RALEIGH COURT HEALTH AND REHABILITATION CENTER

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 "Very 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 Raleigh Court Health and Rehabilitation Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Medium Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care High

Special Care Low

Clinically Complex

Reduced Physical Function

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.

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 Virginia are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

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 01/25/2011.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 02/27/2009 Correction Date: 04/02/2009
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 01/22/2010 Correction Date: 02/28/2010
Keep Complete, Dated Lab Records in the Resident's File. Inspection Date: 01/22/2010 Correction Date: 02/28/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 01/22/2010 Correction Date: 02/28/2010
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 01/25/2011 Correction Date: 02/28/2011
Give Lab Tests Only when the Attending Doctor Ordered Them. Inspection Date: 01/25/2011 Correction Date: 02/28/2011
Keep Accurate and Appropriate Medical Records. Inspection Date: 01/25/2011 Correction Date: 02/28/2011

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 02/27/2009 Correction Date: 04/02/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/27/2009 Correction Date: 04/02/2009
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 02/27/2009 Correction Date: 04/02/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 01/25/2011 Correction Date: 02/28/2011

Nutrition and Dietary

Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 02/27/2009 Correction Date: 04/02/2009
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day. Inspection Date: 02/27/2009 Correction Date: 04/02/2009

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 01/22/2010 Correction Date: 02/28/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 01/22/2010 Correction Date: 02/28/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 02/27/2009 Correction Date: 04/02/2009
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 02/27/2009 Correction Date: 04/02/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 01/22/2010 Correction Date: 02/28/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 01/22/2010 Correction Date: 02/28/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/25/2011 Correction Date: 02/28/2011

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: 02/27/2009 Correction Date: 04/02/2009
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: 02/27/2009 Correction Date: 04/02/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 01/22/2010 Correction Date: 02/28/2010

The table below lists incident reports by the nursing staff or administration for Raleigh Court Health and Rehabilitation Center, as well as complaints by residents or their family in the previous three years.

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 01/25/2011 Correction Date: 02/28/2011

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Complaint Filed: 02/27/2009 Correction Date: 04/02/2009

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Complaint Filed: 02/27/2009 Correction Date: 04/02/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 02/27/2009 Correction Date: 04/02/2009

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 Raleigh Court 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 01/26/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/03/2009 Correction Date: 03/24/2009
Portable Fire Extinguishers. Inspection Date: 03/03/2009 Correction Date: 03/24/2009
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 03/03/2009 Correction Date: 03/24/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 02/04/2010 Correction Date: 03/12/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 01/26/2011 Correction Date: 03/11/2011
Portable Fire Extinguishers. Inspection Date: 01/26/2011 Correction Date: 03/11/2011

Building Service Equipment

An Externally Vented Heating System. Inspection Date: 03/03/2009 Correction Date: 03/24/2009
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 01/26/2011 Correction Date: 03/11/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/03/2009 Correction Date: 03/24/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 01/26/2011 Correction Date: 03/11/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/03/2009 Correction Date: 03/24/2009

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 03/03/2009 Correction Date: 03/24/2009
Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width. Inspection Date: 03/03/2009 Correction Date: 03/24/2009
Exits That Are Accessible at All Times. Inspection Date: 02/04/2010 Correction Date: 03/12/2010
Exits That Are Accessible at All Times. Inspection Date: 01/26/2011 Correction Date: 03/11/2011

Fire Alarm Systems

An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 03/03/2009 Correction Date: 03/24/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 03/03/2009 Correction Date: 03/24/2009

Interior Finish

Fire-Resistant Room Wall Surfaces. Inspection Date: 01/26/2011 Correction Date: 03/11/2011

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 02/04/2010 Correction Date: 03/12/2010
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 01/26/2011 Correction Date: 03/11/2011