METHODIST HEALTH AND REHAB

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

METHODIST HEALTH AND REHAB
1915 SOUTH 74TH ST
FORT SMITH, AR 72903
(479) 452-1611

Nursing Home Ratings

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

Percent of Beds Occupied

90%

Number of Residents and Certified Beds

  • Residents: 130
  • Certified Beds: 145

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

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

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Nearby Cities:

Barling | Van Buren | Alma

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 Methodist Health and Rehab. 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: 11-1660.2%
ADL Index Range: 6-1010.5%
ADL Index Range: 0-58.7%
Total Percent:79.4%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1614.0%
ADL Index Range: 6-100.7%
ADL Index Range: 0-54.4%
Total Percent:19.2%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.0%
Total Percent:1.0%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 6-10
- Signs of depression
0.4%
Total Percent:0.4%
 

Rating Details For Methodist Health and Rehab

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) Hours22 Minutes55 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours59 Minutes36 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 56 Minutes2 Hours and 34 Minutes
Total Licensed Nurse Hours1 Hour and 21 Minutes1 Hour and 31 Minutes
Total Nurse Hours4 Hours and 18 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 Arkansas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityArkansas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%95%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%94%

Long-Term Stay Deficiencies

Percent of High-Risk Long-Stay Residents Who Have Pressure Sores10%10%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased11%14%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores4%2%
Percent of Long-Stay Residents Who Were Physically Restrained3%5%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair8%5%
Percent of Long-Stay Residents Who Lose Too Much Weight10%7%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder6%5%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder48%42%
Percent of Long-Stay Residents Who Are More Depressed or Anxious7%10%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection10%8%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%2%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse7%10%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination84%90%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season83%90%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores10%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain5%13%
Percent of Short-Stay Residents Who Have Delirium-3%

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 05/27/2011.

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

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Inspection Date: 04/24/2010
  • Correction Date: 05/17/2010
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 04/24/2010
  • Correction Date: 05/17/2010
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 04/24/2010
  • Correction Date: 05/17/2010
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 04/24/2010
  • Correction Date: 05/17/2010
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 05/27/2011
  • Correction Date: 06/17/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/24/2010
  • Correction Date: 05/17/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/24/2010
  • Correction Date: 05/17/2010
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 04/24/2010
  • Correction Date: 05/17/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 05/27/2011
  • Correction Date: 06/17/2011
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 05/27/2011
  • Correction Date: 06/17/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 04/24/2010
  • Correction Date: 05/17/2010

Nutrition and Dietary

Make Sure That Residents Are Well Nourished.
  • Inspection Date: 04/24/2010
  • Correction Date: 05/17/2010
Provide Food in a Way That Meets a Resident's Needs.
  • Inspection Date: 04/24/2010
  • Correction Date: 05/17/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/24/2010
  • Correction Date: 05/17/2010

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: 06/26/2009
  • Correction Date: 07/23/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 06/26/2009
  • Correction Date: 07/23/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 04/24/2010
  • Correction Date: 05/17/2010
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 04/24/2010
  • Correction Date: 05/17/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 04/24/2010
  • Correction Date: 05/17/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 04/24/2010
  • Correction Date: 05/17/2010

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 06/26/2009
  • Correction Date: 07/23/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 06/26/2009
  • Correction Date: 07/23/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 06/26/2009
  • Correction Date: 07/23/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 04/24/2010
  • Correction Date: 05/17/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 04/24/2010
  • Correction Date: 05/17/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 04/24/2010
  • Correction Date: 05/17/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 04/24/2010
  • Correction Date: 05/17/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 04/24/2010
  • Correction Date: 05/17/2010
Prevent a Loss in Range of Motion Among Residents Who Entered the Nursing Home with a Full Range of Motion.
  • Inspection Date: 04/24/2010
  • Correction Date: 05/17/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 04/24/2010
  • Correction Date: 05/17/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 05/27/2011
  • Correction Date: 05/27/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 05/27/2011
  • Correction Date: 06/17/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 05/27/2011
  • Correction Date: 06/17/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 05/27/2011
  • Correction Date: 06/17/2011
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: 05/27/2011
  • Correction Date: 06/17/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 04/24/2010
  • Correction Date: 05/17/2010
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: 04/24/2010
  • Correction Date: 05/17/2010

Resident Rights

Honor All of the Resident's Rights As a Resident of the Nursing Home and As a Citizen or Resident of the United States.
  • Inspection Date: 04/24/2010
  • Correction Date: 05/17/2010
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 04/24/2010
  • Correction Date: 05/17/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 04/24/2010
  • Correction Date: 05/17/2010

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)04/24/2010$1,625

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Methodist Health and Rehab, 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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 11/20/2009
  • Correction Date: 12/10/2009

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 Methodist Health and Rehab 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 05/25/2011.

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

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 04/21/2010
  • Correction Date: 05/17/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 04/21/2010
  • Correction Date: 05/17/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 05/25/2011
  • Correction Date: 06/17/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 04/21/2010
  • Correction Date: 05/17/2010
Source: Medicare Nursing Home Compare; Department of Human Services of Arkansas - Office of Long Term Care - Retrieved 2011