South Haven Health And Rehabilitation Center

1300 EAST SOUTH BOULEVARD
Montgomery, AL 36116
(334) 288-0122
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 102
Number of Residents: 93
Percent of Occupied Beds: 91%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Limited liability company
Located Within a Hospital? No
Multi Nursing Home Ownership? Yes
Resident and Family Councils? Resident
Continuing Care Retirement Community? No
Quality Indicator Survey? No
Special Focus Facility? Yes
Overall: 2 Star Overall Rating
Health Inspection: 1 Star Health Inspection Rating
Nurse Staffing: 3 Star Nurse Staffing Rating
Quality Measures: 5 Star Quality Measures Rating
RN Only: 3 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20080521 Health Resident Rights Deficiencies Provide services to meet the needs and preferences of each resident. Isolated Minimal harm or potential for actual harm 20080625
20080521 Health Pharmacy Service Deficiencies Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern Minimal harm or potential for actual harm 20080625
20080521 Health Nutrition and Dietary Deficiencies Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Widespread Minimal harm or potential for actual harm 20080625
20080521 Health Environmental Deficiencies Have a program to keep infection from spreading. Pattern Minimal harm or potential for actual harm 20080625
20081209 Health Administration Deficiencies Be administered in a way that leads to the highest possible level of well being for each resident. Pattern Immediate jeopardy to resident health or safety 20081210
20081209 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Immediate jeopardy to resident health or safety 20081210
20090714 Health Mistreatment Deficiencies Protect each resident from all abuse, physical punishment, and being separated from others. Isolated Immediate jeopardy to resident health or safety 20090731
20090714 Health Mistreatment Deficiencies Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. Widespread Immediate jeopardy to resident health or safety 20090731
20090714 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 20090731
20090714 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 20090731
20091219 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Immediate jeopardy to resident health or safety 20100122
20100706 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Actual harm 20100807
20100729 Health Quality Care Deficiencies Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated Minimal harm or potential for actual harm 20100824
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 65
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 66
Percent of long-stay residents whose need for help with daily activities has increased: 7
Percent of long-stay residents who have moderate to severe pain: 0
Percent of high-risk long-stay residents who have pressure sores: 12
Percent of low-risk long-stay residents who have pressure sores: 0
Percent of long-stay residents who were physically restrained: 1
Percent of long-stay residents who are more depressed or anxious: 12
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 58
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 1
Percent of long-stay residents who spend most of their time in bed or in a chair: 1
Percent of long-stay residents whose ability to move about in and around their room got worse: 5
Percent of long-stay residents who had a urinary tract infection: 7
Percent of long-stay residents who lose too much weight: 10
Percent of short-stay residents given influenza vaccination during the flu season: 89
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 94
Percent of short-stay residents who have delirium: 0
Percent of short-stay residents who had moderate to severe pain: 0
Percent of short-stay residents who have pressure sores: 13
# of Residents: 93
# RN Hours per Resident: 0.54
# LPN Hours per Resident: 0.84
# CNA Hours per Resident: 1.9
Total Staff Hours per Resident: 1.38