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Azalea Health & Rehab Center

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About Azalea Health & Rehab Center

General Information

Legal Business NameWrightsville Health Holdings LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareFebruary 13, 2013 (4 years)
Capacity80
Residents77
Percent Occupied96%
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 Azalea Health & Rehab Center

Azalea Health & Rehab 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 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

December 3, 2015 - 12 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
DFewPotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.
DFewPotential for HarmFire Safety InspectionA two-hour-resistant firewall separation.

October 28, 2015 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
CManyPotential for Minimal HarmComplaint+InspectionPost nurse staffing information/data on a daily basis.
DFewPotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaint+InspectionEnsure each resident receives an accurate assessment by a qualified health professional.

August 13, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaint1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day.
DFewPotential for HarmComplaintMake sure that all required doctor visits are made personally.
DFewPotential for HarmComplaintProvide a tasty and well-balanced diet that meets the nutritional needs of each resident.

December 16, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionExits that are free from obstructions and can be used at all times.
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.

November 19, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
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.
ESomePotential for HarmHealth InspectionDispose of garbage and refuse properly.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth InspectionEmploy or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

May 15, 2014 - 3 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.
GFewActual HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

January 14, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
FManyPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionA fire alarm system that can be heard throughout the facility.
ESomePotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.

December 7, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential 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.
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.
CManyPotential for Minimal HarmHealth InspectionProvide proof that residents' personal money that is deposited with the nursing home is secure.
DFewPotential for HarmComplaint+InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaint+InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmComplaint+InspectionProvide housekeeping and maintenance services.
BSomePotential for Minimal HarmHealth InspectionProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Azalea Health & Rehab 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 20min
2hr 25min
ReportedExpected
CNA
55min
40min
ReportedExpected
LPN
55min
1hr 15min
ReportedExpected
RN
4hr 10min
4hr 20min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

97.7%
90.0%
90.0%
93.8%
Q1 2015Q2 2015Q3 2015NC
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
100.0%
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
8.9%
12.5%
16.7%
14.5%
Q1 2015Q2 2015Q3 2015NC
Received an Antipsychotic Medication
27.3%
18.9%
12.5%
18.8%
Q1 2015Q2 2015Q3 2015NC
Need for Help with ADLs has Increased
0.0%
0.0%
0.0%
9.2%
Q1 2015Q2 2015Q3 2015NC
Self Report Moderate to Severe Pain
0.0%
0.0%
2.2%
8.9%
Q1 2015Q2 2015Q3 2015NC
Lose Too Much Weight
0.0%
0.0%
0.0%
7.5%
Q1 2015Q2 2015Q3 2015NC
High Risk Residents With Pressure Ulcers
0.0%
0.0%
0.0%
3.8%
Q1 2015Q2 2015Q3 2015NC
Have Depressive Symptoms
0.0%
0.0%
0.0%
5.9%
Q1 2015Q2 2015Q3 2015NC
With a Urinary Tract Infection
0.0%
0.0%
4.4%
3.2%
Q1 2015Q2 2015Q3 2015NC
Experiencing One or More Falls with Major Injury
0.0%
2.5%
2.2%
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

87.7%
93.6%
94.5%
82.2%
Q1 2015Q2 2015Q3 2015NC
Assessed and Appropriately Given the Pneumococcal Vaccine
85.4%
77.8%
77.8%
82.2%
Q1 2015Q2 2015Q3 2015NC
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
5.1%
2.1%
3.5%
18.3%
Q1 2015Q2 2015Q3 2015NC
Self Report Moderate to Severe Pain
0.0%
0.0%
0.0%
2.2%
Q1 2015Q2 2015Q3 2015NC
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.3%
1.2%
Q1 2015Q2 2015Q3 2015NC
With Pressure Ulcers That Are New or Worsened