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Woodlawn Care And Rehab, LLC, Dba Orchard G

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About Woodlawn Care And Rehab, LLC, Dba Orchard G

General Information

Legal Business NameLegal Business Name Not Available
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMarch 11, 2002 (15 years)
Capacity93
Residents80
Percent Occupied86%
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 Woodlawn Care And Rehab, LLC, Dba Orchard G

Woodlawn Care And Rehab, LLC, Dba Orchard G
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 Kansas 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 1, 2016 - 7 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
ESomePotential 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.
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.
DFewPotential for HarmComplaintEnsure 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 HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaintAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmComplaintProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

June 14, 2016 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 3 days
---Fine$37,863 fine
KSomeImmediate JeopardyComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
FManyPotential for HarmComplaint+InspectionMaintain comfortable and safe temperature levels.
FManyPotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
FManyPotential for HarmComplaint+InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
FManyPotential for HarmComplaint+InspectionProvide housekeeping and maintenance services.
FManyPotential for HarmComplaint+InspectionDispose of garbage and refuse properly.
FManyPotential for HarmComplaint+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.
FManyPotential for HarmComplaint+InspectionGive residents a notice of rights, rules, services and charges.
FManyPotential for HarmComplaint+InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
FManyPotential for HarmComplaint+InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
FManyPotential for HarmComplaint+InspectionSend unopened mail from residents and promptly deliver unopened mail to residents.
FManyPotential for HarmComplaint+InspectionHave a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents.
FManyPotential for HarmComplaint+Inspection1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.
GFewActual HarmComplaint+InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmComplaint+InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
ESomePotential for HarmComplaint+InspectionProvide residents with private access to a telephone.
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+InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
DFewPotential for HarmComplaint+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 HarmComplaint+InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionProvide written records when a resident is transferred or discharged.
DFewPotential for HarmComplaint+InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmComplaint+InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmComplaint+InspectionMake sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
DFewPotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaint+InspectionMake sure that doctors visit residents regularly, as required.
DFewPotential for HarmComplaint+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.

March 31, 2016 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaint1) 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 HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmComplaintAllow residents the right to participate in the planning or revision of care and treatment.

January 28, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaint+InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionListen to the resident groups and act on their complaints and suggestions that affect resident care and life.
ESomePotential for HarmComplaint+InspectionProvide clean bed and bath linens that are in good condition.
ESomePotential for HarmComplaint+InspectionMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DFewPotential for HarmComplaint+InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaint+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 each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmComplaint+InspectionProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

September 11, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmComplaintEnsure each resident receives an accurate assessment by a qualified health professional.
ESomePotential for HarmComplaintProvide housekeeping and maintenance services.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Woodlawn Care And Rehab, LLC, Dba Orchard G 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 60min
2hr 10min
ReportedExpected
CNA
30min
35min
ReportedExpected
LPN
25min
1hr
ReportedExpected
RN
2hr 55min
3hr 45min
ReportedExpected
Total Nursing

This facility also provides approximately 10min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

90.9%
90.0%
90.0%
90.0%
95.4%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
57.1%
58.1%
44.4%
51.4%
92.8%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
17.9%
20.8%
17.9%
20.0%
39.7%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of low risk long-stay residents who lose control of their bowels or bladder
22.1%
24.6%
22.7%
24.6%
24.3%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of long-stay residents who received an antianxiety or hypnotic medication
22.1%
13.2%
14.1%
13.8%
19.3%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of long-stay residents whose ability to move independently worsened
25.0%
22.0%
20.5%
17.0%
20.2%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of long-stay residents who received an antipsychotic medication
15.0%
11.9%
11.3%
13.6%
16.7%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of long-stay residents whose need for help with daily activities has increased
9.9%
7.0%
4.4%
4.3%
10.4%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of long-stay residents who self-report moderate to severe pain
2.9%
16.2%
10.0%
11.0%
7.5%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of long-stay residents who lose too much weight
0.0%
0.0%
3.6%
0.0%
5.2%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of high risk long-stay residents with pressure ulcers
7.7%
5.7%
3.0%
4.4%
6.4%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of long-stay residents who have depressive symptoms
1.4%
2.7%
2.8%
4.1%
6.0%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of long-stay residents with a urinary tract infection
4.3%
2.7%
2.8%
4.1%
4.8%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of long-stay residents experiencing one or more falls with major injury
0.0%
0.0%
1.4%
1.3%
2.6%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.2%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

56.1%
72.5%
82.1%
81.0%
76.2%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
50.0%
84.6%
84.6%
84.6%
74.2%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
69.5%
Q4 2015Q1 2016Q2 2016Q3 2016KS
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
14.3%
-
20.0%
-
20.9%
Q4 2015Q1 2016Q2 2016Q3 2016KS
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who self-report moderate to severe pain
-
-
-
-
2.7%
Q4 2015Q1 2016Q2 2016Q3 2016KS
* 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%
5.8%
1.9%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of short-stay residents with pressure ulcers that are new or worsened