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Gracewood Rehabilitation And Nursing Care

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About Gracewood Rehabilitation And Nursing Care

General Information

Legal Business NameScg Gracewood LLC
Ownership TypeNon Profit - Other
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareDecember 21, 1984 (33 years)
Capacity120
Residents105
Percent Occupied88%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Gracewood Rehabilitation And Nursing Care

Gracewood Rehabilitation And Nursing Care
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 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

December 8, 2016 - 7 months ago

 Residents AffectedSeveritySource/TypeDescription
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 InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 InspectionReasonably accommodate the needs and preferences of each resident.
DFewPotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

October 11, 2016 - 9 months ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaintSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
DFewPotential for HarmComplaintKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

May 6, 2016 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$66,046 fine
JFewImmediate JeopardyComplaintMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
JFewImmediate JeopardyComplaintGive each resident enough fluids to keep them healthy and prevent dehydration.
JFewImmediate JeopardyComplaintDevelop 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.
JFewImmediate JeopardyComplaintProtect each resident from mistreatment, neglect and misappropriation of personal property.
JFewImmediate JeopardyComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

November 24, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProvide housekeeping and maintenance services.

October 5, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
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.
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.

August 20, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 31 days
---Fine$22,500 fine
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionProvide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.
DFewPotential for HarmHealth InspectionDevelop policies and procedures for influenza and pneumococcal immunizations.
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 InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionProvide routine and 24-hour emergency dental care for each resident.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
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 InspectionTry to resolve each resident's complaints quickly.
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 InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
DFewPotential for HarmHealth InspectionMaintain comfortable and safe temperature levels.
DFewPotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

April 3, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
ESomePotential for HarmComplaintMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
ESomePotential for HarmComplaintProvide clean bed and bath linens that are in good condition.
DFewPotential for HarmComplaintProvide housekeeping and maintenance services.
DFewPotential for HarmComplaintDevelop 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.

July 21, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$40,950 fine
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmComplaintProvide housekeeping and maintenance services.
ESomePotential for HarmComplaintKeep residents' personal and medical records private and confidential.
DFewPotential for HarmComplaintProvide bedrooms that don't allow residents to see each other when privacy is needed.
DFewPotential for HarmComplaintProvide 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 Gracewood Rehabilitation And Nursing Care 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 5min
ReportedExpected
CNA
40min
35min
ReportedExpected
LPN
30min
60min
ReportedExpected
RN
3hr 30min
3hr 40min
ReportedExpected
Total Nursing

This facility also provides approximately 5min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

90.7%
92.1%
92.1%
92.1%
93.1%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
92.2%
96.2%
96.0%
97.4%
94.7%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
28.8%
25.5%
29.8%
22.2%
52.3%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of low risk long-stay residents who lose control of their bowels or bladder
34.0%
34.7%
40.6%
40.5%
27.4%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents who received an antianxiety or hypnotic medication
9.2%
12.5%
11.2%
5.5%
17.0%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents whose ability to move independently worsened
42.0%
27.3%
33.3%
12.1%
16.4%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents who received an antipsychotic medication
10.3%
21.3%
12.8%
8.3%
13.5%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents whose need for help with daily activities has increased
0.0%
2.6%
2.0%
3.7%
5.0%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents who self-report moderate to severe pain
6.0%
11.7%
15.2%
14.5%
7.2%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents who lose too much weight
6.7%
6.2%
6.0%
3.0%
6.0%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
0.0%
0.0%
1.6%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents who have depressive symptoms
4.0%
2.9%
2.0%
1.3%
4.4%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents with a urinary tract infection
1.9%
1.9%
4.0%
3.9%
2.8%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents experiencing one or more falls with major injury
2.4%
0.9%
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

59.5%
74.0%
84.1%
94.2%
88.0%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.3%
72.0%
72.0%
72.0%
85.1%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
64.7%
Q4 2015Q1 2016Q2 2016Q3 2016FL
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
6.7%
2.7%
3.7%
16.7%
12.8%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of short-stay residents who self-report moderate to severe pain
-
-
-
0.0%
2.3%
Q4 2015Q1 2016Q2 2016Q3 2016FL
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
12.3%
7.1%
5.9%
0.7%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of short-stay residents with pressure ulcers that are new or worsened