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Brandywine Nursing & Rehabilitation Center

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About Brandywine Nursing & Rehabilitation Center

General Information

Legal Business NameBrandywine Convalescent Home, Inc.
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 1, 1967 ()
Capacity169
Residents159
Percent Occupied94%
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 Brandywine Nursing & Rehabilitation Center

Brandywine Nursing & Rehabilitation Center
was reviewed by Medicare to have a rating of 3 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Delaware 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

July 15, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual 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.
ESomePotential for HarmHealth InspectionEnsure that residents are safe from serious medication errors.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
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 HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
DFewPotential for HarmHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
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 InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionProvide written records when a resident is transferred or discharged.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth InspectionProvide adequate and comfortable lighting levels in all areas.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
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 residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential 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.

July 8, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.

June 6, 2014 - 3 years ago

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

June 5, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionEnsure that residents are safe from serious medication errors.
ESomePotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
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 InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
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 InspectionProvide 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
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmComplaintConduct initial and periodic assessments of each resident's functional capacity.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Brandywine Nursing & Rehabilitation 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 45min
2hr 20min
ReportedExpected
CNA
1hr 5min
35min
ReportedExpected
LPN
45min
55min
ReportedExpected
RN
4hr 30min
3hr 50min
ReportedExpected
Total Nursing

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

Quality Measures for Long Stay Residents

98.7%
97.6%
97.6%
97.4%
Q1 2015Q2 2015Q3 2015DE
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
100.0%
96.4%
Q1 2015Q2 2015Q3 2015DE
Assessed and Appropriately Given the Pneumococcal Vaccine
68.8%
73.6%
67.1%
48.2%
Q1 2015Q2 2015Q3 2015DE
Low Risk Residents Who Lose Control of Their Bowel or Bladder
15.1%
15.0%
15.5%
14.0%
Q1 2015Q2 2015Q3 2015DE
Received an Antipsychotic Medication
22.4%
12.1%
13.1%
15.6%
Q1 2015Q2 2015Q3 2015DE
Need for Help with ADLs has Increased
7.1%
5.2%
7.8%
6.5%
Q1 2015Q2 2015Q3 2015DE
Self Report Moderate to Severe Pain
7.8%
4.5%
2.0%
6.3%
Q1 2015Q2 2015Q3 2015DE
Lose Too Much Weight
9.7%
6.1%
6.7%
4.3%
Q1 2015Q2 2015Q3 2015DE
High Risk Residents With Pressure Ulcers
8.7%
2.9%
3.5%
2.4%
Q1 2015Q2 2015Q3 2015DE
Have Depressive Symptoms
15.6%
7.8%
7.9%
6.4%
Q1 2015Q2 2015Q3 2015DE
With a Urinary Tract Infection
1.3%
1.9%
2.6%
3.3%
Q1 2015Q2 2015Q3 2015DE
Experiencing One or More Falls with Major Injury
2.6%
2.6%
2.9%
1.8%
Q1 2015Q2 2015Q3 2015DE
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.4%
Q1 2015Q2 2015Q3 2015DE
Were Physically Restrained

Quality Measures for Short Stay Residents

100.0%
98.2%
98.4%
86.3%
Q1 2015Q2 2015Q3 2015DE
Assessed and Appropriately Given the Pneumococcal Vaccine
98.0%
96.0%
96.0%
85.9%
Q1 2015Q2 2015Q3 2015DE
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
15.6%
5.9%
8.1%
13.2%
Q1 2015Q2 2015Q3 2015DE
Self Report Moderate to Severe Pain
8.0%
8.0%
3.8%
1.8%
Q1 2015Q2 2015Q3 2015DE
Newly Received an Antipsychotic Medication
2.4%
0.0%
1.4%
1.0%
Q1 2015Q2 2015Q3 2015DE
With Pressure Ulcers That Are New or Worsened