Baptist Health Medical Center-Little Rock
Nursing Home Review

• Overall Rating
• Health Inspection
• Quality Management
• Staffing
• Nurse Staffing

• 1 Number of Fines
• $24,600 Total Ammount of Fines in Dollars
• 2 Total Penalties
• None Substantiated Complaints
• None Facility Reported Incidents
• 1 Payment Denials

Quality Measure	Facility Score	Arkansas Average	National Average
Percentage of high risk long-stay residents with pressure ulcers	0%	5.4%	5.8%
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	0%	95.4%	93.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	0%	95.9%	94.5%
Percentage of long-stay residents experiencing one or more falls with major injury	0%	4.1%	3.3%
Percentage of long-stay residents who have depressive symptoms	0%	2.7%	5.5%
Percentage of long-stay residents who lose too much weight	0%	6.8%	7.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	0%	25.5%	23.6%
Percentage of long-stay residents who received an antipsychotic medication	0%	17%	17.4%
Percentage of long-stay residents who self-report moderate to severe pain	0%	8.4%	8.5%
Percentage of long-stay residents who were physically restrained	0%	0.8%	0.8%
Percentage of long-stay residents whose ability to move independently worsened	0%	15.5%	18.2%
Percentage of long-stay residents whose need for help with daily activities has increased	0%	16.2%	15.4%
Percentage of long-stay residents with a catheter inserted and left in their bladder	0%	3%	3.1%
Percentage of long-stay residents with a urinary tract infection	0%	4.4%	4.9%
Percentage of low risk long-stay residents who lose control of their bowels or bladder	0%	36.5%	46.3%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	91%	83%	81.1%
Percentage of short-stay residents who made improvements in function	37.1%	63.9%	63.5%
Percentage of short-stay residents who newly received an antipsychotic medication	1.1%	2.4%	2.2%
Percentage of short-stay residents who self-report moderate to severe pain	43.9%	15.1%	17.1%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	96.5%	78%	80.3%
Percentage of short-stay residents with pressure ulcers that are new or worsened	0.5%	1.4%	1.3%

Source: Data.Medicare.gov

Survey Date	Survey Type	Scope	Severity	Deficiency
Nov 05, 2015	Health	Pattern	L2	Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nov 05, 2015	Health	Pattern	L2	Ensure services provided by the nursing facility meet professional standards of quality.
Nov 05, 2015	Health	Pattern	L2	Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Dec 11, 2014	Health	Isolated	L4	Provide care by qualified persons according to each resident's written plan of care.
Dec 11, 2014	Health	Isolated	L4	Provide necessary care and services to maintain or improve the highest well being of each resident .
Dec 11, 2014	Health	Widespread	L1	Post nurse staffing information/data on a daily basis.
Dec 11, 2014	Health	Pattern	L2	Store, cook, and serve food in a safe and clean way.
Dec 11, 2014	Health	Isolated	L4	Have a program that investigates, controls and keeps infection from spreading.
Dec 11, 2014	Health	Isolated	L4	Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
Dec 09, 2014	Fire Safety	Widespread	L2	Walls that prevent smoke from passing through and would resist fire for at least one hour.

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Name	Owner Type	Role	Ownership Percentage
BAPTIST HEALTH	Organization	OPERATIONAL/MANAGERIAL CONTROL	NOT APPLICABLE
BARTHOLOMEW, ROCHELLE	Individual	DIRECTOR	NOT APPLICABLE
CHOATE, EDDIE	Individual	DIRECTOR	NOT APPLICABLE
COLLIER, STEVEN	Individual	DIRECTOR	NOT APPLICABLE
COULSON, MICHAEL	Individual	DIRECTOR	NOT APPLICABLE
COX, PHILLIP	Individual	DIRECTOR	NOT APPLICABLE
GRAVES, BARBARA	Individual	DIRECTOR	NOT APPLICABLE
HENRY, JUDY	Individual	DIRECTOR	NOT APPLICABLE
HICKINGBOTHAM, HERREN	Individual	DIRECTOR	NOT APPLICABLE
HORNE, REX	Individual	DIRECTOR	NOT APPLICABLE
JONES, JAMES	Individual	DIRECTOR	NOT APPLICABLE
LEE, LOUIS	Individual	DIRECTOR	NOT APPLICABLE
LOCKWOOD, KENT	Individual	DIRECTOR	NOT APPLICABLE
MAY, JAMES	Individual	DIRECTOR	NOT APPLICABLE
MCCALLUM, JOHN	Individual	DIRECTOR	NOT APPLICABLE
MCMORRAN, JOHN	Individual	DIRECTOR	NOT APPLICABLE
MILLER, VIRGIL	Individual	DIRECTOR	NOT APPLICABLE
MILLNER, GLENN	Individual	DIRECTOR	NOT APPLICABLE
PIERCE, MICHAEL	Individual	DIRECTOR	NOT APPLICABLE
ROBERTS, ROBERT	Individual	MANAGING EMPLOYEE	NOT APPLICABLE
SHADDOX, KEN	Individual	DIRECTOR	NOT APPLICABLE
SHELLEY, MICHAEL	Individual	DIRECTOR	NOT APPLICABLE
SLATON, GARY	Individual	DIRECTOR	NOT APPLICABLE
SUTTON, WILLIAM	Individual	DIRECTOR	NOT APPLICABLE
WELLS, TROY	Individual	DIRECTOR	NOT APPLICABLE
WELLS, TROY	Individual	MANAGING EMPLOYEE	NOT APPLICABLE

Source: Data.Medicare.gov