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Douglasville Nursing And Rehabilitation Center

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About Douglasville Nursing And Rehabilitation Center

General Information

Legal Business NameDouglasville Nursing And Rehabilitation Center, LLC
Ownership TypeFor Profit - Partnership
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareFebruary 1, 1980 (37 years)
Capacity246
Residents231
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 Douglasville Nursing And Rehabilitation Center

Douglasville Nursing And Rehabilitation Center
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 6, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
ESomePotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
ESomePotential for HarmFire Safety InspectionCorridors or aisles that are unobstructed and are at least 8 feet in width.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionHeating and ventilation systems that have been properly installed according to the manufacturer's instructions.
ESomePotential for HarmFire Safety InspectionProperly protected cooking facilities.
ESomePotential for HarmFire Safety InspectionRestrictions on the use of flammable curtains.
ESomePotential for HarmFire Safety InspectionOther fire safety features required by fire safety codes.
DFewPotential for HarmFire Safety InspectionA written emergency evacuation plan.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionDispose of garbage and refuse properly.
DFewPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.

September 11, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
DFewPotential for HarmFire Safety InspectionRestrictions on the use of portable space heaters.
DFewPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
DFewPotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Douglasville Nursing And 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 10min
2hr 35min
ReportedExpected
CNA
1hr 15min
45min
ReportedExpected
LPN
25min
1hr 15min
ReportedExpected
RN
3hr 50min
4hr 30min
ReportedExpected
Total Nursing

This facility also provides approximately 35min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

88.2%
84.8%
84.8%
94.7%
Q1 2015Q2 2015Q3 2015GA
Assessed and Appropriately Given the Seasonal Influenza Vaccine
98.5%
99.0%
97.4%
93.9%
Q1 2015Q2 2015Q3 2015GA
Assessed and Appropriately Given the Pneumococcal Vaccine
45.3%
45.5%
43.8%
47.5%
Q1 2015Q2 2015Q3 2015GA
Low Risk Residents Who Lose Control of Their Bowel or Bladder
19.0%
18.0%
20.3%
19.9%
Q1 2015Q2 2015Q3 2015GA
Received an Antipsychotic Medication
16.0%
21.8%
14.0%
16.0%
Q1 2015Q2 2015Q3 2015GA
Need for Help with ADLs has Increased
8.6%
10.1%
13.8%
8.3%
Q1 2015Q2 2015Q3 2015GA
Self Report Moderate to Severe Pain
8.9%
5.3%
5.3%
8.1%
Q1 2015Q2 2015Q3 2015GA
Lose Too Much Weight
7.4%
4.6%
3.2%
6.9%
Q1 2015Q2 2015Q3 2015GA
High Risk Residents With Pressure Ulcers
0.0%
5.0%
3.6%
6.8%
Q1 2015Q2 2015Q3 2015GA
Have Depressive Symptoms
6.8%
7.4%
4.2%
5.3%
Q1 2015Q2 2015Q3 2015GA
With a Urinary Tract Infection
3.6%
5.1%
5.2%
3.3%
Q1 2015Q2 2015Q3 2015GA
Experiencing One or More Falls with Major Injury
7.0%
7.5%
6.6%
2.4%
Q1 2015Q2 2015Q3 2015GA
With a Catheter Inserted and Left in Their Bladder
5.1%
2.0%
1.6%
0.8%
Q1 2015Q2 2015Q3 2015GA
Were Physically Restrained

Quality Measures for Short Stay Residents

92.9%
94.5%
93.6%
81.4%
Q1 2015Q2 2015Q3 2015GA
Assessed and Appropriately Given the Pneumococcal Vaccine
91.3%
88.3%
88.3%
80.9%
Q1 2015Q2 2015Q3 2015GA
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
15.2%
14.9%
11.0%
15.8%
Q1 2015Q2 2015Q3 2015GA
Self Report Moderate to Severe Pain
2.8%
0.8%
0.7%
2.9%
Q1 2015Q2 2015Q3 2015GA
Newly Received an Antipsychotic Medication
0.9%
3.1%
2.1%
1.2%
Q1 2015Q2 2015Q3 2015GA
With Pressure Ulcers That Are New or Worsened