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Croasdaile Village

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About Croasdaile Village

General Information

Legal Business NameThe United Methodist Retirement Homes, Incorporated
Ownership TypeNon Profit - Church Related
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 3, 2000 (17 years)
Capacity110
Residents89
Percent Occupied81%
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 Croasdaile Village

Croasdaile Village
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 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

April 19, 2016 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

January 26, 2016 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$105,040 fine
JFewImmediate JeopardyComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
JFewImmediate JeopardyComplaintProvide care by qualified persons according to each resident's written plan of care.

December 10, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
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.
DFewPotential for HarmComplaintProtect each resident from all abuse, physical punishment, and involuntary separation from others.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

July 9, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$1,300 fine
GFewActual HarmComplaintEnsure that residents are safe from serious medication errors.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth 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 InspectionStore, cook, and serve food in a safe and clean way.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Croasdaile Village 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.

3hr 55min
2hr 35min
ReportedExpected
CNA
1hr 40min
35min
ReportedExpected
LPN
35min
55min
ReportedExpected
RN
6hr 10min
4hr 10min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 5min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
98.7%
98.7%
98.7%
93.5%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
100.0%
98.8%
100.0%
92.6%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
86.7%
82.4%
81.6%
-
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
13.0%
15.2%
16.7%
15.4%
30.3%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents who received an antianxiety or hypnotic medication
43.4%
29.8%
18.1%
16.5%
23.2%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents whose ability to move independently worsened
12.0%
12.3%
11.1%
9.9%
14.1%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents who received an antipsychotic medication
10.8%
19.0%
20.0%
15.3%
18.3%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents whose need for help with daily activities has increased
-
0.0%
2.6%
2.7%
8.1%
Q4 2015Q1 2016Q2 2016Q3 2016NC
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who self-report moderate to severe pain
10.8%
9.6%
11.4%
12.7%
8.6%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents who lose too much weight
3.0%
2.8%
7.9%
3.0%
7.3%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
0.0%
1.5%
3.0%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents who have depressive symptoms
5.4%
8.2%
2.5%
4.2%
4.9%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents with a urinary tract infection
8.0%
11.0%
7.4%
4.2%
3.3%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents experiencing one or more falls with major injury
5.1%
1.9%
2.3%
1.0%
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

97.6%
95.9%
95.3%
95.2%
82.5%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.1%
97.5%
97.5%
97.5%
81.1%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
57.0%
47.2%
52.9%
56.8%
63.3%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of short-stay residents who made improvements in function
13.5%
15.6%
10.9%
14.7%
16.4%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of short-stay residents who self-report moderate to severe pain
0.0%
0.0%
0.0%
0.0%
1.9%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of short-stay residents who newly received an antipsychotic medication
3.7%
0.0%
1.5%
1.2%
1.1%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of short-stay residents with pressure ulcers that are new or worsened