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Brookdale Atrium Way 2

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About Brookdale Atrium Way 2

General Information

Legal Business NameBlc Atrium Jacksonville Snf LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareSeptember 13, 1996 (21 years)
Capacity84
Residents75
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 Brookdale Atrium Way 2

Brookdale Atrium Way 2
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 Florida 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

August 18, 2016 - 7 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionDispose of garbage and refuse properly.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionDevelop policies and procedures for influenza and pneumococcal immunizations.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
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 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 InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

August 27, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
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 InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
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 InspectionTry to resolve each resident's complaints quickly.

February 25, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$286,130 fine
---Payment DenialPayment denial for 6 days
JFewImmediate JeopardyComplaintEnsure that residents are safe from serious medication errors.
JFewImmediate JeopardyComplaintSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
JFewImmediate JeopardyComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
JFewImmediate JeopardyComplaintLet residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.
DFewPotential for HarmComplaintAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.

October 30, 2014 - 2 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 InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

June 16, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintPost nurse staffing information/data on a daily basis.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Brookdale Atrium Way 2 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 40min
2hr 30min
ReportedExpected
CNA
1hr 10min
40min
ReportedExpected
LPN
50min
1hr 10min
ReportedExpected
RN
4hr 35min
4hr 20min
ReportedExpected
Total Nursing

This facility also provides approximately 55min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

97.8%
85.7%
85.7%
85.7%
93.1%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.3%
100.0%
100.0%
100.0%
94.7%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
50.0%
57.1%
57.1%
-
52.3%
Q4 2015Q1 2016Q2 2016Q3 2016FL
* 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
30.6%
18.4%
34.3%
33.3%
27.4%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents who received an antianxiety or hypnotic medication
20.6%
17.8%
19.5%
16.6%
17.0%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents whose ability to move independently worsened
9.5%
11.1%
4.5%
5.4%
16.4%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents who received an antipsychotic medication
19.4%
11.1%
13.9%
15.2%
13.5%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents whose need for help with daily activities has increased
2.6%
9.0%
5.4%
3.3%
5.0%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents who self-report moderate to severe pain
2.3%
2.2%
0.0%
0.0%
7.2%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents who lose too much weight
6.7%
21.2%
11.1%
6.9%
6.0%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of high risk long-stay residents with pressure ulcers
2.9%
0.0%
0.0%
0.0%
1.6%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents who have depressive symptoms
9.3%
4.4%
2.2%
10.5%
4.4%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents with a urinary tract infection
7.0%
4.3%
4.3%
0.0%
2.8%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents experiencing one or more falls with major injury
2.1%
1.5%
0.0%
0.0%
2.0%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.8%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

95.4%
96.9%
99.2%
99.6%
88.0%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.8%
95.6%
95.6%
95.6%
85.1%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
62.1%
65.5%
63.6%
62.4%
64.7%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of short-stay residents who made improvements in function
3.8%
6.0%
11.7%
13.2%
12.8%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of short-stay residents who self-report moderate to severe pain
1.7%
1.2%
1.1%
0.5%
2.3%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of short-stay residents who newly received an antipsychotic medication
0.5%
0.5%
0.0%
0.2%
0.7%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of short-stay residents with pressure ulcers that are new or worsened