MEDICAL CARE CENTER

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

MEDICAL CARE CENTER
2200 LANDOVER PLACE
LYNCHBURG, VA 24501
(434) 846-4626

Nursing Home Ratings

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

Percent of Beds Occupied

79%

Number of Residents and Certified Beds

  • Residents: 93
  • Certified Beds: 118

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:

Bedford | Appomattox | Altavista

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 Medical Care 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: 11-160.8%
Total Percent:0.8%
 

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: 11-1625.9%
ADL Index Range: 6-1027.1%
ADL Index Range: 0-58.8%
Total Percent:61.8%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1613.2%
ADL Index Range: 6-103.2%
ADL Index Range: 0-54.0%
Total Percent:20.4%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.0%
ADL Index Range: 6-104.8%
ADL Index Range: 0-51.1%
Total Percent:9.8%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-163.7%
ADL Index Range: 6-100.4%
ADL Index Range: 0-51.4%
Total Percent:5.4%
 

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
0.8%
Total Percent:0.8%
 

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: 2-5
- Less restorative nursing
0.9%
Total Percent:0.9%
 

Rating Details For Medical 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) Hours26 Minutes1 Hour and 18 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours51 Minutes46 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours2 Hours and 33 Minutes
Total Licensed Nurse Hours1 Hour and 18 Minutes2 Hours and 4 Minutes
Total Nurse Hours3 Hours and 18 Minutes4 Hours and 37 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 Moderate to Severe Pain-3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder59%59%
Percent of Long-Stay Residents Who Are More Depressed or Anxious15%15%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection16%10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-6%
Percent of Long-Stay Residents Who Were Physically Restrained-2%
Percent of Long-Stay Residents Who Lose Too Much Weight7%9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse31%13%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores6%11%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased30%17%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season87%83%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%82%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Have Pressure Sores6%12%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain1%16%

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 10/28/2010.

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

Post Nurse Staffing Information.
  • Inspection Date: 09/25/2008
  • Correction Date: 10/28/2008
Give Lab Tests Only when the Attending Doctor Ordered Them.
  • Inspection Date: 09/25/2008
  • Correction Date: 10/28/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 09/25/2008
  • Correction Date: 10/28/2008
Follow All Laws and Professional Standards.
  • Inspection Date: 11/05/2009
  • Correction Date: 12/14/2009
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 11/05/2009
  • Correction Date: 12/14/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 11/05/2009
  • Correction Date: 12/14/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 11/05/2009
  • Correction Date: 12/14/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 11/05/2009
  • Correction Date: 12/14/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 10/28/2010
  • Correction Date: 12/05/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 09/25/2008
  • Correction Date: 10/28/2008

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 10/28/2010
  • Correction Date: 12/05/2010

Quality Care

Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 09/25/2008
  • Correction Date: 10/28/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 11/05/2009
  • Correction Date: 12/14/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 11/05/2009
  • Correction Date: 12/14/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 11/05/2009
  • Correction Date: 12/14/2009
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 10/28/2010
  • Correction Date: 12/05/2010

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.
  • Inspection Date: 11/05/2009
  • Correction Date: 12/14/2009
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: 11/05/2009
  • Correction Date: 12/14/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 10/28/2010
  • Correction Date: 12/05/2010
Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home.
  • Inspection Date: 10/28/2010
  • Correction Date: 12/05/2010
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
  • Inspection Date: 10/28/2010
  • Correction Date: 12/05/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 09/25/2008
  • Correction Date: 10/28/2008
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: 11/05/2009
  • Correction Date: 12/14/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 11/05/2009
  • Correction Date: 12/14/2009
Have a Private Telephone Available for Use.
  • Inspection Date: 10/28/2010
  • Correction Date: 12/05/2010

Deficiencies from Complaints and Incidents

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

Give or Get Lab Tests to Meet the Needs of Residents.
  • Complaint Filed: 09/25/2008
  • Correction Date: 10/28/2008
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 10/28/2010
  • Correction Date: 12/05/2010
Give or Get Lab Tests to Meet the Needs of Residents.
  • Complaint Filed: 10/28/2010
  • Correction Date: 10/15/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Complaint Filed: 09/25/2008
  • Correction Date: 10/28/2008

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 09/25/2008
  • Correction Date: 10/28/2008
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Complaint Filed: 10/28/2010
  • Correction Date: 09/10/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 10/28/2010
  • Correction Date: 12/05/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 09/25/2008
  • Correction Date: 10/28/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 09/25/2008
  • Correction Date: 10/28/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 10/28/2010
  • Correction Date: 10/22/2010

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.
  • Complaint Filed: 09/25/2008
  • Correction Date: 10/28/2008
Make Sure That Doctors Visit Residents Regularly, As Required.
  • Complaint Filed: 09/25/2008
  • Correction Date: 10/28/2008

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: 09/25/2008
  • Correction Date: 10/28/2008
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Complaint Filed: 09/25/2008
  • Correction Date: 10/28/2008
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.
  • Complaint Filed: 10/28/2010
  • Correction Date: 12/05/2010

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 Medical 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 11/08/2010.

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

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 10/01/2008
  • Correction Date: 01/01/1900

Furnishings and Decorations

Restrictions on the Use of Highly Flammable Materials.
  • Inspection Date: 10/01/2008
  • Correction Date: 01/01/1900

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 10/01/2008
  • Correction Date: 01/01/1900
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 11/09/2009
  • Correction Date: 12/02/2009

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 11/08/2010
  • Correction Date: 12/29/2010
Source: Medicare Nursing Home Compare; Department of Health of Virginia - Center for Quality Health Care Services and Consumer Protection - Retrieved 2011