GRAHAM HEALTHCARE AND REHABILITATION CENTER

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

GRAHAM HEALTHCARE AND REHABILITATION CENTER
811 SNOWBIRD ROAD
ROBBINSVILLE, NC 28771
(828) 479-8421

Nursing Home Ratings

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

Percent of Beds Occupied

83%

Number of Residents and Certified Beds

  • Residents: 66
  • Certified Beds: 80

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:

Andrews | Murphy | Hayesville

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 "Medium 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 Graham Healthcare 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: 6-100.4%
ADL Index Range: 0-53.5%
Total Percent:4.0%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1612.5%
ADL Index Range: 6-103.5%
ADL Index Range: 0-514.9%
Total Percent:30.9%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-166.5%
ADL Index Range: 6-109.9%
ADL Index Range: 0-55.7%
Total Percent:22.2%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-1624.0%
ADL Index Range: 6-104.3%
ADL Index Range: 0-55.1%
Total Percent:33.3%
 

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: 15-16
- No Signs of depression
1.3%
ADL Index Range: 6-10
- No Signs of depression
0.2%
Total Percent:1.5%
 

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: 15-16
- No Signs of depression
3.3%
ADL Index Range: 6-10
- No Signs of depression
0.1%
Total Percent:3.4%
 

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: 15-16
- Less restorative nursing
3.1%
ADL Index Range: 2-5
- Less restorative nursing
1.5%
Total Percent:4.6%
 

Rating Details For Graham Healthcare 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) Hours48 Minutes1 Hour and 16 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours36 Minutes43 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 38 Minutes2 Hours and 30 Minutes
Total Licensed Nurse Hours1 Hour and 24 Minutes1 Hour and 59 Minutes
Total Nurse Hours4 Hours and 2 Minutes4 Hours and 29 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 Given Influenza Vaccination During the Flu Season90-100%92%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%92%

Long-Term Stay Deficiencies

Percent of High-Risk Long-Stay Residents Who Have Pressure Sores11%11%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder47%60%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased27%20%
Percent of Long-Stay Residents Who Were Physically Restrained6%4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection12%11%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair4%9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse17%12%
Percent of Long-Stay Residents Who Are More Depressed or Anxious27%15%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%4%
Percent of Long-Stay Residents Who Lose Too Much Weight15%9%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores4%4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores6%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain6%17%
Percent of Short-Stay Residents Who Have Delirium1%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 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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 10/21/2010
  • Correction Date: 11/15/2010

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: 09/17/2009
  • Correction Date: 10/02/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 10/21/2010
  • Correction Date: 11/15/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 10/21/2010
  • Correction Date: 11/15/2010

Deficiencies from Complaints and Incidents

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

Environmental

Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 08/20/2008
  • Correction Date: 09/09/2008

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 08/20/2008
  • Correction Date: 09/09/2008

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 Graham Healthcare 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 11/30/2010.

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: 09/11/2008
  • Correction Date: 09/30/2008

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 09/11/2008
  • Correction Date: 09/30/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 11/30/2010
  • Correction Date: 12/17/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 09/11/2008
  • Correction Date: 09/30/2008

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 10/21/2009
  • Correction Date: 12/05/2009

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 09/11/2008
  • Correction Date: 09/30/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 09/11/2008
  • Correction Date: 09/30/2008

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 10/21/2009
  • Correction Date: 12/05/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 09/11/2008
  • Correction Date: 09/30/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 10/21/2009
  • Correction Date: 12/05/2009
Source: Medicare Nursing Home Compare; Division of Health Service Regulation-Nursing Home Licensure and Certification - Retrieved 2011