AGAPE REHABILITATION OF ROCK HILL - ROCK HILL, SC

Submitted by:

Danielle Henderson, Administrator

99 beds are medicare and medicaid certified
Ebenezer Nursing Home is D/B/A Agape Rehabilitation of Rock Hill
The correct address is 159 Sedgewood Drive, Rock Hill, SC 29732
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Address

159 SEDGEWOOD DR
ROCK HILL, SC, 29732

Phone (make sure to verify first before calling): (803) 329-6565

Number of Certified Beds: 99
Total Number of Residents: 81
Percent of Occupied Beds: 82%
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: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities

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

Employment Full-Time Equivalent

Administrative Staff - Full Time: 4.57
Certified Nurse Aides - Full Time: 31.24
Certified Nurse Aides - Part Time: 5.49
Food Service Personnel - Full Time: 7.59
Food Service Personnel - Part Time: 1.73
Housekeeping Personnel - Full Time: 9.93
Licensed Practical/ Vocational Nurses - Full Time: 14.76
Licensed Practical/ Vocational Nurses - Part Time: 2.46
Nurses With Administrative Duties - Full Time: 4.14
Occupational Therapy Aides - Full Time: 1.14
Physical Therapists - Under Contract: 0.57
Registered Nurses - Full Time: 1.46
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.14
Activities Professionals - Full Time: 1.23
Occupational Therapists - Under Contract: 0.53
Physical Therapists - Part Time: 0.09
Physician Extenders - Full Time: 0.91
Registered Nurses - Under Contract: 0.46
Dietitians - Full Time: 1.14
Registered Nurses - Part Time: 0.80
Housekeeping Personnel - Part Time: 0.47
Occupational Therapy Assistants - Full Time: 1.14
Physical Therapy Aide - Full Time: 1.14
Speech Pathologists - Part Time: 0.80

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
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 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 Extender 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

Quality Measures

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

This Nursing Home:	14.7%
South Carolina:	15.5%

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

Here:	5.9%
South Carolina:	6.4%

Percent of long-stay residents who lose too much weight

This Nursing Home:	11.1%
State:	8.3%

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

This Nursing Home:	3.0%
South Carolina:	2.5%

Percent of long-stay residents with a urinary tract infection

Here:	6.7%
South Carolina:	9.2%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	3.2%
South Carolina:	3.9%

Percent of long-stay residents who were physically restrained

This Nursing Home:	9.4%
State:	3.9%

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

Here:	6.3%
State:	2.9%

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

Here:	89.5%
State:	95.4%

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

Here:	95.3%
South Carolina:	97.2%

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

This Nursing Home:	9.9%
South Carolina:	18.1%

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

Here:	1.3%
State:	1.3%

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

This Nursing Home:	87.2%
State:	89.0%

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

This Nursing Home:	88.8%
South Carolina:	86.5%

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

This Nursing Home:	0.9%
South Carolina:	2.9%

Percent of long-stay residents who received an antipsychotic medication

Here:	10.9%
State:	21.5%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	1.050
State:	0.670

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

This Nursing Home:	0.740
South Carolina:	0.934

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.790
South Carolina:	1.602

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.050
State:	0.077

Number Therapy Hours Per Resident Per Day

Here:	0.050
State:	0.079

Complaint Deficiency

Review or revise the resident's care plan after any major change in a resident's physical or mental health: 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 (Immediate jeopardy to resident health or safety)

Exits that are free from obstructions and can be used at all times: Many (Minimal harm or potential for actual harm)

Give each resident enough fluids to keep them healthy and prevent dehydration: 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)

Smoke barrier doors that can resist smoke for at least 20 minutes: Few (Minimal harm or potential for actual harm)

Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for: Many (Potential for minimal 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)

Provide proof that all residents' personal money which is deposited with the nursing home, is secure: Few (Minimal harm or potential for actual harm)

Keep each resident free from physical restraints, unless needed for medical treatment: 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: Few (Immediate jeopardy to resident health or safety)

Make sure that residents are safe from serious medication errors: Some (Minimal harm or potential for actual harm)

Make sure that special or therapeutic diets are ordered by the attending doctor: 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)

1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compensation: Few (Minimal harm or potential for actual harm)

Make sure medically necessary lab services/tests are ordered by the attending physician: 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: Some (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)

Corridors or aisles that are unobstructed and are at least 8 feet in width: Few (Minimal harm or potential for actual harm)

Provide activities to meet the interests and needs of each resident: 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)

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 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)

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

Other nearby hospitals and nursing homes

DOWDY GARDNER NSG CARE CTR - ROCK HILL (0.13 miles)
FMC DIALYSIS SERVICES OF YORK COUNTY (0.61 miles)
MAGNOLIA MANOR - ROCK HILL (0.23 miles)
PIEDMONT MEDICAL CENTER (0.86 miles)
UNIHEALTH POST-ACUTE CARE - ROCK HILL (0.90 miles)
SERENITY PALLIATIVE AND HOSPICE CARE (0.86 miles)
WESTMINSTER HEALTH AND REHAB CENTER (0.62 miles)

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