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The Arboretum At The Woodlands

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About The Arboretum At The Woodlands

General Information

Legal Business NameUpstate Senior Living, Inc.
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareNovember 25, 2009 (7 years)
Capacity30
Residents27
Percent Occupied90%
Program ParticipationMedicare
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityYes
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for The Arboretum At The Woodlands

The Arboretum At The Woodlands
was reviewed by Medicare to have a rating of 4 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of South 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

April 9, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionProperly protected cooking facilities.
DFewPotential for HarmFire Safety InspectionExits that are accessible at all times.

April 8, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
ESomePotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth Inspection1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionReview or revise the resident's care plan after any major change in physical or mental health.

June 18, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
GFewActual HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmComplaint+InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmComplaint+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 InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
DFewPotential for HarmHealth Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
DFewPotential for HarmHealth InspectionEnsure that residents are safe from serious medication errors.

February 21, 2013 - 4 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$45,728 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 The Arboretum At The Woodlands 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 30min
ReportedExpected
CNA
1hr 10min
40min
ReportedExpected
LPN
1hr 5min
1hr 10min
ReportedExpected
RN
5hr
4hr 25min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 20min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

-
-
-
95.0%
Q1 2015Q2 2015Q3 2015SC
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
-
96.0%
Q1 2015Q2 2015Q3 2015SC
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
53.1%
Q1 2015Q2 2015Q3 2015SC
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
-
-
-
14.7%
Q1 2015Q2 2015Q3 2015SC
* The data for this facility for some quarters is unavailable.
Received an Antipsychotic Medication
-
-
-
15.6%
Q1 2015Q2 2015Q3 2015SC
* The data for this facility for some quarters is unavailable.
Need for Help with ADLs has Increased
-
-
-
7.4%
Q1 2015Q2 2015Q3 2015SC
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
9.6%
Q1 2015Q2 2015Q3 2015SC
* The data for this facility for some quarters is unavailable.
Lose Too Much Weight
-
-
-
6.6%
Q1 2015Q2 2015Q3 2015SC
* The data for this facility for some quarters is unavailable.
High Risk Residents With Pressure Ulcers
-
-
-
1.8%
Q1 2015Q2 2015Q3 2015SC
* The data for this facility for some quarters is unavailable.
Have Depressive Symptoms
-
-
-
7.2%
Q1 2015Q2 2015Q3 2015SC
* The data for this facility for some quarters is unavailable.
With a Urinary Tract Infection
-
-
-
3.2%
Q1 2015Q2 2015Q3 2015SC
* The data for this facility for some quarters is unavailable.
Experiencing One or More Falls with Major Injury
-
-
-
2.0%
Q1 2015Q2 2015Q3 2015SC
* The data for this facility for some quarters is unavailable.
With a Catheter Inserted and Left in Their Bladder
-
-
-
2.2%
Q1 2015Q2 2015Q3 2015SC
* The data for this facility for some quarters is unavailable.
Were Physically Restrained

Quality Measures for Short Stay Residents

96.4%
92.2%
92.0%
86.4%
Q1 2015Q2 2015Q3 2015SC
Assessed and Appropriately Given the Pneumococcal Vaccine
97.9%
83.9%
83.9%
85.6%
Q1 2015Q2 2015Q3 2015SC
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
8.2%
13.5%
10.3%
14.7%
Q1 2015Q2 2015Q3 2015SC
Self Report Moderate to Severe Pain
4.2%
2.8%
0.0%
2.4%
Q1 2015Q2 2015Q3 2015SC
Newly Received an Antipsychotic Medication
1.0%
1.8%
1.7%
1.0%
Q1 2015Q2 2015Q3 2015SC
With Pressure Ulcers That Are New or Worsened