THE LAURELS OF CHATHAM - PITTSBORO, NC

Submitted by:

John Jarrell, Administrator

72 Chatham Business Park Dr.
140 dual certified Medicare/Medicaid

Institution representatives - add corrected or new information about THE LAURELS OF CHATHAM »

Address

72 CHATHAM BUSINESS PARK
PITTSBORO, NC, 27312

Phone (make sure to verify first before calling): (919) 542-6677

Number of Certified Beds: 140
Total Number of Residents: 123
Percent of Occupied Beds: 88%
Sprinkler Status: Fully 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?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 2 Stars
Health Inspections Star Rating: 1 Star
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 3 Stars
RN Only Star Rating: 3 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 6.71
Certified Nurse Aides - Full Time: 50.36
Certified Nurse Aides - Part Time: 4.66
Dietitians - Under Contract: 0.17
Food Service Personnel - Full Time: 11.34
Food Service Personnel - Part Time: 2.40
Housekeeping Personnel - Full Time: 12.24
Licensed Practical/ Vocational Nurses - Full Time: 13.93
Licensed Practical/ Vocational Nurses - Part Time: 3.36
Medical Directors - Under Contract: 0.17
Mental Health Services Personnel - Under Contract: 0.23
Nurses With Administrative Duties - Full Time: 4.57
Physical Therapists - Under Contract: 1.14
Registered Nurses - Full Time: 2.86
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.26
Activities Professionals - Full Time: 1.09
Dentists - Under Contract: 0.11
Occupational Therapists - Part Time: 0.16
Pharmacists - Under Contract: 0.23
Physical Therapists - Part Time: 0.06
Podiatrists - Under Contract: 0.11
Nurse Aides In Training - Full Time: 2.40
Physician Extenders - Under Contract: 0.11
Registered Nurses - Part Time: 0.70
Housekeeping Personnel - Part Time: 1.54
Occupational Therapists - Full Time: 1.07
Nurse Aides In Training - Part Time: 0.29
Occupational Therapy Assistants - Part Time: 0.60

Provided Services

Activities Services Are Provided Onsite To Residents
Clinical Laboratory Services Are Provided Offsite To Residents
Clinical Laboratory Services Are Provided Onsite 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 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 Onsite To Residents
Occupational Therapy Services Are Provided Onsite To Non Residents
Occupational Therapy Services Are Provided Onsite To Residents
Pharmacy Services Are Provided Onsite To Residents
Physical Therapy Services Are Provided Onsite To Non 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 Non Residents
Speech/Language Pathology Services Are Provided Onsite To Residents
Therapeutic Recreation Specialist Services Are Provided Onsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.640
North Carolina:	0.671

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

This Nursing Home:	0.840
State:	0.848

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.480
State:	1.518

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.070
State:	0.086

Number Therapy Hours Per Resident Per Day

Here:	0.070
State:	0.088

Quality Measures

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

This Nursing Home:	35.1%
State:	19.4%

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

Here:	15.6%
State:	12.6%

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

Here:	9.8%
State:	7.4%

Percent of long-stay residents who lose too much weight

Here:	13.4%
State:	8.7%

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

This Nursing Home:	65.1%
North Carolina:	56.1%

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

Here:	4.7%
State:	3.2%

Percent of long-stay residents with a urinary tract infection

Here:	4.5%
State:	8.1%

Percent of long-stay residents who were physically restrained

Here:	0.9%
State:	1.8%

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

This Nursing Home:	2.6%
State:	3.2%

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

Here:	100.0%
State:	94.9%

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

This Nursing Home:	100.0%
North Carolina:	96.5%

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

Here:	15.2%
State:	21.9%

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

This Nursing Home:	0.6%
State:	1.4%

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

This Nursing Home:	95.6%
State:	88.7%

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

This Nursing Home:	94.9%
State:	87.2%

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

This Nursing Home:	2.2%
North Carolina:	2.6%

Percent of long-stay residents who received an antipsychotic medication

Here:	29.2%
State:	21.0%

Complaint Deficiency

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

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

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

Corridor and hallway doors that block smoke: 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)

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

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

Post nurse staffing information/data on a daily basis: Few (Minimal harm or potential for actual harm)

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

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

Properly installed electrical wiring and equipment: 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)

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

Try to resolve each resident's complaints quickly: Few (Minimal harm or potential for actual harm)

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

Make sure that private space is available in the nursing home for resident groups or residents' families to meet: Some (Potential for minimal harm)

Make sure each resident receives an accurate assessment by a qualified health professional: Many (Potential for minimal harm)

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature: Some (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)

Exits that are accessible at all times: 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)

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)

Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so: 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)

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

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

Record of quarterly fire drills for each shift under varying conditions: Few (Minimal harm or potential for actual harm)

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

Properly installed hallway dispensers for alcohol-based hand rub: 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: Some (Potential for minimal harm)

Provide proof that all residents' personal money which is deposited with the nursing home, is secure: Some (Potential for minimal harm)

Determine if it is safe for the resident to self-administer drugs: Few (Minimal harm or potential for actual harm)

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

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Few (Minimal harm or potential for actual harm)

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

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

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

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