This Nursing Home:	13.4%
Kentucky:	11.4%

30-Day Mortality Rates from Pneumonia

This Nursing Home:	14.1%
Kentucky:	12.4%

30-Day Readmission Rates from Heart Failure

This Nursing Home:	24.5%
State:	25.2%

30-Day Readmission Rates from Pneumonia

Here:	19.1%
State:	19.4%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.700
State:	0.690

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

Here:	0.920
State:	0.901

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.620
State:	1.591

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.030
State:	0.070

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.030
Kentucky:	0.074

Quality Measures

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

Here:	12.9%
State:	16.4%

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

Here:	13.1%
State:	13.2%

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

This Nursing Home:	4.1%
State:	6.9%

Percent of long-stay residents who lose too much weight

This Nursing Home:	5.2%
Kentucky:	8.3%

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

Here:	36.8%
State:	44.9%

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

Here:	2.2%
Kentucky:	5.1%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	2.1%
State:	8.7%

Percent of long-stay residents who have depressive symptoms

Here:	2.1%
Kentucky:	6.4%

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

Here:	100.0%
State:	95.5%

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

Here:	100.0%
Kentucky:	96.8%

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

This Nursing Home:	16.7%
Kentucky:	25.0%

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

Here:	3.1%
State:	1.6%

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

Here:	100.0%
State:	88.6%

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

This Nursing Home:	94.6%
State:	87.8%

Percent of long-stay residents who received an antipsychotic medication

Here:	27.7%
State:	25.6%

Complaint Deficiency

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Actual harm
- Scope: Some
Review or revise the resident's care plan after any major change in a resident's physical or mental health
- Harm: Actual harm
- Scope: Some
Exits that are accessible at all times
- Harm: Actual harm
- Scope: Some
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Actual harm
- Scope: Many
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Portable fire extinguishers
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Restrictions on the use of portable space heaters
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Restrictions on the use of highly flammable materials
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Other fire safety features required by fire safety codes
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Be administered in an acceptable way that maintains the well-being of each resident
- Harm: Actual harm
- Scope: Many
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents
- Harm: Actual harm
- Scope: Many
Train all employees on what to do in an emergency, and carry out announced staff drills
- Harm: Actual harm
- Scope: Many

Use of Medical Imaging

Outpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram.

Here:	9.100%
State:	8.052%

Outpatient CT scans of the abdomen that were combination (double) scans.

This Nursing Home:	0.041%
Kentucky:	0.126%

CAL TURNER REHAB AND SPECIALTY CARE - SCOTTSVILLE, KY