DOWNTOWN HEALTH AND REHABILITATION CENTER

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

DOWNTOWN HEALTH AND REHABILITATION CENTER
424 S ADAMS ST
FORT WORTH, TX 76104
(817) 335-5781

Nursing Home Ratings

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

Percent of Beds Occupied

49%

Number of Residents and Certified Beds

  • Residents: 79
  • Certified Beds: 161

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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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 Downtown Health and Rehabilitation 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

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-163.6%
ADL Index Range: 6-1027.8%
ADL Index Range: 0-538.9%
Total Percent:70.3%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-169.9%
ADL Index Range: 6-102.5%
ADL Index Range: 0-59.9%
Total Percent:22.2%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.9%
ADL Index Range: 0-51.0%
Total Percent:2.9%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 0-53.9%
Total Percent:3.9%
 

Extensive Services

  • 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: 2-16
- Tracheostomy care or ventilator/respirator
0.6%
Total Percent:0.6%
 

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: 6-10
- No Signs of depression
0.1%
Total Percent:0.1%
 

Rating Details For Downtown Health and Rehabilitation 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) Hours35 Minutes1 Hour and 11 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 10 Minutes40 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 13 Minutes2 Hours and 14 Minutes
Total Licensed Nurse Hours1 Hour and 45 Minutes1 Hour and 51 Minutes
Total Nurse Hours3 Hours and 58 Minutes4 Hours and 5 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 Texas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityTexas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%88%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%91%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious16%13%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder42%46%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse15%12%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores6%12%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased16%18%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection2%9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%5%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair7%6%
Percent of Long-Stay Residents Who Lose Too Much Weight1%6%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%79%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain16%16%
Percent of Short-Stay Residents Who Have Pressure Sores12%11%

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 10/22/2010.

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

Administration

1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
  • Inspection Date: 10/30/2008
  • Correction Date: 12/13/2008
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 10/30/2008
  • Correction Date: 12/13/2008
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 10/30/2008
  • Correction Date: 12/13/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 10/30/2008
  • Correction Date: 12/13/2008
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 10/30/2008
  • Correction Date: 12/13/2008
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 09/25/2009
  • Correction Date: 11/05/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 09/25/2009
  • Correction Date: 11/05/2009
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 10/22/2010
  • Correction Date: 12/31/2010
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 10/22/2010
  • Correction Date: 12/31/2010

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 10/30/2008
  • Correction Date: 12/13/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 10/30/2008
  • Correction Date: 12/13/2008
Keep All Essential Equipment Working Safely.
  • Inspection Date: 10/30/2008
  • Correction Date: 12/13/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 10/30/2008
  • Correction Date: 12/13/2008
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 09/25/2009
  • Correction Date: 11/05/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 09/25/2009
  • Correction Date: 11/05/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 10/22/2010
  • Correction Date: 12/31/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 10/22/2010
  • Correction Date: 12/31/2010

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Inspection Date: 10/30/2008
  • Correction Date: 12/13/2008
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Inspection Date: 10/22/2010
  • Correction Date: 12/31/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 10/22/2010
  • Correction Date: 12/31/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 10/30/2008
  • Correction Date: 12/13/2008
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 09/25/2009
  • Correction Date: 11/05/2009
Provide Food in a Way That Meets a Resident's Needs.
  • Inspection Date: 09/25/2009
  • Correction Date: 11/05/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 09/25/2009
  • Correction Date: 11/05/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 10/22/2010
  • Correction Date: 12/31/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 10/22/2010
  • Correction Date: 12/31/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 10/30/2008
  • Correction Date: 12/13/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 10/22/2010
  • Correction Date: 12/31/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 10/30/2008
  • Correction Date: 12/13/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 10/30/2008
  • Correction Date: 12/13/2008
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 10/30/2008
  • Correction Date: 12/13/2008
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 10/30/2008
  • Correction Date: 12/13/2008
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week.
  • Inspection Date: 10/30/2008
  • Correction Date: 12/13/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 09/25/2009
  • Correction Date: 11/05/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 09/25/2009
  • Correction Date: 11/05/2009
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 10/22/2010
  • Correction Date: 12/31/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 10/22/2010
  • Correction Date: 12/31/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 10/22/2010
  • Correction Date: 12/31/2010

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: 10/30/2008
  • Correction Date: 12/13/2008
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: 10/30/2008
  • Correction Date: 12/13/2008
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
  • Inspection Date: 10/30/2008
  • Correction Date: 12/13/2008

