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 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: 6-108.3%
ADL Index Range: 0-522.8%
Total Percent:31.1%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-104.7%
ADL Index Range: 0-514.6%
Total Percent:19.3%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-163.1%
ADL Index Range: 0-513.4%
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 DayReportedExpected
Registered Nurse (RN) Hours1 Hour and 1 Minutes1 Hour and 1 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours45 Minutes40 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 33 Minutes2 Hours and 16 Minutes
Total Licensed Nurse Hours1 Hour and 46 Minutes1 Hour and 41 Minutes
Total Nurse Hours4 Hours and 19 Minutes3 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 FacilityDelaware Average

Long-Term Stay Preventive Actions

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

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Are More Depressed or Anxious11%12%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection10%10%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse9%13%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased7%16%
Percent of Long-Stay Residents Who Lose Too Much Weight4%8%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder54%52%
Percent of Long-Stay Residents Who Were Physically Restrained1%9%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair9%5%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores9%9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder2%4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%89%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%88%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores7%11%
Percent of Short-Stay Residents Who Have Delirium1%2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain4%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 InspectorsDegree of HarmResidents 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 ComplaintsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 10/17/2008
  • Correction Date: 12/16/2008
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 02/17/2009
  • Correction Date: 05/14/2009
Give or Get Lab Tests to Meet the Needs of Residents.
  • Complaint Filed: 05/28/2010
  • Correction Date: 07/28/2010
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 05/28/2010
  • Correction Date: 07/28/2010
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 02/25/2011
  • Correction Date: 05/24/2011

Environmental

Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 02/17/2009
  • Correction Date: 05/06/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Complaint Filed: 02/17/2009
  • Correction Date: 05/06/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 02/17/2009
  • Correction Date: 05/06/2009
Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 02/17/2009
  • Correction Date: 05/06/2009
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Complaint Filed: 07/23/2009
  • Correction Date: 08/25/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 02/25/2011
  • Correction Date: 05/24/2011

Mistreatment

Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
  • Complaint Filed: 07/23/2009
  • Correction Date: 08/25/2009
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.
  • Complaint Filed: 09/09/2009
  • Correction Date: 10/15/2009
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.
  • Complaint Filed: 05/28/2010
  • Correction Date: 07/28/2010
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.
  • Complaint Filed: 02/25/2011
  • Correction Date: 05/24/2011

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Complaint Filed: 02/17/2009
  • Correction Date: 05/14/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 02/17/2009
  • Correction Date: 05/14/2009
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.
  • Complaint Filed: 02/17/2009
  • Correction Date: 05/06/2009
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Complaint Filed: 05/28/2010
  • Correction Date: 07/28/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 10/17/2008
  • Correction Date: 12/16/2008
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Complaint Filed: 02/17/2009
  • Correction Date: 05/06/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 02/17/2009
  • Correction Date: 05/06/2009
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Complaint Filed: 02/17/2009
  • Correction Date: 05/06/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Complaint Filed: 02/17/2009
  • Correction Date: 05/06/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 02/17/2009
  • Correction Date: 05/06/2009
Provide Activities to Meet the Needs of Each Resident.
  • Complaint Filed: 02/17/2009
  • Correction Date: 05/06/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 10/15/2009
  • Correction Date: 11/24/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 05/28/2010
  • Correction Date: 07/28/2010

Resident Assessment

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.
  • Complaint Filed: 10/17/2008
  • Correction Date: 12/16/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 02/17/2009
  • Correction Date: 05/06/2009
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
  • Complaint Filed: 02/17/2009
  • Correction Date: 05/06/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 10/15/2009
  • Correction Date: 11/24/2009

Resident Rights

Provide Written Records when a Resident is Transferred or Discharged.
  • Complaint Filed: 10/17/2008
  • Correction Date: 12/16/2008
Provide Enough Notice Before Discharging or Transferring a Resident.
  • Complaint Filed: 10/17/2008
  • Correction Date: 12/16/2008
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.
  • Complaint Filed: 02/17/2009
  • Correction Date: 05/06/2009

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 Brandywine Nursing & 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 10/04/2010.

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

Portable Fire Extinguishers.
  • Inspection Date: 02/25/2008
  • Correction Date: 03/05/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 10/04/2010
  • Correction Date: 12/30/2010

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 10/04/2010
  • Correction Date: 12/30/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 10/04/2010
  • Correction Date: 12/30/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 10/04/2010
  • Correction Date: 12/30/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 10/04/2010
  • Correction Date: 12/30/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 02/09/2009
  • Correction Date: 04/09/2009
Source: Medicare Nursing Home Compare; Health and Social Services of Delaware - Division of Long Term Care and Resident Protection - Retrieved 2011