COURTLAND HEALTH & REHABILITATION CENTER

Nursing Home Inspector

23020 MAIN STREET
COURTLAND, VA 23837
Southampton County
Phone: 757-653-0908
Provider Number: 495296
Last Inspection: 05/11/2017

About the Nursing Home

Number of Beds: 90
Number of Residents: 84
Beds Available: 6
Percent Occupancy: 93%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Partnership
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

 

30

Facility
30

County
27

VA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

30

2017
26

2016
11

2015

Medicare Ratings

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

 

Details by Inspection Date

5/11/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Pattern : Minimal 4 6/12/2017
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 6/12/2017
 
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern : Minimal 4 6/12/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 6/12/2017
 
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 6/12/2017
 
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated : Minimal 3 6/12/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 6/12/2017
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 6/12/2017
 

4/11/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) 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. Isolated : Minimal 3 5/26/2016
 
Failed To: Reasonably accommodate the needs and preferences of each resident. Pattern : Minimal 4 5/26/2016
 
Failed To: Provide housekeeping and maintenance services. Isolated : Minimal 3 5/26/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 5/26/2016
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 5/26/2016
 
Failed To: Ensure 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. Isolated : Minimal 3 5/26/2016
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 5/26/2016
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 5/26/2016
 

4/22/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Pattern : Minimal 4 5/22/2015
 
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 5/22/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 5/22/2015
 

Complaint Investigation Deficiencies

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

11/17/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Isolated : Minimal 3 1/4/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 1/4/2017
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 1/4/2017
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg VA State Avg
Number of Residents 84 84.00 96.74
Registered Nurses 0.63 0.63 0.75
Licensed Practical / Vocational Nurses 0.84 0.84 1.04
Certified Nursing Assistants 1.95 1.95 2.20
Total Staff Hours 3.42 3.42 3.99

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% VA State Avg%
of high risk long-stay residents with pressure ulcers 6 6 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 99 99 93
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99 99 94
of long-stay residents experiencing one or more falls with major injury 4 4 3
of long-stay residents who have depressive symptoms 0 0 2
of long-stay residents who lose too much weight 4 4 7
of long-stay residents who received an antianxiety or hypnotic medication 16 16 23
of long-stay residents who received an antipsychotic medication 9 9 15
of long-stay residents who self-report moderate to severe pain 2 2 6
of long-stay residents who were physically restrained 1 1 0
of long-stay residents whose ability to move independently worsened 13 13 20
of long-stay residents whose need for help with daily activities has increased 8 8 16
of long-stay residents with a catheter inserted and left in their bladder 1 1 1
of long-stay residents with a urinary tract infection 5 5 4
of low risk long-stay residents who lose control of their bowels or bladder 48 48 53
of short-stay residents assessed and appropriately given the pneumococcal vaccine 90 90 85
of short-stay residents who had an outpatient emergency department visit 10 10 12
of short-stay residents who made improvements in function 71 71 69
of short-stay residents who newly received an antipsychotic medication 0 0 1
of short-stay residents who self-report moderate to severe pain 16 16 14
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 89 89 83
of short-stay residents who were rehospitalized after a nursing home admission 22 22 21
of short-stay residents who were successfully discharged to the community 57 57 56
of short-stay residents with pressure ulcers that are new or worsened 1 1 0