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Comer Health And Rehabilitation

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About Comer Health And Rehabilitation

General Information

Legal Business NameMadison County Health & Rehabilitation, LLC
Ownership TypeNon Profit - Other
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 24, 2009 (8 years)
Capacity116
Residents102
Percent Occupied88%
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 Comer Health And Rehabilitation

Comer Health And Rehabilitation
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Georgia 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

August 13, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
DFewPotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
DFewPotential for HarmFire Safety InspectionProperly maintained smoke detectors.
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 InspectionExits that are accessible at all times.

September 11, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionA written emergency evacuation plan.
ESomePotential for HarmFire Safety InspectionProperly installed hallway dispensers for alcohol-based hand rub.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionNo-smoking signs where oxygen is used.
ESomePotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
ESomePotential for HarmFire Safety InspectionProperly maintained smoke detectors.
ESomePotential for HarmFire Safety InspectionProperly protected cooking facilities.
DFewPotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionMake sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Comer Health And Rehabilitation 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 10min
2hr 40min
ReportedExpected
CNA
50min
45min
ReportedExpected
LPN
25min
1hr 5min
ReportedExpected
RN
3hr 25min
4hr 25min
ReportedExpected
Total Nursing

This facility also provides approximately 15min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
99.1%
99.1%
94.7%
Q1 2015Q2 2015Q3 2015GA
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
100.0%
93.9%
Q1 2015Q2 2015Q3 2015GA
Assessed and Appropriately Given the Pneumococcal Vaccine
63.6%
62.5%
47.2%
47.5%
Q1 2015Q2 2015Q3 2015GA
Low Risk Residents Who Lose Control of Their Bowel or Bladder
29.9%
28.2%
22.4%
19.9%
Q1 2015Q2 2015Q3 2015GA
Received an Antipsychotic Medication
21.8%
8.5%
20.5%
16.0%
Q1 2015Q2 2015Q3 2015GA
Need for Help with ADLs has Increased
2.7%
11.5%
8.4%
8.3%
Q1 2015Q2 2015Q3 2015GA
Self Report Moderate to Severe Pain
8.0%
7.8%
1.1%
8.1%
Q1 2015Q2 2015Q3 2015GA
Lose Too Much Weight
2.9%
4.3%
12.7%
6.9%
Q1 2015Q2 2015Q3 2015GA
High Risk Residents With Pressure Ulcers
16.5%
9.3%
3.4%
6.8%
Q1 2015Q2 2015Q3 2015GA
Have Depressive Symptoms
4.5%
3.3%
1.1%
5.3%
Q1 2015Q2 2015Q3 2015GA
With a Urinary Tract Infection
8.6%
8.7%
8.7%
3.3%
Q1 2015Q2 2015Q3 2015GA
Experiencing One or More Falls with Major Injury
3.2%
3.3%
2.4%
2.4%
Q1 2015Q2 2015Q3 2015GA
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.8%
Q1 2015Q2 2015Q3 2015GA
Were Physically Restrained

Quality Measures for Short Stay Residents

97.8%
96.4%
98.2%
81.4%
Q1 2015Q2 2015Q3 2015GA
Assessed and Appropriately Given the Pneumococcal Vaccine
90.5%
86.4%
86.4%
80.9%
Q1 2015Q2 2015Q3 2015GA
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
20.0%
9.1%
17.6%
15.8%
Q1 2015Q2 2015Q3 2015GA
Self Report Moderate to Severe Pain
3.7%
0.0%
0.0%
2.9%
Q1 2015Q2 2015Q3 2015GA
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
1.2%
Q1 2015Q2 2015Q3 2015GA
With Pressure Ulcers That Are New or Worsened