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Woodhaven Nurs & Alzheimer's C

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About Woodhaven Nurs & Alzheimer's C

General Information

Legal Business NameSoutheastern Regional Medical Center
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMay 15, 1969 ()
Capacity115
Residents108
Percent Occupied94%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalYes
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Woodhaven Nurs & Alzheimer's C

Woodhaven Nurs & Alzheimer's C
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 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

September 17, 2015 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaint+InspectionStore, cook, and serve food in a safe and clean way.

October 29, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionProperly protected cooking facilities.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.

October 10, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
ESomePotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmComplaint+InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
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 InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential 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.
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.
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 InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.
BSomePotential for Minimal HarmHealth InspectionUpon the death of a resident, convey the residentís personal funds and an accounting of those funds to the appropriate party.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Woodhaven Nurs & Alzheimer's C 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 25min
ReportedExpected
CNA
1hr 35min
40min
ReportedExpected
LPN
35min
1hr
ReportedExpected
RN
4hr 55min
4hr 5min
ReportedExpected
Total Nursing

This facility also provides approximately 20min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

98.9%
98.1%
98.1%
93.8%
Q1 2015Q2 2015Q3 2015NC
Assessed and Appropriately Given the Seasonal Influenza Vaccine
98.9%
100.0%
98.9%
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
13.6%
8.2%
9.8%
14.5%
Q1 2015Q2 2015Q3 2015NC
Received an Antipsychotic Medication
38.1%
35.7%
20.6%
18.8%
Q1 2015Q2 2015Q3 2015NC
Need for Help with ADLs has Increased
10.7%
6.7%
3.4%
9.2%
Q1 2015Q2 2015Q3 2015NC
Self Report Moderate to Severe Pain
10.0%
9.2%
8.5%
8.9%
Q1 2015Q2 2015Q3 2015NC
Lose Too Much Weight
10.7%
13.3%
10.6%
7.5%
Q1 2015Q2 2015Q3 2015NC
High Risk Residents With Pressure Ulcers
3.7%
0.0%
1.2%
3.8%
Q1 2015Q2 2015Q3 2015NC
Have Depressive Symptoms
3.3%
1.0%
0.0%
5.9%
Q1 2015Q2 2015Q3 2015NC
With a Urinary Tract Infection
1.1%
1.0%
0.0%
3.2%
Q1 2015Q2 2015Q3 2015NC
Experiencing One or More Falls with Major Injury
3.3%
3.0%
5.0%
2.8%
Q1 2015Q2 2015Q3 2015NC
With a Catheter Inserted and Left in Their Bladder
6.7%
3.1%
2.1%
0.7%
Q1 2015Q2 2015Q3 2015NC
Were Physically Restrained

Quality Measures for Short Stay Residents

73.9%
82.5%
94.1%
82.2%
Q1 2015Q2 2015Q3 2015NC
Assessed and Appropriately Given the Pneumococcal Vaccine
71.1%
70.4%
70.4%
82.2%
Q1 2015Q2 2015Q3 2015NC
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
28.6%
26.1%
18.1%
18.3%
Q1 2015Q2 2015Q3 2015NC
Self Report Moderate to Severe Pain
1.2%
1.3%
2.6%
2.2%
Q1 2015Q2 2015Q3 2015NC
Newly Received an Antipsychotic Medication
1.7%
2.3%
2.9%
1.2%
Q1 2015Q2 2015Q3 2015NC
With Pressure Ulcers That Are New or Worsened