SAINT ALBANS HEALTHCARE AND REHABILITATION CENTER

Nursing Home Inspector

596 SHELDON ROAD
SAINT ALBANS, VT 05478
Franklin County
Phone: 802-524-6534
Provider Number: 475021
Last Inspection: 02/08/2017

About the Nursing Home

Number of Beds: 115
Number of Residents: 78
Beds Available: 37
Percent Occupancy: 68%
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

 

0

Facility
0

County
8

VT
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

0

2017
4

2016
16

2015

Medicare Ratings

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

 

Details by Inspection Date

3/16/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 4/16/2016
 

2/4/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 3/4/2015
 
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Isolated : Minimal 3 3/4/2015
 
Failed To: Maintain comfortable and safe temperature levels. Pattern : Minimal 4 3/10/2015
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 3/4/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 3/4/2015
 

Complaint Investigation Deficiencies

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

9/13/2016 Investigation

 
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 9/13/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Actual 4 10/13/2016
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 10/13/2016
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Actual 4 10/13/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 10/13/2016
 

2/22/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 3/22/2016
 

3/24/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 4/19/2015
 
Failed To: Keep all essential equipment working safely. Isolated : Minimal 3 4/19/2015
 

3/9/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 4/9/2015
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern : Minimal 4 unknown
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg VT State Avg
Number of Residents 78 52.67 68.64
Registered Nurses 0.71 0.99 0.86
Licensed Practical / Vocational Nurses 1.01 0.88 0.75
Certified Nursing Assistants 2.24 2.72 2.38
Total Staff Hours 3.96 4.59 3.99

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% VT State Avg%
of high risk long-stay residents with pressure ulcers 3 3 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 97 98 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98 94 95
of long-stay residents experiencing one or more falls with major injury 8 6 5
of long-stay residents who have depressive symptoms 8 7 8
of long-stay residents who lose too much weight 8 7 7
of long-stay residents who received an antianxiety or hypnotic medication 9 20 19
of long-stay residents who received an antipsychotic medication 15 9 16
of long-stay residents who self-report moderate to severe pain 5 6 8
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 30 21 23
of long-stay residents whose need for help with daily activities has increased 24 15 19
of long-stay residents with a catheter inserted and left in their bladder 1 2 2
of long-stay residents with a urinary tract infection 3 5 3
of low risk long-stay residents who lose control of their bowels or bladder 41 47 51
of short-stay residents assessed and appropriately given the pneumococcal vaccine 88 94 77
of short-stay residents who had an outpatient emergency department visit 19 15 11
of short-stay residents who made improvements in function 60 71 76
of short-stay residents who newly received an antipsychotic medication 2 0 1
of short-stay residents who self-report moderate to severe pain 13 10 16
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 86 89 75
of short-stay residents who were rehospitalized after a nursing home admission 19 16 14
of short-stay residents who were successfully discharged to the community 52 56 61
of short-stay residents with pressure ulcers that are new or worsened 0 0 0