WILLOWBROOK REHABILITATION AND CARE CENTER

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

WILLOWBROOK REHABILITATION AND CARE CENTER
333 EAST LEE STREET
YADKINVILLE, NC 27055
(336) 679-8028

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: 70
  • Certified Beds: 76

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Partnership
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Advance | Clemmons | Mocksville

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 Willowbrook Rehabilitation and 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

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five 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: 11-163.9%
Total Percent:3.9%
 

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: 11-1622.3%
ADL Index Range: 6-100.1%
ADL Index Range: 0-513.9%
Total Percent:36.3%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1613.5%
ADL Index Range: 6-103.9%
ADL Index Range: 0-57.1%
Total Percent:24.4%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-167.9%
ADL Index Range: 6-104.0%
ADL Index Range: 0-53.3%
Total Percent:15.2%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-100.8%
ADL Index Range: 0-52.1%
Total Percent:2.9%
 

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
2.1%
Total Percent:2.1%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
3.7%
ADL Index Range: 6-10
- No Signs of depression
6.3%
Total Percent:10.0%
 

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: 11-14
- No Signs of depression
1.9%
ADL Index Range: 6-10
- No Signs of depression
2.9%
ADL Index Range: 2-5
- No Signs of depression
0.3%
Total Percent:5.1%
 

Rating Details For Willowbrook Rehabilitation and 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) Hours28 Minutes1 Hour and 5 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours48 Minutes40 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 5 Minutes2 Hours and 38 Minutes
Total Licensed Nurse Hours1 Hour and 16 Minutes1 Hour and 44 Minutes
Total Nurse Hours3 Hours and 21 Minutes4 Hours and 22 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 North Carolina are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityNorth Carolina Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination85%92%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%92%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Lose Too Much Weight12%9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse2%12%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased20%20%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder63%60%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores6%11%
Percent of Long-Stay Residents Who Are More Depressed or Anxious6%15%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection10%11%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%3%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-4%
Percent of Long-Stay Residents Who Were Physically Restrained1%4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season59%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination54%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium1%2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain6%17%
Percent of Short-Stay Residents Who Have Pressure Sores2%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 06/11/2010.

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

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 04/17/2008
  • Correction Date: 04/18/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/17/2008
  • Correction Date: 04/18/2008

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 05/21/2009
  • Correction Date: 07/01/2009
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Inspection Date: 06/11/2010
  • Correction Date: 07/09/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 06/11/2010
  • Correction Date: 07/09/2010

Nutrition and Dietary

Provide Special Eating Equipment and Utensils for Each Resident Who Needs Them.
  • Inspection Date: 04/17/2008
  • Correction Date: 04/18/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 06/11/2010
  • Correction Date: 07/09/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 04/17/2008
  • Correction Date: 04/18/2008

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 04/17/2008
  • Correction Date: 04/18/2008
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 04/17/2008
  • Correction Date: 04/18/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 05/21/2009
  • Correction Date: 07/01/2009
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: 05/21/2009
  • Correction Date: 07/01/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 06/11/2010
  • Correction Date: 07/09/2010
Give or Get Dental Care for Each Resident.
  • Inspection Date: 06/11/2010
  • Correction Date: 07/09/2010

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: 04/17/2008
  • Correction Date: 04/18/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 04/17/2008
  • Correction Date: 04/18/2008
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: 04/17/2008
  • Correction Date: 04/18/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 05/21/2009
  • Correction Date: 07/01/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 06/11/2010
  • Correction Date: 07/09/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 06/11/2010
  • Correction Date: 07/09/2010

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 04/17/2008
  • Correction Date: 04/18/2008
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: 06/11/2010
  • Correction Date: 07/09/2010
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: 06/11/2010
  • Correction Date: 07/09/2010
Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 06/11/2010
  • Correction Date: 07/09/2010

Deficiencies from Complaints and Incidents

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

Environmental

Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 06/11/2010
  • Correction Date: 07/09/2010

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 12/18/2008
  • Correction Date: 12/19/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Complaint Filed: 06/11/2010
  • Correction Date: 07/09/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 06/11/2010
  • Correction Date: 07/09/2010

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 Willowbrook Rehabilitation and 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 07/21/2010.

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: 05/14/2008
  • Correction Date: 06/13/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 06/25/2009
  • Correction Date: 08/12/2009

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 06/25/2009
  • Correction Date: 08/12/2009

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 05/14/2008
  • Correction Date: 06/13/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 06/25/2009
  • Correction Date: 08/12/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 05/14/2008
  • Correction Date: 06/13/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 06/25/2009
  • Correction Date: 08/12/2009

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 07/21/2010
  • Correction Date: 07/27/2010
Source: Medicare Nursing Home Compare; Division of Health Service Regulation-Nursing Home Licensure and Certification - Retrieved 2011