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Sardis Oaks

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About Sardis Oaks

General Information

Legal Business NameSardis Oaks
Ownership TypeNon Profit - Other
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareNovember 16, 1990 (26 years)
Capacity124
Residents111
Percent Occupied90%
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 Sardis Oaks

Sardis Oaks
was reviewed by Medicare to have a rating of 3 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of North Carolina 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 - 9 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintMake 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.

June 23, 2016 - 10 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$715 fine
ESomePotential for HarmComplaint+InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmComplaint+InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
DFewPotential for HarmComplaint+InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
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.
DFewPotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaint+InspectionProvide care by qualified persons according to each resident's written plan of care.
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+InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmComplaint+InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmComplaint+InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

June 4, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmComplaint+InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
DFewPotential for HarmHealth InspectionEnsure that residents are safe from serious medication errors.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth 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.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Sardis Oaks 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 20min
2hr 30min
ReportedExpected
CNA
50min
40min
ReportedExpected
LPN
1hr
1hr 5min
ReportedExpected
RN
4hr 10min
4hr 15min
ReportedExpected
Total Nursing

This facility also provides approximately 60min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

77.8%
78.3%
78.3%
78.3%
93.5%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
67.1%
60.8%
57.7%
61.8%
92.6%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
78.3%
-
54.5%
63.6%
55.2%
Q4 2015Q1 2016Q2 2016Q3 2016NC
* 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
25.4%
21.4%
25.0%
20.3%
30.3%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents who received an antianxiety or hypnotic medication
41.6%
21.3%
12.3%
47.2%
23.2%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents whose ability to move independently worsened
7.0%
7.4%
10.8%
13.9%
14.1%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents who received an antipsychotic medication
25.0%
21.7%
20.3%
22.6%
18.3%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents whose need for help with daily activities has increased
4.7%
10.5%
8.5%
11.4%
8.1%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents who self-report moderate to severe pain
16.7%
15.3%
10.3%
15.8%
8.6%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents who lose too much weight
4.8%
4.7%
1.6%
1.5%
7.3%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of high risk long-stay residents with pressure ulcers
5.7%
3.1%
1.3%
2.7%
3.0%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents who have depressive symptoms
0.0%
1.4%
1.3%
2.6%
4.9%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents with a urinary tract infection
1.3%
2.7%
2.6%
2.6%
3.3%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents experiencing one or more falls with major injury
2.3%
1.1%
2.1%
3.1%
2.4%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.5%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

57.4%
62.1%
61.5%
51.0%
82.5%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
84.3%
71.7%
71.7%
71.7%
81.1%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
54.6%
52.3%
58.2%
61.4%
63.3%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of short-stay residents who made improvements in function
19.0%
19.6%
22.4%
17.8%
16.4%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of short-stay residents who self-report moderate to severe pain
1.0%
2.3%
2.4%
1.0%
1.9%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.0%
0.0%
0.0%
1.1%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of short-stay residents with pressure ulcers that are new or worsened