BROOKS SKILLED NURSING FACILITY, INC
Address
40 ACME STREET
JACKSONVILLE, FL 32211
(904) 724-5933
Nursing Home Ratings
Health Inspections | |
Quality Measures | |
Nursing Staff | |
R.N. Staff Only | |
Overall Rating |
Percent of Beds Occupied
Number of Residents and Certified Beds
- Residents: 88
- Certified Beds: 119
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
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 Brooks Skilled Nursing Facility, Inc. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
Resident Services | Resident Conditions | Percent of Service Days |
Very High Rehabilitation Plus Extensive Services
- 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: 2-10 | 2.6% |
Total Percent: | 2.6% |
Ultra-High Rehabilitation
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
ADL Index Range: 11-16 | 15.0% |
ADL Index Range: 6-10 | 22.7% |
ADL Index Range: 0-5 | 23.0% |
Total Percent: | 60.6% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 5.1% |
ADL Index Range: 6-10 | 13.2% |
ADL Index Range: 0-5 | 4.7% |
Total Percent: | 23.0% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 4.5% |
ADL Index Range: 6-10 | 2.1% |
ADL Index Range: 0-5 | 2.6% |
Total Percent: | 9.2% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-10 | 1.4% |
Total Percent: | 1.4% |
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 - No Signs of depression | 1.1% |
Total Percent: | 1.1% |
Behavioral Symptoms and Cognitive Performance
- Cognitive impairment BIMS score less than or equal to 9
- CPS great than or equal to 3
- Hallucinations or delusions
- Physical or verbal behavioral symptoms toward others
- Other behavioral symptoms
- Rejection of care or wandering
- Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 2-5 - Less restorative nursing | 0.3% |
Total Percent: | 0.3% |
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: 6-10 - Less restorative nursing | 1.8% |
Total Percent: | 1.8% |
Rating Details For Brooks Skilled Nursing Facility, Inc
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 Day | Reported | Expected |
Registered Nurse (RN) Hours | 29 Minutes | 58 Minutes |
Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 1 Hour and 5 Minutes | 37 Minutes |
Certified Nursing Assistant (CNA) Hours | 3 Hours and 37 Minutes | 2 Hours and 17 Minutes |
Total Licensed Nurse Hours | 1 Hour and 34 Minutes | 1 Hour and 35 Minutes |
Total Nurse Hours | 5 Hours and 10 Minutes | 3 Hours and 53 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 Florida are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
This Facility | Florida Average |
Long-Term Stay Preventive Actions
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 87% |
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90% | 86% |
Long-Term Stay Deficiencies
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 21% | 9% |
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 28% | 12% |
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 48% | 54% |
Percent of Long-Stay Residents Who Lose Too Much Weight | 14% | 8% |
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 1% | 5% |
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 1% | 5% |
Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 7% | 11% |
Percent of Long-Stay Residents Who Were Physically Restrained | 13% | 5% |
Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 4% | 3% |
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 8% | 12% |
Percent of Long-Stay Residents Who Are More Depressed or Anxious | 17% | 10% |
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | - | 3% |
Short-Term Stay Preventive Actions
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 80% |
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 87% | 81% |
Short-Term Stay Deficiencies
Percent of Short-Stay Residents Who Have Pressure Sores | 5% | 14% |
Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 3% | 17% |
Percent of Short-Stay Residents Who Have Delirium | - | 2% |
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 03/03/2011.
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 Inspectors | Degree of Harm | Residents Affected |
Administration
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
| ||
Choose a Doctor to Be the Medical Director.
| ||
Give or Get Lab Tests to Meet the Needs of Residents.
| ||
Set Up or Keep a Group of People to Review and Ensure Quality.
| ||
Post Nurse Staffing Information.
|
Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| ||
Have a Program to Keep Infection from Spreading.
| ||
Have a Program to Keep Infection from Spreading.
| ||
Keep All Essential Equipment Working Safely.
| ||
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| ||
Have a Program to Keep Infection from Spreading.
| ||
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
|
Mistreatment
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
| ||
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
| ||
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
| ||
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.
| ||
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
|
Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
|
Pharmacy Service
Make Sure That Residents Are Safe from Serious Medication Errors.
| ||
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
|
Quality Care
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
| ||
Give Professional Services That Meet a Professional Standard of Quality.
| ||
Give Professional Services That Follow Each Resident's Written Care Plan.
| ||
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
| ||
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.
| ||
Make Sure That Each Resident's Nutritional Needs Were Met.
|
Resident Assessment
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
| ||
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
| ||
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.
| ||
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
| ||
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
|
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 Taken | Date | Amount |
Civil Money Penalty (CMP) | 06/05/2009 | $5,700 |
Civil Money Penalty (CMP) | 03/03/2011 | $20,250 |
Civil Money Penalty (CMP) | 02/05/2010 | $60,000 |
Civil Money Penalty (CMP) | 06/05/2009 | $63,038 |
Civil Money Penalty (CMP) | 04/16/2010 | $177,403 |
Denial of Payment for New Admission (DPNA) | 06/05/2009 | - |
Denial of Payment for New Admission (DPNA) | 04/16/2010 | - |
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Brooks Skilled Nursing Facility, Inc, 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 Complaints | Degree of Harm | Residents Affected |
Administration
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
| ||
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
| ||
Choose a Doctor to Be the Medical Director.
| ||
Set Up or Keep a Group of People to Review and Ensure Quality.
|
Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
|
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.
| ||
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
| ||
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
| ||
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
| ||
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
|
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.
|
Quality Care
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
| ||
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
|
Resident Assessment
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
| ||
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
|
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 Brooks Skilled Nursing Facility, Inc 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 02/17/2011.
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 Inspectors | Degree of Harm | Residents Affected |
Building Service Equipment
Properly Protected Cooking Facilities.
|
Electrical
Properly Installed Electrical Wiring and Equipment.
| ||
A Separate and Independent Backup Electrical Power Source.
| ||
Properly Installed Electrical Wiring and Equipment.
|
Emergency Plans and Fire Drills
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
|
Medical Gases and Anesthetizing Areas
Proper Medical Gas Storage and Administration Areas.
|
Smoking Regulations
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
|