ROANOKE RIVER NURSING AND REHABILITATION CENTER

Nursing Home Inspector

119 GATLING STREET
WILLIAMSTON, NC 27892
Martin County
Phone: 252-792-1616
Provider Number: 345145
Last Inspection: 01/20/2017

About the Nursing Home

Number of Beds: 136
Number of Residents: 102
Beds Available: 34
Percent Occupancy: 75%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

15

Facility
15

County
14

NC
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

15

2017
16

2016
3

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

1/20/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Review or revise the resident's care plan after any major change in physical or mental health. Isolated : Minimal 3 2/17/2017
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 2/17/2017
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 2/17/2017
 
Failed To: Provide or obtain dental services for each resident. Isolated : Minimal 3 2/17/2017
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Isolated : Minimal 3 2/17/2017
 

1/7/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 1/29/2016
 
Failed To: Try to resolve each resident's complaints quickly. Isolated : Minimal 3 1/29/2016
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 2/4/2016
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 1/29/2016
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Isolated : Minimal 3 1/29/2016
 

2/26/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 3/20/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

7/8/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 8/7/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg NC State Avg
Number of Residents 102 102.00 84.96
Registered Nurses 0.39 0.39 0.72
Licensed Practical / Vocational Nurses 0.74 0.74 0.87
Certified Nursing Assistants 2.11 2.11 2.33
Total Staff Hours 3.24 3.24 3.91

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% NC State Avg%
of high risk long-stay residents with pressure ulcers 13 13 7
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 100 93
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95 95 93
of long-stay residents experiencing one or more falls with major injury 3 3 3
of long-stay residents who have depressive symptoms 2 2 2
of long-stay residents who lose too much weight 5 5 8
of long-stay residents who received an antianxiety or hypnotic medication 25 25 29
of long-stay residents who received an antipsychotic medication 8 8 13
of long-stay residents who self-report moderate to severe pain 2 2 6
of long-stay residents who were physically restrained 2 2 0
of long-stay residents whose ability to move independently worsened 29 29 23
of long-stay residents whose need for help with daily activities has increased 27 27 18
of long-stay residents with a catheter inserted and left in their bladder 2 2 1
of long-stay residents with a urinary tract infection 1 1 4
of low risk long-stay residents who lose control of their bowels or bladder 21 21 55
of short-stay residents assessed and appropriately given the pneumococcal vaccine 97 97 83
of short-stay residents who had an outpatient emergency department visit 26 26 13
of short-stay residents who made improvements in function 70 70 64
of short-stay residents who newly received an antipsychotic medication 1 1 1
of short-stay residents who self-report moderate to severe pain 8 8 14
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 88 88 81
of short-stay residents who were rehospitalized after a nursing home admission 26 26 20
of short-stay residents who were successfully discharged to the community 50 50 55
of short-stay residents with pressure ulcers that are new or worsened 2 2 0