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: 10/30/2008
  • Correction Date: 12/13/2008
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 10/30/2008
  • Correction Date: 12/13/2008
Make Sure That Private Space is Available in the Nursing Home for Resident Groups or Residents' Families to Meet.
  • Inspection Date: 10/30/2008
  • Correction Date: 12/13/2008
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.
  • Inspection Date: 10/30/2008
  • Correction Date: 12/13/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 10/22/2010
  • Correction Date: 12/31/2010

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)02/11/2011$4,000
Civil Money Penalty (CMP)02/11/2011$6,000
Civil Money Penalty (CMP)02/10/2009$9,815
Civil Money Penalty (CMP)02/10/2009$106,080
Denial of Payment for New Admission (DPNA)02/10/2009-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Downtown Health and Rehabilitation 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

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Complaint Filed: 02/10/2009
  • Correction Date: 03/16/2009
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Complaint Filed: 04/08/2009
  • Correction Date: 04/16/2009
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Complaint Filed: 02/11/2011
  • Correction Date: 03/29/2011

Environmental

Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Complaint Filed: 06/26/2008
  • Correction Date: 08/09/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Complaint Filed: 08/07/2008
  • Correction Date: 09/18/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Complaint Filed: 08/07/2008
  • Correction Date: 09/18/2008
Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 08/07/2008
  • Correction Date: 09/18/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 08/07/2008
  • Correction Date: 09/18/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 02/10/2009
  • Correction Date: 03/16/2009
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 08/26/2010
  • Correction Date: 10/13/2010

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 02/10/2009
  • Correction Date: 03/16/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 02/10/2009
  • Correction Date: 03/16/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 04/08/2009
  • Correction Date: 04/16/2009
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 04/08/2009
  • Correction Date: 04/16/2009
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 06/11/2009
  • Correction Date: 06/24/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 06/11/2009
  • Correction Date: 06/24/2009

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Complaint Filed: 02/10/2009
  • Correction Date: 03/16/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 02/10/2009
  • Correction Date: 03/16/2009

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 02/10/2009
  • Correction Date: 03/16/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 02/10/2009
  • Correction Date: 03/16/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 08/26/2010
  • Correction Date: 10/13/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 02/11/2011
  • Correction Date: 03/29/2011

Resident Rights

Try to Resolve Each Resident's Complaints Quickly.
  • Complaint Filed: 06/11/2009
  • Correction Date: 06/24/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 08/26/2010
  • Correction Date: 10/13/2010

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 Downtown 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 10/21/2010.

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: 10/28/2008
  • Correction Date: 12/13/2008
Properly Working Alarms on Sprinkler Valves.
  • Inspection Date: 10/28/2008
  • Correction Date: 12/13/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 10/28/2008
  • Correction Date: 12/13/2008
Portable Fire Extinguishers.
  • Inspection Date: 10/28/2008
  • Correction Date: 12/13/2008
Portable Fire Extinguishers.
  • Inspection Date: 09/24/2009
  • Correction Date: 11/05/2009
Portable Fire Extinguishers.
  • Inspection Date: 10/21/2010
  • Correction Date: 12/05/2010

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 09/24/2009
  • Correction Date: 11/05/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 10/28/2008
  • Correction Date: 12/13/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 09/24/2009
  • Correction Date: 11/05/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 10/21/2010
  • Correction Date: 12/05/2010
Signs That State That Exit Doors Are to Be Kept Closed.
  • Inspection Date: 10/21/2010
  • Correction Date: 12/05/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 10/28/2008
  • Correction Date: 12/13/2008

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 10/21/2010
  • Correction Date: 12/05/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 10/28/2008
  • Correction Date: 12/13/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 09/24/2009
  • Correction Date: 11/05/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 10/21/2010
  • Correction Date: 12/05/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 10/21/2010
  • Correction Date: 12/05/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 10/28/2008
  • Correction Date: 12/13/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 09/24/2009
  • Correction Date: 11/05/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 10/21/2010
  • Correction Date: 12/05/2010
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 10/21/2010
  • Correction Date: 12/05/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 10/28/2008
  • Correction Date: 12/13/2008

Vertical Openings

Proper Stairway Enclosures and Vertical Shafts.
  • Inspection Date: 10/21/2010
  • Correction Date: 12/05/2010
Source: Medicare Nursing Home Compare; Department of Aging and Disability Services - Retrieved 2011