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Sandalwood Healthcare, LLC

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About Sandalwood Healthcare, LLC

General Information

Legal Business NameSandalwood Healthcare,LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJuly 25, 2010 (6 years)
Capacity139
Residents81
Percent Occupied58%
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 Sandalwood Healthcare, LLC

Sandalwood Healthcare, LLC
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 Arkansas 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 6, 2015 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
ESomePotential for HarmHealth InspectionMake sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
ESomePotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
ESomePotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
ESomePotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.

November 4, 2015 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionProperly protected cooking facilities.
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
FManyPotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
FManyPotential for HarmFire Safety InspectionPortable fire extinguishers.
FManyPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
FManyPotential for HarmFire Safety InspectionProperly maintained smoke detectors.
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
DFewPotential for HarmFire Safety InspectionExits that are accessible at all times.

August 28, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.

July 15, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
KSomeImmediate JeopardyComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

May 29, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 30 days
ESomePotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
ESomePotential for HarmComplaint1) 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.

January 29, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$29,900 fine
---Payment DenialPayment denial for 48 days
KSomeImmediate JeopardyHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
HSomeActual HarmComplaint+InspectionEnsure residents maintain acceptable nutritional status.
ESomePotential for HarmComplaint+InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
ESomePotential for HarmComplaint+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.
ESomePotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
ESomePotential for HarmComplaint+InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.

January 26, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.

December 4, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaintReasonably accommodate the needs and preferences of each resident.

July 14, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmComplaintEnsure that residents are safe from serious medication errors.
ESomePotential for HarmComplaintKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
ESomePotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.
BSomePotential for Minimal HarmComplaintProvide medically-related social services to help each resident achieve the highest possible quality of life.

June 6, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
ESomePotential for HarmComplaintKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
ESomePotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
ESomePotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.

May 2, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
ESomePotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.

April 18, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
ESomePotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintEnsure 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 HarmComplaintReasonably accommodate the needs and preferences of each resident.
DFewPotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

March 31, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
ESomePotential for HarmComplaintEnsure that residents are safe from serious medication errors.

March 12, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$58,013 fine
---Payment DenialPayment denial for 78 days
FManyPotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
GFewActual HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmComplaint+InspectionProtect each resident from mistreatment, neglect and misappropriation of personal property.
ESomePotential for HarmComplaint+InspectionGive or get specialized rehabilitative services per the patient's assessment or plan of care.
ESomePotential for HarmComplaint+InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmComplaint+InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmComplaint+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.
ESomePotential for HarmComplaint+InspectionHonor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States.
ESomePotential for HarmHealth InspectionGive proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
ESomePotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
ESomePotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
ESomePotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
ESomePotential for HarmHealth InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
CManyPotential for Minimal HarmComplaint+InspectionAllow residents to easily view the results of the nursing home's most recent inspection.
CManyPotential for Minimal HarmHealth InspectionHire a qualified full-time social worker in a facility with more than 120 beds.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionGive specialized rehabilitative services that are medically necessary by qualified personnel, when ordered by a doctor.

February 25, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.

January 7, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
BSomePotential for Minimal HarmComplaintKeep residents' personal and medical records private and confidential.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Sandalwood Healthcare, LLC 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 30min
2hr 20min
ReportedExpected
CNA
1hr 10min
35min
ReportedExpected
LPN
10min
50min
ReportedExpected
RN
3hr 50min
3hr 45min
ReportedExpected
Total Nursing

This facility also provides approximately 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

76.1%
74.7%
74.7%
96.5%
Q1 2015Q2 2015Q3 2015AR
Assessed and Appropriately Given the Seasonal Influenza Vaccine
84.9%
78.2%
72.6%
96.1%
Q1 2015Q2 2015Q3 2015AR
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
35.6%
Q1 2015Q2 2015Q3 2015AR
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
15.9%
23.3%
20.3%
17.3%
Q1 2015Q2 2015Q3 2015AR
Received an Antipsychotic Medication
0.0%
3.3%
3.2%
16.4%
Q1 2015Q2 2015Q3 2015AR
Need for Help with ADLs has Increased
15.4%
12.6%
15.0%
7.9%
Q1 2015Q2 2015Q3 2015AR
Self Report Moderate to Severe Pain
9.7%
5.2%
6.0%
7.4%
Q1 2015Q2 2015Q3 2015AR
Lose Too Much Weight
3.9%
2.0%
5.5%
5.4%
Q1 2015Q2 2015Q3 2015AR
High Risk Residents With Pressure Ulcers
0.0%
0.0%
0.0%
2.6%
Q1 2015Q2 2015Q3 2015AR
Have Depressive Symptoms
8.3%
7.8%
9.5%
4.5%
Q1 2015Q2 2015Q3 2015AR
With a Urinary Tract Infection
1.4%
2.6%
2.4%
3.8%
Q1 2015Q2 2015Q3 2015AR
Experiencing One or More Falls with Major Injury
4.4%
7.3%
6.8%
3.0%
Q1 2015Q2 2015Q3 2015AR
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.8%
Q1 2015Q2 2015Q3 2015AR
Were Physically Restrained

Quality Measures for Short Stay Residents

38.6%
61.4%
63.3%
84.3%
Q1 2015Q2 2015Q3 2015AR
Assessed and Appropriately Given the Pneumococcal Vaccine
36.4%
36.4%
36.4%
80.0%
Q1 2015Q2 2015Q3 2015AR
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
23.1%
18.5%
-
14.9%
Q1 2015Q2 2015Q3 2015AR
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
2.3%
Q1 2015Q2 2015Q3 2015AR
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
0.0%
2.8%
0.0%
1.2%
Q1 2015Q2 2015Q3 2015AR
With Pressure Ulcers That Are New or Worsened