METRO WEST NURSING AND REHAB CENTER - ORLANDO, FL
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Address 5900 WESTGATE DRIVEPhone (make sure to verify first before calling): (407) 296-8164 Number of Certified Beds: 120 Total Number of Residents: 103 Percent of Occupied Beds: 86% 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: Both 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: 1 Star Nurse Staffing Star Rating: 4 Stars Quality Measures Star Rating: 4 Stars RN Only Star Rating: 4 Stars Employment Full-Time EquivalentAdministrative Staff - Full Time: 1.14Certified Nurse Aides - Full Time: 62.64 Certified Nurse Aides - Part Time: 3.04 Dietitians - Under Contract: 0.46 Food Service Personnel - Full Time: 9.26 Food Service Personnel - Part Time: 2.70 Licensed Practical/ Vocational Nurses - Full Time: 14.33 Licensed Practical/ Vocational Nurses - Part Time: 2.77 Nurses With Administrative Duties - Full Time: 4.64 Persons Not Included In Any Other Categories - Full Time: 10.26 Registered Nurses - Full Time: 6.71 Social Workers - Full Time: 1.14 Activities Professionals - Full Time: 1.14 Medical Directors - Part Time: 0.17 Physical Therapists - Part Time: 0.09 Podiatrists - Under Contract: 0.09 Housekeeping Personnel - Under Contract: 7.53 Sppech Pathologists - Full Time: 1.11 Persons Not Included In Any Other Categories - Part Time: 0.86 Occupational Therapists - Full Time: 2.39 Physical Therapists - Full Time: 3.24 Rn Director Of Nursi Ng - Under Contract: 1.14 Provided Services
Quality MeasuresPercent of long-stay residents whose need for help with daily activities has increased
Percent of long-stay residents who self-report moderate to severe pain
Percent of long-stay high-risk residents with pressure ulcers
Percent of long-stay residents who lose too much weight
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Percent of long-stay residents with a urinary tract infection
Percent of long-stay residents experiencing one or more falls with major injury
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Percent of short-stay residents who self-report moderate to severe pain
Percent of short-stay residents with Pressure ulcers that are new or worsened
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Percent of short-stay residents who newly received an antipsychotic medication
Percent of long-stay residents who received an antipsychotic medication
Staff InformationNumber of Registered Nurses Hours Per Resident Per Day
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Total Number of Licensed Staff Hours Per Resident Per Day
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Number Therapy Hours Per Resident Per Day
Complaint DeficiencyRestrictions on the use of portable space heaters: Few (Minimal harm or potential for actual harm)Rooms that can be unlocked from inside without a key: Few (Minimal harm or potential for actual harm) Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Few (Minimal harm or potential for actual harm) Signs that state that exit doors are to be kept closed: 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) Hire sufficient dietary support personnel: 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) Exits that are free from obstructions and can be used at all times: 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) Emergency lighting that can last at least 1 1/2 hours: Few (Minimal harm or potential for actual harm) Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Some (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) Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm) Keep each resident's personal and medical records private and confidential: 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) 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) Make sure services provided by the nursing facility meet professional standards of quality: Few (Minimal harm or potential for actual harm) Make sure that residents receive proper treatment and assistive devices to maintain their vision and hearing: 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) Give the right treatment and services to residents who have mental or psychosocial problems adjusting: 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) Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%: Some (Minimal harm or potential for actual harm) Provide or obtain dental services for each resident: 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) Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors: 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) 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: Some (Minimal harm or potential for actual harm) Try to resolve each resident's complaints quickly: Few (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: Few (Minimal harm or potential for actual harm) Provide medically-related social services to help each resident achieve the highest possible quality of life: 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) 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) 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) 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) Give or get specialized rehabilitative services per the patient's assessment or plan of care: Few (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) Proper facilities for the use and storage of combustible liquids: Few (Minimal harm or potential for actual harm) Make sure each resident receives an accurate assessment by a qualified health professional: 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) 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) Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature: Some (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) 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) Other nearby nursing homes
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