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Woodley Manor Health & Rehabilitation

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About Woodley Manor Health & Rehabilitation

General Information

Legal Business NameSsc Montgomery Woodley Manor Opr Co. LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 1, 1970 (48 years)
Capacity105
Residents66
Percent Occupied63%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityYes
Auto Sprinkler System In Required AreasYes

Ratings for Woodley Manor Health & Rehabilitation

Woodley Manor Health & Rehabilitation
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 Alabama 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

November 5, 2016 - 8 months ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 12 days
HSomeActual HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
HSomeActual HarmHealth InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
HSomeActual HarmHealth InspectionEstablish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility
HSomeActual HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
HSomeActual HarmHealth InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
HSomeActual HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
HSomeActual HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
HSomeActual HarmHealth InspectionProtect each resident from mistreatment, neglect and misappropriation of personal property.
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmHealth InspectionProvide proof that residents' personal money that is deposited with the nursing home is secure.
ESomePotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
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 InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
ESomePotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
CManyPotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.
DFewPotential for HarmHealth InspectionUpon the death of a resident, convey the residentís personal funds and an accounting of those funds to the appropriate party.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
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 a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionAssure that each residentís assessment is updated at least once every 3 months.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

May 7, 2016 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$329,030 fine
KSomeImmediate JeopardyHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
IManyActual HarmHealth InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
HSomeActual HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
HSomeActual HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
FManyPotential for HarmHealth InspectionEstablish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility
GFewActual HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
CManyPotential for Minimal HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CManyPotential for Minimal HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
CManyPotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.
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 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 InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
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 InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionKeep all essential equipment working safely.

May 21, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$13,813 fine
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential 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.
FManyPotential for HarmHealth InspectionHire sufficient dietary support personnel.
GFewActual HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmHealth InspectionProvide special eating equipment and utensils for each resident who needs them.
ESomePotential for HarmHealth InspectionGive each resident enough fluids to keep them healthy and prevent dehydration.
ESomePotential for HarmHealth InspectionMake sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
ESomePotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
CManyPotential for Minimal HarmHealth InspectionDispose of garbage and refuse properly.
CManyPotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.
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 InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionProvide food in a way that meets a resident's needs.
DFewPotential for HarmHealth InspectionHire a qualified dietician.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Woodley Manor Health & Rehabilitation 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 50min
2hr 10min
ReportedExpected
CNA
1hr 10min
35min
ReportedExpected
LPN
20min
60min
ReportedExpected
RN
3hr 15min
3hr 45min
ReportedExpected
Total Nursing

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

Quality Measures for Long Stay Residents

96.3%
70.0%
70.0%
70.0%
93.1%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
80.5%
78.5%
78.9%
14.5%
92.8%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
55.3%
55.3%
58.1%
59.3%
41.1%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of low risk long-stay residents who lose control of their bowels or bladder
14.7%
20.8%
20.3%
17.9%
29.7%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents who received an antianxiety or hypnotic medication
24.4%
38.0%
27.5%
30.1%
15.1%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents whose ability to move independently worsened
16.7%
15.4%
15.0%
21.0%
19.1%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents who received an antipsychotic medication
22.6%
25.8%
23.0%
36.2%
12.6%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents whose need for help with daily activities has increased
2.4%
4.6%
5.6%
1.6%
6.7%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents who self-report moderate to severe pain
1.3%
7.6%
12.3%
9.0%
7.9%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents who lose too much weight
7.8%
5.9%
8.3%
11.1%
5.6%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of high risk long-stay residents with pressure ulcers
1.3%
0.0%
1.5%
0.0%
1.4%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents who have depressive symptoms
0.0%
0.0%
4.1%
0.0%
4.1%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents with a urinary tract infection
0.0%
1.3%
2.6%
4.3%
3.2%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents experiencing one or more falls with major injury
4.1%
1.8%
4.3%
3.8%
2.4%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.9%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

48.6%
64.7%
61.0%
52.4%
82.0%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
71.7%
73.5%
73.5%
73.5%
79.9%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
55.4%
Q4 2015Q1 2016Q2 2016Q3 2016AL
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
13.0%
14.8%
12.9%
-
14.2%
Q4 2015Q1 2016Q2 2016Q3 2016AL
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who self-report moderate to severe pain
5.0%
-
4.2%
-
2.2%
Q4 2015Q1 2016Q2 2016Q3 2016AL
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.0%
0.0%
-
0.7%
Q4 2015Q1 2016Q2 2016Q3 2016AL
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents with pressure ulcers that are new or worsened