CHATHAM HEALTH & REHABILITATION CENTER

Nursing Home Inspector

100 RORER STREET
CHATHAM, VA 24531
Pittsylvania County
Phone: 434-432-0471
Provider Number: 495399
Last Inspection: 05/04/2017

About the Nursing Home

Number of Beds: 85
Number of Residents: 75
Beds Available: 10
Percent Occupancy: 88%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: For profit - Individual
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

 

39

Facility
26

County
27

VA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

39

2017
31

2016
24

2015

Medicare Ratings

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

 

Details by Inspection Date

5/4/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 6/9/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 6/9/2017
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 6/9/2017
 
Failed To: Reasonably accommodate the needs and preferences of each resident. Isolated : Minimal 3 6/9/2017
 
Failed To: Provide or obtain laboratory services only when ordered by the attending physician. Isolated : Minimal 3 6/9/2017
 
Failed To: Provide special eating equipment and utensils for each resident who needs them. Isolated : Minimal 3 6/9/2017
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 6/9/2017
 
Failed To: Provide care for each resident in a way that maintains or improves their quality of life. Isolated : Minimal 3 6/9/2017
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 6/9/2017
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 6/9/2017
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 6/9/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 6/9/2017
 

5/12/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 6/30/2016
 
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 6/30/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 6/30/2016
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 6/30/2016
 
Failed To: Provide or obtain laboratory services only when ordered by the attending physician. Isolated : Minimal 3 6/30/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 6/30/2016
 
Failed To: Make sure that doctors visit residents regularly, as required. Isolated : Minimal 3 6/30/2016
 
Failed To: Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Isolated : Minimal 3 6/30/2016
 
Failed To: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Isolated : Minimal 3 6/30/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 6/30/2016
 

8/12/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop 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. Isolated : Minimal 3 9/24/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 9/24/2015
 
Failed To: Ensure residents maintain acceptable nutritional status. Pattern : Minimal 4 9/24/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 9/24/2015
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 9/24/2015
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 9/24/2015
 
Failed To: Make sure that special or therapeutic diets are ordered by the attending doctor. Isolated : Minimal 3 9/24/2015
 

Complaint Investigation Deficiencies

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

12/17/2014 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 1/19/2015
 
Failed To: Protect each resident from mistreatment, neglect and misappropriation of personal property. Isolated : Actual 4 1/19/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 1/19/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 1/19/2015
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 1/19/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 1/19/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg VA State Avg
Number of Residents 75 81.00 96.74
Registered Nurses 0.39 0.55 0.75
Licensed Practical / Vocational Nurses 0.92 0.95 1.04
Certified Nursing Assistants 2.05 2.06 2.20
Total Staff Hours 3.36 3.55 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 4 4 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 98 99 94
of long-stay residents experiencing one or more falls with major injury 4 3 3
of long-stay residents who have depressive symptoms 1 0 2
of long-stay residents who lose too much weight 10 8 7
of long-stay residents who received an antianxiety or hypnotic medication 28 28 23
of long-stay residents who received an antipsychotic medication 10 14 15
of long-stay residents who self-report moderate to severe pain 4 4 6
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 24 20 20
of long-stay residents whose need for help with daily activities has increased 17 15 16
of long-stay residents with a catheter inserted and left in their bladder 2 1 1
of long-stay residents with a urinary tract infection 3 4 4
of low risk long-stay residents who lose control of their bowels or bladder 40 54 53
of short-stay residents assessed and appropriately given the pneumococcal vaccine 91 95 85
of short-stay residents who had an outpatient emergency department visit 9 9 12
of short-stay residents who made improvements in function 56 67 69
of short-stay residents who newly received an antipsychotic medication 1 2 1
of short-stay residents who self-report moderate to severe pain 12 12 14
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 78 87 83
of short-stay residents who were rehospitalized after a nursing home admission 17 15 21
of short-stay residents who were successfully discharged to the community 54 57 56
of short-stay residents with pressure ulcers that are new or worsened 2 1 0