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Twin Oaks Rehabilitation And Healthcare Center

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About Twin Oaks Rehabilitation And Healthcare Center

General Information

Legal Business NameTwin Oaks Nursing Home LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 1, 1978 (39 years)
Capacity131
Residents117
Percent Occupied89%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Twin Oaks Rehabilitation And Healthcare Center

Twin Oaks Rehabilitation And Healthcare Center
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

November 5, 2015 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
CManyPotential for Minimal HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
DFewPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
DFewPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.

October 29, 2015 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmHealth InspectionDispose of garbage and refuse properly.
ESomePotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaint+InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.

January 28, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.

January 23, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmHealth InspectionHire sufficient dietary support personnel.
ESomePotential for HarmComplaint+InspectionKeep all essential equipment working safely.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionProvide food in a way that meets a resident's needs.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

May 21, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
ESomePotential for HarmFire Safety InspectionA fire alarm system that can be heard throughout the facility.
ESomePotential for HarmFire Safety InspectionExits that are accessible at all times.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionProper medical gas storage and administration areas.

May 15, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
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.

March 30, 2013 - 4 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$122,070 fine

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Twin Oaks Rehabilitation And Healthcare Center 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 25min
2hr 30min
ReportedExpected
CNA
60min
45min
ReportedExpected
LPN
40min
1hr 5min
ReportedExpected
RN
4hr 5min
4hr 15min
ReportedExpected
Total Nursing

This facility also provides approximately 1min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
93.5%
Q1 2015Q2 2015Q3 2015AL
Assessed and Appropriately Given the Seasonal Influenza Vaccine
99.1%
100.0%
100.0%
92.9%
Q1 2015Q2 2015Q3 2015AL
Assessed and Appropriately Given the Pneumococcal Vaccine
27.0%
19.4%
30.3%
39.6%
Q1 2015Q2 2015Q3 2015AL
Low Risk Residents Who Lose Control of Their Bowel or Bladder
9.6%
9.0%
8.5%
20.9%
Q1 2015Q2 2015Q3 2015AL
Received an Antipsychotic Medication
19.5%
5.7%
5.1%
13.7%
Q1 2015Q2 2015Q3 2015AL
Need for Help with ADLs has Increased
1.0%
4.3%
1.3%
7.4%
Q1 2015Q2 2015Q3 2015AL
Self Report Moderate to Severe Pain
5.6%
7.8%
9.3%
8.6%
Q1 2015Q2 2015Q3 2015AL
Lose Too Much Weight
6.5%
3.9%
10.3%
5.7%
Q1 2015Q2 2015Q3 2015AL
High Risk Residents With Pressure Ulcers
0.0%
0.0%
0.0%
1.6%
Q1 2015Q2 2015Q3 2015AL
Have Depressive Symptoms
3.7%
2.9%
0.9%
4.9%
Q1 2015Q2 2015Q3 2015AL
With a Urinary Tract Infection
2.7%
2.9%
2.8%
3.3%
Q1 2015Q2 2015Q3 2015AL
Experiencing One or More Falls with Major Injury
2.3%
2.7%
2.7%
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

100.0%
100.0%
100.0%
82.1%
Q1 2015Q2 2015Q3 2015AL
Assessed and Appropriately Given the Pneumococcal Vaccine
100.0%
90.5%
90.5%
81.3%
Q1 2015Q2 2015Q3 2015AL
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
11.1%
10.5%
7.3%
14.8%
Q1 2015Q2 2015Q3 2015AL
Self Report Moderate to Severe Pain
0.0%
1.9%
4.3%
2.5%
Q1 2015Q2 2015Q3 2015AL
Newly Received an Antipsychotic Medication
0.9%
1.9%
1.8%
0.7%
Q1 2015Q2 2015Q3 2015AL
With Pressure Ulcers That Are New or Worsened