CARLTON SHORES HEALTH AND REHABILITATION CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Carlton Shores Health and Rehabilitation 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

CARLTON SHORES HEALTH AND REHABILITATION CENTER
1350 S NOVA RD
DAYTONA BEACH, FL 32114
(386) 258-5544

Nursing Home Ratings

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

Percent of Beds Occupied

100%

Number of Residents and Certified Beds

  • Residents: 84
  • Certified Beds: 84

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Carlton Shores Health and Rehabilitation Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-167.1%
ADL Index Range: 2-104.1%
Total Percent:11.2%
 

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-162.5%
ADL Index Range: 2-102.5%
Total Percent:5.0%
 

High Rehabilitation Plus Extensive Services

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-160.5%
Total Percent:0.5%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1638.1%
ADL Index Range: 6-1025.7%
ADL Index Range: 0-55.8%
Total Percent:69.6%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-163.2%
ADL Index Range: 6-105.1%
Total Percent:8.2%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.1%
ADL Index Range: 0-50.09%
Total Percent:1.1%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-163.8%
Total Percent:3.8%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
0.4%
Total Percent:0.4%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 6-10
- No Signs of depression
0.09%
Total Percent:0.09%
 

Rating Details For Carlton Shores Health and Rehabilitation 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) Hours41 Minutes1 Hour and 18 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 13 Minutes44 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 46 Minutes2 Hours and 30 Minutes
Total Licensed Nurse Hours1 Hour and 54 Minutes2 Hours and 2 Minutes
Total Nurse Hours4 Hours and 40 Minutes4 Hours and 32 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 Florida are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityFlorida Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%87%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%86%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Were Physically Restrained7%5%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%5%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores21%12%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse10%9%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased19%12%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair4%5%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection15%11%
Percent of Long-Stay Residents Who Lose Too Much Weight11%8%
Percent of Long-Stay Residents Who Are More Depressed or Anxious11%10%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores3%3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder58%54%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%80%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores18%14%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain14%17%
Percent of Short-Stay Residents Who Have Delirium-2%

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 02/10/2011.

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

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 12/11/2008
  • Correction Date: 02/25/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 12/11/2008
  • Correction Date: 02/25/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 02/10/2011
  • Correction Date: 03/10/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 12/11/2008
  • Correction Date: 02/25/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 01/15/2010
  • Correction Date: 02/15/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 02/10/2011
  • Correction Date: 03/10/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 02/10/2011
  • Correction Date: 03/10/2011

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: 01/15/2010
  • Correction Date: 02/15/2010

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)12/09/2008$4,940

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 Carlton Shores Health and Rehabilitation 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 02/10/2011.

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

Portable Fire Extinguishers.
  • Inspection Date: 12/09/2008
  • Correction Date: 01/20/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 12/09/2008
  • Correction Date: 01/20/2009
Source: Medicare Nursing Home Compare; Agency for Health Care Administration of Florida - Retrieved 2011