BRANDYWINE NURSING & REHABILITATION CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Brandywine Nursing & 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

BRANDYWINE NURSING & REHABILITATION CENTER
505 GREENBANK ROAD
WILMINGTON, DE 19808
(302) 998-0101

Nursing Home Ratings

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

Overall Rating

Percent of Beds Occupied

98%

Number of Residents and Certified Beds

Residents: 165
Certified Beds: 169

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:

Hockessin | Newark | Greenville

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 Brandywine Nursing & Rehabilitation Center. 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

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: 6-10	8.3%
ADL Index Range: 0-5	22.8%
Total Percent:	31.1%

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 6-10	4.7%
ADL Index Range: 0-5	14.6%
Total Percent:	19.3%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	3.1%
ADL Index Range: 0-5	13.4%
Total Percent:	16.5%

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 - Signs of depression	7.9%
ADL Index Range: 11-14 - No Signs of depression	4.7%
Total Percent:	12.6%

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: 2-5 - No Signs of depression	0.4%
Total Percent:	0.4%

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: 11-14 - Signs of depression	20.1%
Total Percent:	20.1%

Rating Details For Brandywine Nursing & 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 Day	Reported	Expected
Registered Nurse (RN) Hours	1 Hour and 1 Minutes	1 Hour and 1 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	45 Minutes	40 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 33 Minutes	2 Hours and 16 Minutes
Total Licensed Nurse Hours	1 Hour and 46 Minutes	1 Hour and 41 Minutes
Total Nurse Hours	4 Hours and 19 Minutes	3 Hours and 56 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 Delaware are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This Facility

Delaware Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	94%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	94%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Are More Depressed or Anxious	11%	12%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	1%	3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	10%	10%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	1%	3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	9%	13%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	7%	16%
Percent of Long-Stay Residents Who Lose Too Much Weight	4%	8%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	54%	52%
Percent of Long-Stay Residents Who Were Physically Restrained	1%	9%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	9%	5%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	9%	9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	2%	4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	89%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	88%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores	7%	11%
Percent of Short-Stay Residents Who Have Delirium	1%	2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	4%	17%

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 10/01/2010.

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 Inspectors

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. Inspection Date: 02/26/2008 Correction Date: 04/15/2008
Get Services Outside the Nursing Home That Meet Professional Standards. Inspection Date: 02/26/2008 Correction Date: 04/15/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 02/26/2008 Correction Date: 04/15/2008
Train All Employees on What to Do in an Emergency. Inspection Date: 02/26/2008 Correction Date: 04/15/2008

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 02/26/2008 Correction Date: 04/15/2008
Keep Temperature Levels Comfortable and Safe. Inspection Date: 02/26/2008 Correction Date: 04/15/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/26/2008 Correction Date: 04/15/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 02/26/2008 Correction Date: 04/15/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 02/26/2008 Correction Date: 04/15/2008
Put Firmly Secured Handrails on Each Side of Hallways. Inspection Date: 02/26/2008 Correction Date: 04/15/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 10/01/2010 Correction Date: 10/19/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 10/01/2010 Correction Date: 10/19/2010
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 10/01/2010 Correction Date: 10/19/2010
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 10/01/2010 Correction Date: 10/19/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.

Inspection Date: 02/26/2008
Correction Date: 04/15/2008

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.

Inspection Date: 02/26/2008
Correction Date: 04/15/2008

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 02/26/2008 Correction Date: 04/15/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 02/26/2008 Correction Date: 04/15/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 02/26/2008 Correction Date: 04/15/2008

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 02/26/2008 Correction Date: 04/15/2008
Give or Get Dental Care for Each Resident. Inspection Date: 02/26/2008 Correction Date: 04/15/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 10/01/2010 Correction Date: 10/19/2010

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: 10/01/2010
Correction Date: 10/19/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 02/26/2008 Correction Date: 04/15/2008
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 02/26/2008 Correction Date: 04/15/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 10/01/2010 Correction Date: 10/19/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Brandywine Nursing & 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 Complaints

Degree of Harm

Residents Affected