TRAYLOR RETIREMENT COMMUNITY - ROANOKE, AL

Submitted by:

Kristina Traylor, marketing director

We have 123 certified beds; there has been one change in ownership (change in name not person); there are 3 activity staff full-time; there is 0.2 dietician staff full-time; there is 1 social worker full-time; the current survey date is June 2010

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Address

1235 YANCEY STREET P O BOX 467
ROANOKE, AL, 36274

Phone (make sure to verify first before calling): (334) 863-3500

Number of Certified Beds: 123
Total Number of Residents: 110
Percent of Occupied Beds: 89%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
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: 5 Stars
Health Inspections Star Rating: 4 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 5 Stars
RN Only Star Rating: 4 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 10.10
Certified Nurse Aides - Full Time: 52.39
Certified Nurse Aides - Part Time: 5.34
Dietitians - Under Contract: 0.13
Housekeeping Personnel - Full Time: 5.57
Licensed Practical/ Vocational Nurses - Full Time: 14.34
Licensed Practical/ Vocational Nurses - Part Time: 0.23
Nurses With Administrative Duties - Full Time: 3.43
Persons Not Included In Any Other Categories - Full Time: 5.59
Physical Therapists - Under Contract: 0.23
Registered Nurses - Full Time: 8.77
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 0.57
Activities Professionals - Full Time: 0.57
Occupational Therapists - Under Contract: 0.14
Food Service Personnel - Under Contract: 11.33
Speech Pathologists - Under Contract: 0.60
Persons Not Included In Any Other Categories - Part Time: 1.71
Registered Nurses - Part Time: 0.66
Occupational Therapy Assistants - Under Contract: 1.11
Housekeeping Personnel - Part Time: 5.06
Physical Therapy Aide - Under Contract: 0.63

Provided Services

Activities Services Are Provided Onsite To Residents
Clinical Laboratory Services Are Provided Offsite To Residents
Dental Services Are Provided Offsite 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
Nursing Services Are Provided Onsite 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 Onsite To Residents
Physician Services Are Provided Offsite To Residents
Physician Services Are Provided Onsite To Residents
Podiatry Services Are Provided Offsite To Residents
Social Work Services Are Provided Onsite To Residents
Speech/Language Pathology Services Are Provided Onsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.720
Alabama:	0.613

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

This Nursing Home:	0.740
State:	1.059

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.460
State:	1.672

Quality Measures

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

This Nursing Home:	7.2%
Alabama:	13.9%

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

Here:	5.4%
State:	9.6%

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

Here:	8.8%
State:	5.9%

Percent of long-stay residents who lose too much weight

Here:	5.8%
Alabama:	8.1%

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

Here:	27.0%
State:	38.9%

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

Here:	2.4%
Alabama:	3.4%

Percent of long-stay residents with a urinary tract infection

Here:	10.6%
State:	5.7%

Percent of long-stay residents who were physically restrained

Here:	1.9%
State:	1.6%

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

This Nursing Home:	3.8%
State:	3.0%

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

This Nursing Home:	100.0%
State:	95.1%

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

This Nursing Home:	100.0%
Alabama:	91.7%

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

This Nursing Home:	10.9%
State:	19.6%

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

Here:	100.0%
Alabama:	87.4%

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

Here:	98.7%
Alabama:	83.6%

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

Here:	3.1%
Alabama:	3.2%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	16.3%
Alabama:	27.0%

Complaint Deficiency

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Many (Potential for minimal harm)

Make sure that residents receive treatment/services to not only continue, but improve the ability to care for themselves: Few (Minimal harm or potential for actual harm)

Provide food in a way that meets a resident's needs: 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)

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)

Corridor and hallway doors that block smoke: 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)

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

Exit stairways and towers that are smoke proof: Few (Minimal harm or potential for actual harm)

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

Record of quarterly fire drills for each shift under varying conditions: Some (Potential for minimal harm)

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

Properly protected cooking facilities: Few (Minimal harm or potential for actual harm)

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

Signs that state that exit doors are to be kept closed: Many (Potential for minimal harm)

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

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

Restrictions on the use of flammable curtains: Many (Potential for minimal harm)

Weekly inspections and monthly testing of generators: Many (Potential for minimal 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)

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)

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

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

Properly located and lighted Exit signs: Few (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Some (Potential for minimal harm)

Properly protected cooking facilities: Many (Potential for minimal harm)

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