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Cleburne County Nursing Home

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About Cleburne County Nursing Home

General Information

Legal Business NameCleburne County Hospital Board, Inc
Ownership TypeGovernment - City/County
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 20, 1967 ()
Capacity82
Residents78
Percent Occupied95%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Cleburne County Nursing Home

Cleburne County Nursing Home
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Alabama Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

February 10, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.

February 5, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
DFewPotential for HarmHealth InspectionReview or revise the resident's care plan after any major change in physical or mental health.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

June 7, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
JFewImmediate JeopardyComplaintMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
JFewImmediate JeopardyComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
JFewImmediate JeopardyComplaintEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.

May 20, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
DFewPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
DFewPotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
DFewPotential for HarmFire Safety InspectionProper backup exit lighting.

May 16, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$142,870 fine
---Payment DenialPayment denial for 5 days
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
GFewActual HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
GFewActual HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
GFewActual HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
ESomePotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.
CManyPotential for Minimal HarmHealth InspectionKeep all essential equipment working safely.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Cleburne County Nursing Home require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 15min
2hr 10min
ReportedExpected
CNA
1hr 15min
35min
ReportedExpected
LPN
30min
55min
ReportedExpected
RN
3hr 60min
3hr 45min
ReportedExpected
Total Nursing

This facility also provides approximately 5min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

94.4%
93.2%
93.2%
93.5%
Q1 2015Q2 2015Q3 2015AL
Assessed and Appropriately Given the Seasonal Influenza Vaccine
93.0%
97.1%
97.0%
92.9%
Q1 2015Q2 2015Q3 2015AL
Assessed and Appropriately Given the Pneumococcal Vaccine
12.5%
-
38.7%
39.6%
Q1 2015Q2 2015Q3 2015AL
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
15.9%
20.0%
20.3%
20.9%
Q1 2015Q2 2015Q3 2015AL
Received an Antipsychotic Medication
12.1%
26.3%
46.3%
13.7%
Q1 2015Q2 2015Q3 2015AL
Need for Help with ADLs has Increased
7.3%
12.0%
25.8%
7.4%
Q1 2015Q2 2015Q3 2015AL
Self Report Moderate to Severe Pain
12.7%
14.9%
10.6%
8.6%
Q1 2015Q2 2015Q3 2015AL
Lose Too Much Weight
6.5%
6.5%
-
5.7%
Q1 2015Q2 2015Q3 2015AL
* The data for this facility for some quarters is unavailable.
High Risk Residents With Pressure Ulcers
0.0%
0.0%
0.0%
1.6%
Q1 2015Q2 2015Q3 2015AL
Have Depressive Symptoms
12.7%
7.5%
4.5%
4.9%
Q1 2015Q2 2015Q3 2015AL
With a Urinary Tract Infection
4.2%
2.9%
4.5%
3.3%
Q1 2015Q2 2015Q3 2015AL
Experiencing One or More Falls with Major Injury
4.4%
4.2%
2.0%
2.8%
Q1 2015Q2 2015Q3 2015AL
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
1.1%
Q1 2015Q2 2015Q3 2015AL
Were Physically Restrained

Quality Measures for Short Stay Residents

89.1%
87.9%
86.7%
82.1%
Q1 2015Q2 2015Q3 2015AL
Assessed and Appropriately Given the Pneumococcal Vaccine
76.1%
76.1%
76.1%
81.3%
Q1 2015Q2 2015Q3 2015AL
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
25.7%
41.9%
37.8%
14.8%
Q1 2015Q2 2015Q3 2015AL
Self Report Moderate to Severe Pain
7.1%
6.5%
0.0%
2.5%
Q1 2015Q2 2015Q3 2015AL
Newly Received an Antipsychotic Medication
2.6%
3.9%
4.2%
0.7%
Q1 2015Q2 2015Q3 2015AL
With Pressure Ulcers That Are New or Worsened