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Woodlands Nursing & Rehabilitation Center

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About Woodlands Nursing & Rehabilitation Center

General Information

Legal Business NameSw Management Group Inc
Ownership TypeFor Profit - Individual
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareFebruary 27, 1997 (20 years)
Capacity80
Residents62
Percent Occupied78%
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 Woodlands Nursing & Rehabilitation Center

Woodlands Nursing & Rehabilitation Center
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 North Carolina 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

October 15, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionExits that are accessible at all times.
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 InspectionA two-hour-resistant firewall separation.

October 16, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

September 23, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
ESomePotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
DFewPotential for HarmFire Safety InspectionExits that are free from obstructions and can be used at all times.
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
DFewPotential for HarmFire Safety InspectionApproved construction type or materials.

September 4, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$14,788 fine
GFewActual HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
GFewActual HarmHealth InspectionProtect each resident from mistreatment, neglect and misappropriation of personal property.

May 8, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 36 days
ESomePotential for HarmComplaintKeep residents' personal and medical records private and confidential.
ESomePotential for HarmComplaintSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
DFewPotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

December 12, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.

April 5, 2013 - 4 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$13,780 fine

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Woodlands 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.

3hr 30min
2hr 35min
ReportedExpected
CNA
1hr
50min
ReportedExpected
LPN
30min
1hr 25min
ReportedExpected
RN
5hr 5min
4hr 50min
ReportedExpected
Total Nursing

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

Quality Measures for Long Stay Residents

78.2%
76.3%
76.3%
93.8%
Q1 2015Q2 2015Q3 2015NC
Assessed and Appropriately Given the Seasonal Influenza Vaccine
94.5%
94.5%
96.2%
92.8%
Q1 2015Q2 2015Q3 2015NC
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
54.9%
Q1 2015Q2 2015Q3 2015NC
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
11.5%
7.7%
8.2%
14.5%
Q1 2015Q2 2015Q3 2015NC
Received an Antipsychotic Medication
11.1%
18.2%
33.3%
18.8%
Q1 2015Q2 2015Q3 2015NC
Need for Help with ADLs has Increased
-
29.1%
21.7%
9.2%
Q1 2015Q2 2015Q3 2015NC
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
3.6%
5.6%
9.6%
8.9%
Q1 2015Q2 2015Q3 2015NC
Lose Too Much Weight
27.3%
20.0%
12.8%
7.5%
Q1 2015Q2 2015Q3 2015NC
High Risk Residents With Pressure Ulcers
0.0%
0.0%
2.2%
3.8%
Q1 2015Q2 2015Q3 2015NC
Have Depressive Symptoms
5.5%
3.7%
9.6%
5.9%
Q1 2015Q2 2015Q3 2015NC
With a Urinary Tract Infection
0.0%
0.0%
0.0%
3.2%
Q1 2015Q2 2015Q3 2015NC
Experiencing One or More Falls with Major Injury
5.1%
6.5%
4.2%
2.8%
Q1 2015Q2 2015Q3 2015NC
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.7%
Q1 2015Q2 2015Q3 2015NC
Were Physically Restrained

Quality Measures for Short Stay Residents

83.7%
78.7%
77.1%
82.2%
Q1 2015Q2 2015Q3 2015NC
Assessed and Appropriately Given the Pneumococcal Vaccine
73.2%
73.2%
73.2%
82.2%
Q1 2015Q2 2015Q3 2015NC
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
34.1%
31.0%
26.1%
18.3%
Q1 2015Q2 2015Q3 2015NC
Self Report Moderate to Severe Pain
0.0%
1.5%
1.5%
2.2%
Q1 2015Q2 2015Q3 2015NC
Newly Received an Antipsychotic Medication
1.7%
2.6%
0.9%
1.2%
Q1 2015Q2 2015Q3 2015NC
With Pressure Ulcers That Are New or Worsened