ORANGE CITY NURSING AND REHAB 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 "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 Orange City Nursing and Rehab Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation Plus Extensive Services

Very High Rehabilitation Plus Extensive Services

Medium Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

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 Florida 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 11/05/2010.

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 10/23/2009 Correction Date: 11/22/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 11/05/2010 Correction Date: 12/05/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 10/23/2009 Correction Date: 11/22/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 11/05/2010 Correction Date: 12/05/2010

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: 09/11/2008 Correction Date: 10/20/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 09/11/2008 Correction Date: 10/20/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 09/11/2008 Correction Date: 10/20/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 10/23/2009 Correction Date: 11/22/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 10/23/2009 Correction Date: 11/22/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/11/2008 Correction Date: 10/20/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/11/2008 Correction Date: 10/20/2008
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 09/11/2008 Correction Date: 10/20/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 10/23/2009 Correction Date: 11/22/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 11/05/2010 Correction Date: 12/05/2010

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. Inspection Date: 10/23/2009 Correction Date: 11/22/2009

Resident Rights

Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care. Inspection Date: 09/11/2008 Correction Date: 10/20/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 10/23/2009 Correction Date: 11/22/2009

The table below lists incident reports by the nursing staff or administration for Orange City Nursing and Rehab Center, as well as complaints by residents or their family in the previous three years.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 01/14/2009 Correction Date: 02/23/2009

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Complaint Filed: 01/14/2009 Correction Date: 02/23/2009
Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 03/31/2009 Correction Date: 05/15/2009
Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 02/11/2010 Correction Date: 03/11/2010

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 Orange City Nursing and Rehab 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 11/04/2010.

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 09/10/2008 Correction Date: 10/29/2008

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 09/10/2008 Correction Date: 10/29/2008
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 11/04/2010 Correction Date: 12/05/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 09/10/2008 Correction Date: 10/29/2008
Proper Medical Gas Storage and Administration Areas. Inspection Date: 11/04/2010 Correction Date: 12/05/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 09/10/2008 Correction Date: 10/29/2008
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 09/10/2008 Correction Date: 10/29/2008