MIZPAH HEALTH CARE CENTER

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

MIZPAH HEALTH CARE CENTER
ROUTE 634
LOCUST HILL, VA 23092
(804) 758-5260

Nursing Home Ratings

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

Percent of Beds Occupied

92%

Number of Residents and Certified Beds

  • Residents: 59
  • Certified Beds: 64

This Facility Accepts

  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Dillwyn

Rating Details For Mizpah Health 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) Hours31 Minutes44 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours27 Minutes33 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 46 Minutes2 Hours and 18 Minutes
Total Licensed Nurse Hours57 Minutes1 Hour and 17 Minutes
Total Nurse Hours2 Hours and 43 Minutes3 Hours and 35 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 Virginia are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityVirginia Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%92%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%90%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder-4%
Percent of Long-Stay Residents Who Were Physically Restrained-2%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair12%6%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection6%10%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse9%13%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores18%11%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder61%59%
Percent of Long-Stay Residents Who Are More Depressed or Anxious8%15%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased10%17%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%4%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%3%
Percent of Long-Stay Residents Who Lose Too Much Weight6%9%

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 08/12/2010.

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

Administration

Follow All Laws and Professional Standards.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/31/2009
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 08/12/2010
  • Correction Date: 09/25/2010

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 10/10/2008
  • Correction Date: 11/23/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 10/10/2008
  • Correction Date: 11/23/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/31/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/31/2009
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/31/2009
Keep Adequate and Comfortable Lighting in All Areas.
  • Inspection Date: 08/12/2010
  • Correction Date: 09/25/2010
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 08/12/2010
  • Correction Date: 09/25/2010

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: 08/12/2010
  • Correction Date: 09/25/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 10/10/2008
  • Correction Date: 11/23/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 10/10/2008
  • Correction Date: 11/23/2008
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 10/10/2008
  • Correction Date: 11/23/2008
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/31/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/31/2009
Make Sure That Each Resident Gets Help to Keep Vision and Hearing.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/31/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/31/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 08/12/2010
  • Correction Date: 09/25/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 08/12/2010
  • Correction Date: 09/25/2010
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Inspection Date: 08/12/2010
  • Correction Date: 09/25/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 10/10/2008
  • Correction Date: 11/23/2008
Screen Residents when They Are First Admitted to Send Them to an Area with Special Care for People with Developmental Disabilities or Mental Illness, if Needed.
  • Inspection Date: 10/10/2008
  • Correction Date: 11/23/2008
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: 07/17/2009
  • Correction Date: 08/31/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/31/2009
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: 07/17/2009
  • Correction Date: 08/31/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 08/12/2010
  • Correction Date: 09/25/2010

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Inspection Date: 10/10/2008
  • Correction Date: 11/23/2008
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.
  • Inspection Date: 10/10/2008
  • Correction Date: 11/23/2008

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Mizpah Health 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

Administration

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 06/06/2008
  • Correction Date: 07/20/2008
Train All Employees on What to Do in an Emergency.
  • Complaint Filed: 07/17/2009
  • Correction Date: 08/31/2009

Environmental

Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 06/06/2008
  • Correction Date: 07/20/2008
Keep All Essential Equipment Working Safely.
  • Complaint Filed: 06/06/2008
  • Correction Date: 07/20/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Complaint Filed: 06/06/2008
  • Correction Date: 07/20/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 06/06/2008
  • Correction Date: 07/20/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 07/17/2009
  • Correction Date: 08/31/2009

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 07/17/2009
  • Correction Date: 08/31/2009
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
  • Complaint Filed: 08/12/2010
  • Correction Date: 01/01/1900

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Complaint Filed: 07/17/2009
  • Correction Date: 08/31/2009

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Complaint Filed: 06/06/2008
  • Correction Date: 07/20/2008

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 06/06/2008
  • Correction Date: 07/20/2008
Make Sure That Each Resident Gets Help to Keep Vision and Hearing.
  • Complaint Filed: 06/06/2008
  • Correction Date: 07/20/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 06/06/2008
  • Correction Date: 07/20/2008
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Complaint Filed: 06/06/2008
  • Correction Date: 07/20/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 07/17/2009
  • Correction Date: 08/31/2009

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: 06/06/2008
  • Correction Date: 07/20/2008

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 Mizpah Health 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 08/31/2010.

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

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 10/17/2008
  • Correction Date: 01/01/1900
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
  • Inspection Date: 10/17/2008
  • Correction Date: 01/01/1900
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 08/31/2010
  • Correction Date: 10/20/2010

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 10/17/2008
  • Correction Date: 01/01/1900
Properly Protected Cooking Facilities.
  • Inspection Date: 07/24/2009
  • Correction Date: 09/08/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 07/24/2009
  • Correction Date: 09/08/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 08/31/2010
  • Correction Date: 10/20/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 07/24/2009
  • Correction Date: 09/08/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 08/31/2010
  • Correction Date: 10/20/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 07/24/2009
  • Correction Date: 09/08/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 10/17/2008
  • Correction Date: 01/01/1900
Exits That Are Accessible at All Times.
  • Inspection Date: 07/24/2009
  • Correction Date: 09/08/2009

Fire Alarm Systems

An Approved Back-Up Procedure for a Faulty Fire Alarm System.
  • Inspection Date: 10/17/2008
  • Correction Date: 01/01/1900
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 08/31/2010
  • Correction Date: 10/20/2010
Source: Medicare Nursing Home Compare; Department of Health of Virginia - Center for Quality Health Care Services and Consumer Protection - Retrieved 2011