SMITH MEDICAL NURSING CARE CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Smith Medical Nursing Care Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

SMITH MEDICAL NURSING CARE CENTER
501 EAST MCCARTY ST
SANDERSVILLE, GA 31082
(478) 552-5155

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

71%

Number of Residents and Certified Beds

  • Residents: 40
  • Certified Beds: 56

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • This Facility Does Not Offer Any Resident or Family Counseling
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Oconee | Wrightsville | Toomsboro

Rating Details For Smith Medical Nursing Care Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours19 Minutes51 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 13 Minutes37 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 41 Minutes2 Hours and 24 Minutes
Total Licensed Nurse Hours1 Hour and 32 Minutes1 Hour and 27 Minutes
Total Nurse Hours4 Hours and 12 Minutes3 Hours and 51 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Georgia are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityGeorgia Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%94%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%94%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder30%51%
Percent of Long-Stay Residents Who Lose Too Much Weight2%8%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores15%11%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse6%10%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain4%4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased8%13%
Percent of Long-Stay Residents Who Were Physically Restrained-3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder1%4%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-2%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair4%8%
Percent of Long-Stay Residents Who Are More Depressed or Anxious4%15%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection2%10%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 05/19/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 10/01/2008
  • Correction Date: 11/15/2008
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
  • Inspection Date: 11/11/2009
  • Correction Date: 01/05/2010
Train All Employees on What to Do in an Emergency.
  • Inspection Date: 05/19/2011
  • Correction Date: 07/03/2011

Environmental

Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 10/01/2008
  • Correction Date: 11/15/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 10/01/2008
  • Correction Date: 11/15/2008
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 11/11/2009
  • Correction Date: 01/05/2010
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 11/11/2009
  • Correction Date: 01/05/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 11/11/2009
  • Correction Date: 01/05/2010
Keep All Essential Equipment Working Safely.
  • Inspection Date: 11/11/2009
  • Correction Date: 01/05/2010
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 11/11/2009
  • Correction Date: 02/11/2010
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 05/19/2011
  • Correction Date: 07/03/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 05/19/2011
  • Correction Date: 07/03/2011
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 05/19/2011
  • Correction Date: 07/03/2011
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 05/19/2011
  • Correction Date: 07/03/2011

Mistreatment

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.
  • Inspection Date: 05/19/2011
  • Correction Date: 07/03/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 11/11/2009
  • Correction Date: 01/05/2010
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 05/19/2011
  • Correction Date: 07/03/2011
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served.
  • Inspection Date: 05/19/2011
  • Correction Date: 07/03/2011
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 05/19/2011
  • Correction Date: 07/03/2011

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 10/01/2008
  • Correction Date: 11/15/2008

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 10/01/2008
  • Correction Date: 11/15/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 10/01/2008
  • Correction Date: 11/15/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 10/01/2008
  • Correction Date: 11/15/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 11/11/2009
  • Correction Date: 01/05/2010
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 05/19/2011
  • Correction Date: 07/03/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 10/01/2008
  • Correction Date: 11/15/2008
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 10/01/2008
  • Correction Date: 11/15/2008
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 05/19/2011
  • Correction Date: 07/03/2011

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 11/11/2009
  • Correction Date: 01/05/2010
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 05/19/2011
  • Correction Date: 07/03/2011

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)11/11/2009$4,810

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Smith Medical Nursing Care Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Resident Assessment

1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Complaint Filed: 04/06/2010
  • Correction Date: 04/15/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Smith Medical Nursing Care Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 05/19/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 05/19/2011
  • Correction Date: 07/03/2011

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/19/2011
  • Correction Date: 07/03/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 05/19/2011
  • Correction Date: 07/03/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 05/19/2011
  • Correction Date: 07/03/2011

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 05/19/2011
  • Correction Date: 07/03/2011

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 05/19/2011
  • Correction Date: 07/03/2011
Source: Medicare Nursing Home Compare; Department of Human Resources of Georgia - Office of Regulatory Services - Retrieved 2011