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Birmingham Nursing And Rehabilitation Center East
733 MARY VANN LANE
Birmingham, AL 35215
(205) 854-1361
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 132 |
| Number of Residents: | 126 |
| Percent of Occupied Beds: | 95% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | For profit - Partnership |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | No |
| Resident and Family Councils? | Both |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: |  |
| Nurse Staffing: | |
| Quality Measures: |  |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20080801 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Actual harm | 20080905 |
| 20080801 | Health | Administration Deficiencies | Quickly tell the resident's doctor the results of lab tests. | Isolated | Actual harm | 20080905 |
| 20080828 | Health | Pharmacy Service Deficiencies | Make sure that residents are safe from serious medication errors. | Isolated | Actual harm | 20081002 |
| 20080828 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Actual harm | 20081002 |
| 20090220 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20090220 |
| 20090605 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Isolated | Minimal harm or potential for actual harm | 20090802 |
| 20090605 | Health | Quality Care Deficiencies | Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | Isolated | Minimal harm or potential for actual harm | 20090802 |
| 20090605 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20090802 |
| 20090605 | Health | Resident Rights Deficiencies | Try to resolve each resident's complaints quickly. | Isolated | Minimal harm or potential for actual harm | 20090802 |
| 20090628 | Health | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | Isolated | Minimal harm or potential for actual harm | 20090802 |
| 20090628 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20090802 |
| 20090628 | Health | Environmental Deficiencies | Make sure there is a program to prevent/deal with mice, insects, or other pests. | Widespread | Minimal harm or potential for actual harm | 20090802 |
| 20100310 | Health | Administration Deficiencies | Be administered in a way that leads to the highest possible level of well being for each resident. | Widespread | Immediate jeopardy to resident health or safety | 20100503 |
| 20100310 | Health | Administration Deficiencies | 1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator. | Widespread | Immediate jeopardy to resident health or safety | 20100503 |
| 20100310 | Health | Administration Deficiencies | Have licensed, certified, or registered staff to give needed services. | Isolated | Minimal harm or potential for actual harm | 20100503 |
| 20100310 | Health | Administration Deficiencies | Set up or keep a group of people to review and ensure quality. | Widespread | Immediate jeopardy to resident health or safety | 20100503 |
| 20100310 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20100503 |
| 20100310 | Health | Pharmacy Service Deficiencies | Make sure that residents are safe from serious medication errors. | Isolated | Actual harm | 20100503 |
| 20100310 | Health | Pharmacy Service Deficiencies | At least once a month, have a licensed pharmacist check the drugs that each resident takes. | Widespread | Immediate jeopardy to resident health or safety | 20100503 |
| 20100310 | Health | Pharmacy Service Deficiencies | Properly mark drugs and other similar products. | Widespread | Immediate jeopardy to resident health or safety | 20100503 |
| 20100310 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20100503 |
| 20100310 | Health | Mistreatment Deficiencies | Protect residents from mistreatment, neglect, and/or theft of personal property. | Isolated | Immediate jeopardy to resident health or safety | 20100503 |
| 20100310 | Health | Mistreatment Deficiencies | 1) Hire only people who have 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 | Immediate jeopardy to resident health or safety | 20100503 |
| 20100310 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Isolated | Immediate jeopardy to resident health or safety | 20100503 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 61 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 72 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 6 | |
| Percent of long-stay residents who have moderate to severe pain: | 1 | |
| Percent of high-risk long-stay residents who have pressure sores: | 9 | |
| Percent of low-risk long-stay residents who have pressure sores: | 0 | |
| Percent of long-stay residents who were physically restrained: | 2 | |
| Percent of long-stay residents who are more depressed or anxious: | 6 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 57 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 6 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 4 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 4 | |
| Percent of long-stay residents who had a urinary tract infection: | 7 | |
| Percent of long-stay residents who lose too much weight: | 7 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 30 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 43 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 7 | |
| Percent of short-stay residents who have pressure sores: | 13 | |
| # of Residents: | 126 |
| # RN Hours per Resident: | 0.32 |
| # LPN Hours per Resident: | 1.04 |
| # CNA Hours per Resident: | 1.88 |
| Total Staff Hours per Resident: | 1.36 |
