SOUTHERN HERITAGE HEALTH AND REHABILITATION, LLC

The information listed below provides an in-depth look into the type and quality of care offered at Southern Heritage Health and Rehabilitation, LLC. 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

SOUTHERN HERITAGE HEALTH AND REHABILITATION, LLC
700 MARK DRIVE
MCGEHEE, AR 71654
(870) 222-5450

Nursing Home Ratings

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

Percent of Beds Occupied

40%

Number of Residents and Certified Beds

  • Residents: 48
  • Certified Beds: 119

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Dermott | Monticello | Lake Village

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 Southern Heritage Health and Rehabilitation, LLC. 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

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1610.7%
ADL Index Range: 6-1018.8%
ADL Index Range: 0-540.2%
Total Percent:69.7%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1610.1%
ADL Index Range: 6-109.2%
ADL Index Range: 0-55.2%
Total Percent:24.5%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.5%
Total Percent:2.5%
 

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: 11-14
- No Signs of depression
1.0%
Total Percent:1.0%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 0-1
- Less restorative nursing
0.7%
Total Percent:0.7%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 11-14
- Less restorative nursing
1.0%
ADL Index Range: 6-10
- Less restorative nursing
0.2%
ADL Index Range: 2-5
- Less restorative nursing
0.5%
Total Percent:1.7%
 

Rating Details For Southern Heritage Health and Rehabilitation, LLC

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) Hours24 Minutes1 Hour and 5 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours57 Minutes40 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 4 Minutes2 Hours and 13 Minutes
Total Licensed Nurse Hours1 Hour and 22 Minutes1 Hour and 45 Minutes
Total Nurse Hours4 Hours and 26 Minutes3 Hours and 58 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 Arkansas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityArkansas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination83%94%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%95%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Had a Urinary Tract Infection1%8%
Percent of Long-Stay Residents Who Lose Too Much Weight9%7%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder2%5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious4%10%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores11%10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair8%5%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%2%
Percent of Long-Stay Residents Who Were Physically Restrained-5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased11%14%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse9%10%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-2%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder51%42%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination65%90%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season85%90%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores6%11%
Percent of Short-Stay Residents Who Have Delirium-3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain5%13%

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 07/22/2010.

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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 06/25/2009
  • Correction Date: 07/17/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 06/25/2009
  • Correction Date: 07/17/2009

Nutrition and Dietary

Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served.
  • Inspection Date: 07/31/2008
  • Correction Date: 08/30/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 07/31/2008
  • Correction Date: 08/30/2008
Make Sure That Residents Are Well Nourished.
  • Inspection Date: 07/22/2010
  • Correction Date: 08/20/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 07/22/2010
  • Correction Date: 08/20/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 07/31/2008
  • Correction Date: 08/30/2008
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 07/31/2008
  • Correction Date: 08/30/2008
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 07/22/2010
  • Correction Date: 08/20/2010
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 07/22/2010
  • Correction Date: 08/20/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 07/31/2008
  • Correction Date: 08/30/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 07/31/2008
  • Correction Date: 08/30/2008
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 07/31/2008
  • Correction Date: 08/30/2008
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Inspection Date: 07/22/2010
  • Correction Date: 08/20/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 07/22/2010
  • Correction Date: 08/20/2010

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)06/25/2009$1,625
Civil Money Penalty (CMP)05/11/2011$1,950
Civil Money Penalty (CMP)06/25/2009$2,925

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Southern Heritage Health and Rehabilitation, LLC, 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

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Complaint Filed: 07/16/2009
  • Correction Date: 07/31/2009

Environmental

Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 10/02/2008
  • Correction Date: 11/01/2008

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Complaint Filed: 03/08/2010
  • Correction Date: 03/26/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 07/16/2009
  • Correction Date: 07/31/2009
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Complaint Filed: 05/11/2011
  • Correction Date: 06/10/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 10/02/2008
  • Correction Date: 11/01/2008

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 Southern Heritage Health and Rehabilitation, LLC 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 07/21/2010.

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: 07/30/2008
  • Correction Date: 08/30/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 06/25/2009
  • Correction Date: 08/07/2009

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 06/25/2009
  • Correction Date: 01/01/1900
Properly Protected Cooking Facilities.
  • Inspection Date: 06/25/2009
  • Correction Date: 08/07/2009
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 07/21/2010
  • Correction Date: 08/20/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 07/30/2008
  • Correction Date: 08/30/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 06/25/2009
  • Correction Date: 07/17/2009

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 06/25/2009
  • Correction Date: 07/17/2009
Source: Medicare Nursing Home Compare; Department of Human Services of Arkansas - Office of Long Term Care - Retrieved 2011