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Falls Run Nursing And Rehab Center

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About Falls Run Nursing And Rehab Center

General Information

Legal Business NameStafford Healthcare Group, Inc.
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareOctober 21, 2010 (6 years)
Capacity90
Residents83
Percent Occupied92%
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 Falls Run Nursing And Rehab Center

Falls Run Nursing And Rehab Center
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 Virginia 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

May 26, 2016 - 10 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
FManyPotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
ESomePotential 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.
ESomePotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential 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 InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionMake sure that doctors visit residents regularly, as required.
DFewPotential for HarmHealth InspectionGive or get x-rays and other tests in a timely manner to meet the needs of residents.
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 InspectionGive notice to the resident before a room or roommate change.
DFewPotential for HarmHealth InspectionDevelop policies and procedures for influenza and pneumococcal immunizations.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
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.
BSomePotential for Minimal HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.

August 6, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmComplaint+InspectionEnsure services provided by the nursing facility meet professional standards of quality.
ESomePotential for HarmHealth 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+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 HarmHealth InspectionKeep signed and dated reports of x-rays and other diagnostic services.
DFewPotential for HarmHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
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 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 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 InspectionDevelop policies and procedures for influenza and pneumococcal immunizations.
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 InspectionKeep complete, dated laboratory records in the resident's file.

July 24, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmHealth InspectionDispose of garbage and refuse properly.
ESomePotential for HarmComplaint+InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmHealth InspectionKeep all essential equipment working safely.
ESomePotential for HarmHealth InspectionMake sure that doctors visit residents regularly, as required.
DFewPotential for HarmComplaint+InspectionPermit residents to remain in the facility and not be transferred or discharged without adequate reason.
DFewPotential for HarmComplaint+InspectionUse identical practices regarding transfer, discharge, and services for all residents, regardless of payment source
DFewPotential for HarmComplaint+InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
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 InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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.
BSomePotential for Minimal HarmHealth InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Falls Run Nursing And Rehab Center 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 40min
2hr 30min
ReportedExpected
CNA
50min
40min
ReportedExpected
LPN
25min
1hr 20min
ReportedExpected
RN
2hr 60min
4hr 25min
ReportedExpected
Total Nursing

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

Quality Measures for Long Stay Residents

88.2%
94.9%
94.9%
94.9%
94.1%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
98.2%
98.2%
100.0%
93.0%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
61.5%
59.3%
53.8%
47.8%
52.5%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of low risk long-stay residents who lose control of their bowels or bladder
14.3%
18.5%
11.3%
18.9%
23.7%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of long-stay residents who received an antianxiety or hypnotic medication
12.2%
25.2%
22.6%
20.1%
20.8%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of long-stay residents whose ability to move independently worsened
22.6%
21.4%
15.8%
17.9%
16.4%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of long-stay residents who received an antipsychotic medication
14.3%
15.1%
19.6%
13.7%
16.5%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of long-stay residents whose need for help with daily activities has increased
2.0%
5.7%
10.3%
5.3%
8.3%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of long-stay residents who self-report moderate to severe pain
3.9%
4.0%
5.8%
13.2%
7.5%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of long-stay residents who lose too much weight
4.7%
2.1%
4.3%
4.3%
6.0%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of high risk long-stay residents with pressure ulcers
8.0%
1.9%
2.0%
1.8%
2.8%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of long-stay residents who have depressive symptoms
5.6%
3.6%
0.0%
0.0%
4.9%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of long-stay residents with a urinary tract infection
0.0%
0.0%
5.3%
7.0%
3.5%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of long-stay residents experiencing one or more falls with major injury
0.0%
0.0%
1.7%
3.0%
2.1%
Q4 2015Q1 2016Q2 2016Q3 2016VA
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 2016VA
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

95.8%
93.5%
92.7%
94.3%
83.2%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.7%
90.5%
90.5%
90.5%
81.3%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
69.9%
67.3%
65.1%
55.9%
65.8%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of short-stay residents who made improvements in function
9.0%
12.4%
15.3%
15.4%
16.1%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of short-stay residents who self-report moderate to severe pain
0.0%
0.7%
1.9%
3.4%
1.9%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.0%
0.3%
0.6%
1.0%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of short-stay residents with pressure ulcers that are new or worsened