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Brackenville Center

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About Brackenville Center

General Information

Legal Business Name100 St Claire Drive Operations LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMarch 1, 1993 (24 years)
Capacity104
Residents97
Percent Occupied93%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityYes
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Brackenville Center

Brackenville Center
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 Delaware 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

January 13, 2016 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionGive residents a notice of rights, rules, services and charges.
GFewActual 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.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionProvide or obtain dental services for each resident.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
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 InspectionConduct initial and periodic assessments of each resident's functional capacity.

September 17, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmComplaintGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

October 22, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.

March 4, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 50 days

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Brackenville 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 15min
2hr 35min
ReportedExpected
CNA
60min
40min
ReportedExpected
LPN
1hr 5min
60min
ReportedExpected
RN
4hr 15min
4hr 15min
ReportedExpected
Total Nursing

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

Quality Measures for Long Stay Residents

98.8%
98.9%
98.9%
98.9%
96.7%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
100.0%
100.0%
98.8%
96.2%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
69.7%
77.4%
70.0%
-
48.9%
Q4 2015Q1 2016Q2 2016Q3 2016DE
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
19.4%
16.0%
16.2%
18.2%
25.5%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of long-stay residents who received an antianxiety or hypnotic medication
21.0%
15.6%
16.8%
22.6%
19.1%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of long-stay residents whose ability to move independently worsened
12.2%
12.8%
11.0%
11.0%
13.3%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of long-stay residents who received an antipsychotic medication
12.9%
11.1%
8.6%
28.4%
16.3%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of long-stay residents whose need for help with daily activities has increased
12.1%
6.4%
9.1%
4.8%
7.0%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of long-stay residents who self-report moderate to severe pain
13.3%
5.9%
8.3%
7.2%
6.1%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of long-stay residents who lose too much weight
5.3%
5.3%
1.3%
4.0%
4.0%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of high risk long-stay residents with pressure ulcers
1.4%
0.0%
0.0%
3.9%
2.4%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of long-stay residents who have depressive symptoms
8.4%
5.7%
6.0%
7.2%
5.8%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of long-stay residents with a urinary tract infection
4.8%
5.7%
3.6%
3.6%
3.3%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of long-stay residents experiencing one or more falls with major injury
5.6%
4.2%
0.0%
1.1%
1.6%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.6%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

83.6%
86.6%
95.8%
83.2%
85.6%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.1%
86.6%
86.6%
86.6%
85.5%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
38.6%
58.8%
65.3%
58.0%
70.2%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of short-stay residents who made improvements in function
15.2%
15.9%
11.5%
6.8%
13.8%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of short-stay residents who self-report moderate to severe pain
4.3%
6.1%
6.0%
2.8%
1.7%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.0%
0.0%
0.0%
0.7%
Q4 2015Q1 2016Q2 2016Q3 2016DE
Percentage of short-stay residents with pressure ulcers that are new or worsened