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Village At Cook Springs Skilled Nursing Facility

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About Village At Cook Springs Skilled Nursing Facility

General Information

Legal Business NameVillage At Cook Springs, LLC
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareDecember 1, 1977 (39 years)
Capacity168
Residents164
Percent Occupied98%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityYes
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Village At Cook Springs Skilled Nursing Facility

Village At Cook Springs Skilled Nursing Facility
was reviewed by Medicare to have a rating of 4 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

June 24, 2015 - 18 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
ESomePotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.
ESomePotential for HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.
ESomePotential for HarmFire Safety InspectionHorizontal exits.
DFewPotential for HarmFire Safety InspectionPosted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

June 18, 2015 - 18 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
DFewPotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
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 InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.

May 20, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
ESomePotential for HarmFire Safety InspectionHeating and ventilation systems that have been properly installed according to the manufacturer's instructions.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
DFewPotential for HarmFire Safety InspectionProperly protected cooking facilities.
DFewPotential for HarmFire Safety InspectionExits that are accessible at all times.
DFewPotential for HarmFire Safety InspectionPosted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

May 15, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Village At Cook Springs Skilled Nursing Facility 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.

1hr 60min
2hr 20min
ReportedExpected
CNA
3hr 10min
35min
ReportedExpected
LPN
30min
55min
ReportedExpected
RN
5hr 40min
3hr 50min
ReportedExpected
Total Nursing

This facility also provides approximately 10min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

94.2%
93.8%
93.8%
93.5%
Q1 2015Q2 2015Q3 2015AL
Assessed and Appropriately Given the Seasonal Influenza Vaccine
75.2%
72.3%
73.7%
92.9%
Q1 2015Q2 2015Q3 2015AL
Assessed and Appropriately Given the Pneumococcal Vaccine
51.2%
29.4%
29.4%
39.6%
Q1 2015Q2 2015Q3 2015AL
Low Risk Residents Who Lose Control of Their Bowel or Bladder
26.5%
19.4%
21.6%
20.9%
Q1 2015Q2 2015Q3 2015AL
Received an Antipsychotic Medication
31.1%
17.2%
22.0%
13.7%
Q1 2015Q2 2015Q3 2015AL
Need for Help with ADLs has Increased
2.2%
3.2%
3.5%
7.4%
Q1 2015Q2 2015Q3 2015AL
Self Report Moderate to Severe Pain
15.3%
10.2%
4.6%
8.6%
Q1 2015Q2 2015Q3 2015AL
Lose Too Much Weight
3.4%
1.2%
4.6%
5.7%
Q1 2015Q2 2015Q3 2015AL
High Risk Residents With Pressure Ulcers
0.0%
0.8%
0.0%
1.6%
Q1 2015Q2 2015Q3 2015AL
Have Depressive Symptoms
5.1%
6.2%
5.3%
4.9%
Q1 2015Q2 2015Q3 2015AL
With a Urinary Tract Infection
2.2%
3.1%
4.5%
3.3%
Q1 2015Q2 2015Q3 2015AL
Experiencing One or More Falls with Major Injury
3.5%
3.7%
3.0%
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

66.7%
77.3%
77.2%
82.1%
Q1 2015Q2 2015Q3 2015AL
Assessed and Appropriately Given the Pneumococcal Vaccine
77.8%
78.2%
78.2%
81.3%
Q1 2015Q2 2015Q3 2015AL
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
10.7%
11.6%
9.6%
14.8%
Q1 2015Q2 2015Q3 2015AL
Self Report Moderate to Severe Pain
2.0%
0.8%
1.0%
2.5%
Q1 2015Q2 2015Q3 2015AL
Newly Received an Antipsychotic Medication
0.3%
0.0%
0.0%
0.7%
Q1 2015Q2 2015Q3 2015AL
With Pressure Ulcers That Are New or Worsened