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MOUNTAIN TRACE REHABILITATION AND NURSING CENTER - SYLVA, NC

 



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Address
417 MOUNTAIN TRACE ROAD
SYLVA, NC, 28779
Phone (make sure to verify first before calling): (828) 631-1600

Number of Certified Beds: 106
Total Number of Residents: 101
Percent of Occupied Beds: 95%
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?: Yes
Special Focus Facility?: No
Type: Skilled Nursing Facilities

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

Employment Full-Time Equivalent

Administrative Staff - Full Time: 6.66
Certified Nurse Aides - Full Time: 35.99
Certified Nurse Aides - Part Time: 7.50
Dietitians - Under Contract: 0.34
Food Service Personnel - Full Time: 7.93
Food Service Personnel - Part Time: 2.64
Housekeeping Personnel - Full Time: 9.14
Licensed Practical/ Vocational Nurses - Full Time: 7.47
Licensed Practical/ Vocational Nurses - Part Time: 0.89
Medical Directors - Under Contract: 0.69
Mental Health Services Personnel - Under Contract: 0.01
Nurses With Administrative Duties - Full Time: 4.57
Persons Not Included In Any Other Categories - Full Time: 1.34
Registered Nurses - Full Time: 8.89
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.21
Activities Professionals - Full Time: 1.51
Dentists - Under Contract: 0.11
Occupational Therapists - Part Time: 0.57
Pharmacists - Under Contract: 0.34
Podiatrists - Under Contract: 0.11
Other Physicians - Under Contract: 0.11
Registered Nurses - Part Time: 1.07
Physical Therapists - Full Time: 1.14
Occupational Therapy Assistants - Part Time: 0.86
Speech Pathologists - Part Time: 0.57
Certified Nurse Aides - Under Contract: 5.63

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
  • 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 Offsite To Residents
  • Nursing Services Are Provided Onsite To Residents
  • Occupational Therapy Services Are Provided Offsite To Residents
  • Occupational Therapy Services Are Provided Onsite To Residents
  • Pharmacy Services Are Provided Offsite To Residents
  • Pharmacy Services Are Provided Onsite To Residents
  • Physical Therapy Services Are Provided Offsite To Residents
  • Physical Therapy Services Are Provided Onsite To Residents
  • Physician Services Are Provided Offsite 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 Offsite To Residents
  • Speech/Language Pathology Services Are Provided Onsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
Here:

0.550
North Carolina:

0.671
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
This Nursing Home:

0.620
State:

0.848
Total Number of Licensed Staff Hours Per Resident Per Day
This Nursing Home:

1.170
State:

1.518
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
This Nursing Home:

0.100
State:

0.086
Number Therapy Hours Per Resident Per Day
This Nursing Home:

0.100
North Carolina:

0.088

Quality Measures

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

4.0%
North Carolina:

19.4%
Percent of long-stay residents who self-report moderate to severe pain
This Nursing Home:

12.6%
State:

12.6%
Percent of long-stay high-risk residents with pressure ulcers
This Nursing Home:

5.8%
State:

7.4%
Percent of long-stay residents who lose too much weight
This Nursing Home:

11.7%
State:

8.7%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
This Nursing Home:

53.3%
State:

56.1%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Here:

3.9%
State:

3.2%
Percent of long-stay residents with a urinary tract infection
This Nursing Home:

11.7%
North Carolina:

8.1%
Percent of long-stay residents who have depressive symptoms
Here:

6.7%
North Carolina:

6.2%
Percent of long-stay residents who were physically restrained
Here:

15.6%
State:

1.8%
Percent of long-stay residents experiencing one or more falls with major injury
This Nursing Home:

5.2%
State:

3.2%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

87.0%
State:

94.9%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

93.5%
State:

96.5%
Percent of short-stay residents who self-report moderate to severe pain
Here:

26.8%
North Carolina:

21.9%
Percent of short-stay residents with Pressure ulcers that are new or worsened
Here:

1.0%
State:

1.4%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

89.5%
State:

88.7%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

84.6%
North Carolina:

87.2%
Percent of short-stay residents who newly received an antipsychotic medication
This Nursing Home:

2.1%
State:

2.6%
Percent of long-stay residents who received an antipsychotic medication
Here:

39.2%
North Carolina:

21.0%

Complaint Deficiency

Did not have a written emergency evacuation plan: Some (Potential for minimal harm)

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

A properly installed and maintained dumbwaiter or escalator: Few (Minimal harm or potential for actual harm)

Dispose of garbage and refuse properly: Some (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: Some (Minimal harm or potential for actual harm)

Restrictions on the use of portable space heaters: 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)

Properly installed electrical wiring and equipment: 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)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Some (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Potential for minimal harm)

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

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

Signs that state that exit doors are to be kept closed: Few (Immediate jeopardy to resident health or safety)

Proper backup exit lighting: Few (Immediate jeopardy to resident health or safety)

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)

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)

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)

Allow the resident the right to participate in the planning or revision of the resident's care plan: Some (Potential for minimal harm)

Make sure services provided by the nursing facility meet professional standards of quality: 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)

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%: Few (Minimal harm or potential for actual harm)

An approved installation, maintenance and testing program for fire alarm systems: 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)

Exits that are free from obstructions and can be used at all times: 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 care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Some (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Some (Minimal harm or potential for actual harm)

Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: 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: 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 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)

Approved construction type or materials: Few (Minimal harm or potential for actual harm)

Proper stairway enclosures and vertical shafts: Few (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Many (Minimal harm or potential for actual harm)

At least two remote exits on each floor or fire section of the building: Many (Minimal harm or potential for actual harm)

Emergency lighting that can last at least 1 1/2 hours: Many (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: 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)

Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed: Few (Minimal harm or potential for actual harm)

Properly protected cooking facilities: 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)

Proper medical gas storage and administration areas: Many (Minimal harm or potential for actual harm)

Weekly inspections and monthly testing of generators: Few (Minimal harm or potential for actual harm)

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

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