COGBURN HEALTH AND REHABILITATION - WEST INC

The information listed below provides an in-depth look into the type and quality of care offered at Cogburn Health and Rehabilitation - West Inc. 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

COGBURN HEALTH AND REHABILITATION - WEST INC
8002 GRELOT ROAD
MOBILE, AL 36695
(251) 634-8002

Nursing Home Ratings

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

Percent of Beds Occupied

95%

Number of Residents and Certified Beds

  • Residents: 95
  • Certified Beds: 100

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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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 Cogburn Health and Rehabilitation - West Inc. 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 Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three 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: 11-160.7%
ADL Index Range: 2-1013.8%
Total Percent:14.6%
 

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: 11-161.7%
ADL Index Range: 2-102.9%
Total Percent:4.6%
 

High Rehabilitation Plus Extensive Services

Rehabilitation 325 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: 2-102.1%
Total Percent:2.1%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • 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: 2-101.0%
Total Percent:1.0%
 

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: 11-1614.6%
ADL Index Range: 6-1019.3%
ADL Index Range: 0-523.2%
Total Percent:57.0%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-160.6%
ADL Index Range: 6-102.1%
ADL Index Range: 0-52.1%
Total Percent:4.8%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-103.4%
ADL Index Range: 0-52.1%
Total Percent:5.5%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.6%
ADL Index Range: 6-100.5%
Total Percent:2.1%
 

Extensive Services

  • 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: 2-16
- Isolation for active infectious disease
0.09%
Total Percent:0.09%
 

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
1.8%
ADL Index Range: 11-14
- No Signs of depression
4.1%
ADL Index Range: 6-10
- No Signs of depression
0.2%
Total Percent:6.1%
 

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: 6-10
- No Signs of depression
0.2%
ADL Index Range: 2-5
- No Signs of depression
0.2%
Total Percent:0.4%
 

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: 11-14
- Less restorative nursing
1.5%
ADL Index Range: 6-10
- Less restorative nursing
0.4%
Total Percent:1.9%
 

Rating Details For Cogburn Health and Rehabilitation - West 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 DayReportedExpected
Registered Nurse (RN) Hours49 Minutes1 Hour and 7 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour38 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 24 Minutes2 Hours and 16 Minutes
Total Licensed Nurse Hours1 Hour and 50 Minutes1 Hour and 45 Minutes
Total Nurse Hours4 Hours and 14 Minutes4 Hours and 1 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 Alabama are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityAlabama Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season85%90%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination88%90%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection13%8%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder38%48%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%2%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores17%9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain-3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious7%9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse8%8%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%7%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased13%10%
Percent of Long-Stay Residents Who Lose Too Much Weight8%8%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season81%82%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination88%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Have Pressure Sores10%12%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain3%14%

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 02/11/2011.

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 InspectorsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 02/26/2009
  • Correction Date: 03/27/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 12/31/2009
  • Correction Date: 02/03/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 12/31/2009
  • Correction Date: 02/03/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 02/26/2009
  • Correction Date: 03/27/2009
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day.
  • Inspection Date: 02/26/2009
  • Correction Date: 03/27/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 02/26/2009
  • Correction Date: 03/27/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 02/11/2011
  • Correction Date: 03/18/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 02/26/2009
  • Correction Date: 03/27/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 02/26/2009
  • Correction Date: 03/27/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 12/31/2009
  • Correction Date: 02/03/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 12/31/2009
  • Correction Date: 02/03/2010

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 02/11/2011
  • Correction Date: 03/18/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 02/26/2009
  • Correction Date: 03/27/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 02/11/2011
  • Correction Date: 03/18/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 02/11/2011
  • Correction Date: 03/18/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Cogburn Health and Rehabilitation - West 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 ComplaintsDegree of HarmResidents Affected

Administration

Train All Employees on What to Do in an Emergency.
  • Complaint Filed: 02/11/2011
  • Correction Date: 03/18/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 08/19/2009
  • Correction Date: 09/22/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 07/11/2008
  • Correction Date: 02/26/2008

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 08/19/2009
  • Correction Date: 09/22/2009

Resident Rights

Try to Resolve Each Resident's Complaints Quickly.
  • Complaint Filed: 04/25/2008
  • Correction Date: 05/30/2008
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: 07/11/2008
  • Correction Date: 02/26/2008

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 Cogburn Health and Rehabilitation - West 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 02/15/2011.

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/03/2009
  • Correction Date: 03/27/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 02/15/2011
  • Correction Date: 03/22/2011

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 02/15/2011
  • Correction Date: 03/22/2011

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 03/03/2009
  • Correction Date: 03/27/2009
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 01/05/2010
  • Correction Date: 01/29/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 02/15/2011
  • Correction Date: 03/22/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 01/05/2010
  • Correction Date: 01/29/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 03/03/2009
  • Correction Date: 03/27/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 01/05/2010
  • Correction Date: 01/29/2010
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 02/15/2011
  • Correction Date: 03/22/2011
Source: Medicare Nursing Home Compare; Alabama Department of Public Health - Retrieved 2011