THE CROSSINGS

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

THE CROSSINGS
4445 PINE FOREST DRIVE
LAKE WORTH, FL 33463
(561) 965-5954

Nursing Home Ratings

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

Percent of Beds Occupied

87%

Number of Residents and Certified Beds

  • Residents: 52
  • Certified Beds: 60

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Not 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 The Crossings. 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: 11-166.7%
Total Percent:6.7%
 

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: 11-162.4%
Total Percent:2.4%
 

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: 11-160.7%
Total Percent:0.7%
 

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: 11-1636.7%
ADL Index Range: 6-1022.5%
ADL Index Range: 0-511.5%
Total Percent:70.7%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-168.2%
ADL Index Range: 6-101.0%
ADL Index Range: 0-51.4%
Total Percent:10.6%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.3%
ADL Index Range: 0-51.4%
Total Percent:5.7%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-162.9%
Total Percent:2.9%
 

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
- No Signs of depression
0.3%
Total Percent:0.3%
 

Rating Details For The Crossings

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) Hours25 Minutes1 Hour and 2 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours35 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 17 Minutes2 Hours and 24 Minutes
Total Licensed Nurse Hours1 Hour1 Hour and 40 Minutes
Total Nurse Hours3 Hours and 17 Minutes4 Hours and 4 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 FacilityFlorida Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%87%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%86%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder-5%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection9%11%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores4%12%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased8%12%
Percent of Long-Stay Residents Who Lose Too Much Weight6%8%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder54%54%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious8%10%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse6%9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%3%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Were Physically Restrained3%5%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%81%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%80%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Have Pressure Sores7%14%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain11%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 10/08/2010.

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: 02/11/2009
  • Correction Date: 04/07/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 08/21/2009
  • Correction Date: 10/01/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 08/21/2009
  • Correction Date: 10/01/2009
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 08/21/2009
  • Correction Date: 10/01/2009

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 08/21/2009
  • Correction Date: 10/01/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 02/11/2009
  • Correction Date: 04/07/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 02/11/2009
  • Correction Date: 04/07/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 08/21/2009
  • Correction Date: 10/01/2009

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Inspection Date: 02/11/2009
  • Correction Date: 04/07/2009
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 02/11/2009
  • Correction Date: 04/07/2009
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 02/11/2009
  • Correction Date: 04/07/2009
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 08/21/2009
  • Correction Date: 10/01/2009

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for The Crossings, 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

Keep Temperature Levels Comfortable and Safe.
  • Complaint Filed: 06/07/2010
  • Correction Date: 07/07/2010

Resident Rights

Quickly Give a Resident's Personal Money to the Heads of His or Her Estate After the Resident's Death.
  • Complaint Filed: 02/11/2009
  • Correction Date: 04/07/2009
Try to Resolve Each Resident's Complaints Quickly.
  • Complaint Filed: 06/07/2010
  • Correction Date: 07/07/2010
Let the Resident or the Resident's Representative Look at All Records.
  • Complaint Filed: 06/09/2010
  • Correction Date: 07/07/2010
Write and Use a Policy That Lets Each Resident Return to the Nursing Home After a Hospital Stay or Leave for Therapy.
  • Complaint Filed: 01/04/2011
  • Correction Date: 02/07/2011

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 The Crossings 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 10/06/2010.

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

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 08/18/2009
  • Correction Date: 09/23/2009
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 10/06/2010
  • Correction Date: 11/05/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 10/06/2010
  • Correction Date: 11/05/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 08/18/2009
  • Correction Date: 08/21/2009
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage.
  • Inspection Date: 08/18/2009
  • Correction Date: 08/23/2009
Source: Medicare Nursing Home Compare; Agency for Health Care Administration of Florida - Retrieved 2011