Source: Data.Medicare.gov
Source: Data.Medicare.gov
Nursing home quality measures come from Willow Creek Nursing And Rehabilitation Center resident assessment data that nursing homes routinely collect on the residents at specified intervals during their stay. These measures assess the Willow Creek Nursing And Rehabilitation Center resident's physical and clinical conditions and abilities, as well as preferences and life care wishes. These assessment data have been converted to develop quality measures that give consumers another source of information that shows how well Willow Creek Nursing And Rehabilitation Center is caring for their resident's physical and clinical needs
These quality measures were selected because they are important. They show ways in which nursing homes are different from one another. There are things that nursing homes can do to improve their quality measure percentages. The quality measures have been validated and are based on the best research currently available.
Quality Measure | Facility Score | North Carolina Average | National Average |
Percentage of high risk long-stay residents with pressure ulcers | 11.3% | 7.4% | 5.8% |
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.2% | 92.3% | 93.3% |
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.8% | 93.3% | 94.5% |
Percentage of long-stay residents experiencing one or more falls with major injury | 4.2% | 3.3% | 3.3% |
Percentage of long-stay residents who have depressive symptoms | 8.8% | 3.6% | 5.5% |
Percentage of long-stay residents who lose too much weight | 6.4% | 8.5% | 7.1% |
Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15% | 30% | 23.6% |
Percentage of long-stay residents who received an antipsychotic medication | 8.9% | 14.4% | 17.4% |
Percentage of long-stay residents who self-report moderate to severe pain | 23.9% | 9.7% | 8.5% |
Percentage of long-stay residents who were physically restrained | 0.7% | 0.6% | 0.8% |
Percentage of long-stay residents whose ability to move independently worsened | 26% | 22.9% | 18.2% |
Percentage of long-stay residents whose need for help with daily activities has increased | 18.7% | 18.4% | 15.4% |
Percentage of long-stay residents with a catheter inserted and left in their bladder | 7.8% | 2.8% | 3.1% |
Percentage of long-stay residents with a urinary tract infection | 4.8% | 5.5% | 4.9% |
Percentage of low risk long-stay residents who lose control of their bowels or bladder | 31.2% | 55.4% | 46.3% |
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 74.3% | 81.6% | 81.1% |
Percentage of short-stay residents who made improvements in function | 76.8% | 63.3% | 63.5% |
Percentage of short-stay residents who newly received an antipsychotic medication | 2.3% | 2% | 2.2% |
Percentage of short-stay residents who self-report moderate to severe pain | 32.8% | 18% | 17.1% |
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 78.5% | 81.4% | 80.3% |
Percentage of short-stay residents with pressure ulcers that are new or worsened | 0.2% | 1.3% | 1.3% |
Source: Data.Medicare.gov
Each nursing home that provides services to people with Medicare or Medicaid is required to make the results of its last full inspection available at the nursing home for the public to review. If an inspection team finds that a nursing home doesn't meet a specific standard, it issues a deficiency citation. The federal government may impose penalties on nursing homes for serious deficiencies or for deficiencies that the nursing home fails to correct for a long period of time. For example, Medicare may assess a fine, deny payment to the nursing home, assign a temporary manager, or install a state monitor.
These inspections assess whether the nursing home meets certain "minimum" standards. If a nursing home has no deficiencies, it means that it met the minimum standards at the time of the inspection. Inspections don't identify nursing homes that give outstanding care.
While reading these reports, keep in mind that the quality of a nursing home may get much better or much worse in a short period of time. These changes can occur when a nursing home's administrator or ownership changes, or when a nursing home's finances suddenly change.
Survey Date | Survey Type | Scope | Severity | Deficiency |
---|---|---|---|---|
Jan 12, 2016 | Health | Isolated | L2 | Provide necessary care and services to maintain or improve the highest well being of each resident . |
Jan 12, 2016 | Health | Isolated | L2 | Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. |
Sep 10, 2015 | Fire Safety | Isolated | L2 | Signs that state that exit doors are to be kept closed. |
Sep 10, 2015 | Fire Safety | Isolated | L2 | Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. |
Sep 10, 2015 | Fire Safety | Widespread | L2 | Exits that are accessible at all times. |
Sep 10, 2015 | Fire Safety | Isolated | L2 | Portable fire extinguishers. |
Aug 07, 2015 | Health | Isolated | L2 | 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. |
Aug 07, 2015 | Health | Isolated | L2 | 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. |
Aug 07, 2015 | Health | Isolated | L2 | Make sure that special or therapeutic diets are ordered by the attending doctor. |
Aug 07, 2015 | Health | Isolated | L2 | Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. |
Source: Data.Medicare.gov
Willow Creek Nursing And Rehabilitation Center is a For Profit - Corporation nursing home
Name | Owner Type | Role | Ownership Percentage |
---|---|---|---|
GIBBONS, BECKY | Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
GIBBONS, BECKY | Individual | OFFICER | NOT APPLICABLE |
HILL, RAYMOND | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
HILL, ROBERT | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
HILL, STEPHEN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
JOHNSON, DIANNE | Individual | OFFICER | NOT APPLICABLE |
MULLINIX, MELTON | Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
PRINCIPLE IT SERVICES, INC. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
PRINCIPLE LONG TERM CARE, INC. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
PRINCIPLE LONG TERM CARE, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
UZZELL, NORWOOD | Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
UZZELL, NORWOOD | Individual | OFFICER | NOT APPLICABLE |
Source: Data.Medicare.gov
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