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Carriage Hill Health And Rehab Center

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About Carriage Hill Health And Rehab Center

General Information

Legal Business NameFredericksburg Health Care LLC
Ownership TypeFor Profit - Partnership
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMay 21, 2008 (9 years)
Capacity150
Residents133
Percent Occupied89%
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 Carriage Hill Health And Rehab Center

Carriage Hill Health And 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 Virginia 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

June 15, 2015 - 1 year ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionExits that are free from obstructions and can be used at all times.
DFewPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.

June 4, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionGive or get x-rays and other tests in a timely manner to meet the needs of residents.
DFewPotential for HarmHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaint+InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmComplaint+InspectionProvide or obtain laboratory services only when ordered by the attending physician.
DFewPotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmHealth InspectionMake sure that doctors visit residents regularly, as required.
DFewPotential for HarmHealth InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
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 services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
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 InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.

November 25, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.

June 11, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionEnsure laboratory services, blood blanks and transfusion services provided on site meet requirements for certified laboratories; or have an agreement to obtain services from an offsite laboratory, that meets the same requirements.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.

December 10, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.
DFewPotential for HarmFire Safety InspectionProperly installed hallway dispensers for alcohol-based hand rub.
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 InspectionCorridor and hallway doors that block smoke.

December 5, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 25 days

June 21, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$1,950 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 Carriage Hill Health And 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.

1hr 55min
2hr 20min
ReportedExpected
CNA
55min
35min
ReportedExpected
LPN
35min
1hr 5min
ReportedExpected
RN
3hr 30min
4hr
ReportedExpected
Total Nursing

This facility also provides approximately 40min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

98.2%
96.7%
96.7%
93.8%
Q1 2015Q2 2015Q3 2015VA
Assessed and Appropriately Given the Seasonal Influenza Vaccine
83.3%
81.4%
79.8%
92.0%
Q1 2015Q2 2015Q3 2015VA
Assessed and Appropriately Given the Pneumococcal Vaccine
48.5%
56.7%
53.1%
52.4%
Q1 2015Q2 2015Q3 2015VA
Low Risk Residents Who Lose Control of Their Bowel or Bladder
18.2%
18.4%
17.3%
17.3%
Q1 2015Q2 2015Q3 2015VA
Received an Antipsychotic Medication
21.2%
10.8%
21.0%
17.6%
Q1 2015Q2 2015Q3 2015VA
Need for Help with ADLs has Increased
16.0%
8.3%
9.9%
9.2%
Q1 2015Q2 2015Q3 2015VA
Self Report Moderate to Severe Pain
9.3%
3.0%
15.1%
7.9%
Q1 2015Q2 2015Q3 2015VA
Lose Too Much Weight
2.2%
2.4%
6.0%
6.2%
Q1 2015Q2 2015Q3 2015VA
High Risk Residents With Pressure Ulcers
0.0%
1.0%
0.0%
2.9%
Q1 2015Q2 2015Q3 2015VA
Have Depressive Symptoms
4.5%
5.9%
2.8%
6.1%
Q1 2015Q2 2015Q3 2015VA
With a Urinary Tract Infection
1.8%
1.0%
0.9%
3.5%
Q1 2015Q2 2015Q3 2015VA
Experiencing One or More Falls with Major Injury
3.9%
2.7%
4.4%
2.8%
Q1 2015Q2 2015Q3 2015VA
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.6%
Q1 2015Q2 2015Q3 2015VA
Were Physically Restrained

Quality Measures for Short Stay Residents

47.5%
51.2%
47.9%
81.6%
Q1 2015Q2 2015Q3 2015VA
Assessed and Appropriately Given the Pneumococcal Vaccine
70.3%
67.2%
67.2%
81.9%
Q1 2015Q2 2015Q3 2015VA
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
23.5%
24.2%
30.0%
17.4%
Q1 2015Q2 2015Q3 2015VA
Self Report Moderate to Severe Pain
6.2%
3.4%
2.6%
2.1%
Q1 2015Q2 2015Q3 2015VA
Newly Received an Antipsychotic Medication
1.0%
1.0%
1.0%
1.0%
Q1 2015Q2 2015Q3 2015VA
With Pressure Ulcers That Are New or Worsened