THE SPRINGS NURSING CENTER
Address
167 SPRING STREET
HOT SPRINGS, VA 24445
(540) 839-2299
Nursing Home Ratings
Health Inspections | |
Quality Measures | |
Nursing Staff | |
R.N. Staff Only | |
Overall Rating |
Percent of Beds Occupied
Number of Residents and Certified Beds
- Residents: 54
- Certified Beds: 60
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
Nearby Cities:
GrundyResident 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 "Clinically Complex". 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 Springs Nursing 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
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
ADL Index Range: 6-10 | 1.8% |
Total Percent: | 1.8% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 6-10 | 0.2% |
ADL Index Range: 0-5 | 1.3% |
Total Percent: | 1.4% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 8.7% |
ADL Index Range: 6-10 | 6.0% |
Total Percent: | 14.6% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-16 | 6.1% |
ADL Index Range: 6-10 | 13.7% |
ADL Index Range: 0-5 | 2.7% |
Total Percent: | 22.6% |
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: 6-10 - No Signs of depression | 2.9% |
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: 15-16 - No Signs of depression | 1.8% |
ADL Index Range: 11-14 - Signs of depression | 3.6% |
ADL Index Range: 11-14 - No Signs of depression | 8.7% |
ADL Index Range: 6-10 - Signs of depression | 5.4% |
ADL Index Range: 6-10 - No Signs of depression | 12.1% |
ADL Index Range: 2-5 - Signs of depression | 2.5% |
ADL Index Range: 2-5 - No Signs of depression | 4.2% |
Total Percent: | 38.3% |
Behavioral Symptoms and Cognitive Performance
- Cognitive impairment BIMS score less than or equal to 9
- CPS great than or equal to 3
- Hallucinations or delusions
- Physical or verbal behavioral symptoms toward others
- Other behavioral symptoms
- Rejection of care or wandering
- Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 2-5 - Less restorative nursing | 2.9% |
ADL Index Range: 0-1 - Less restorative nursing | 3.1% |
Total Percent: | 6.0% |
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 | 2.7% |
ADL Index Range: 11-14 - Less restorative nursing | 1.8% |
ADL Index Range: 6-10 - Less restorative nursing | 5.1% |
ADL Index Range: 2-5 - Less restorative nursing | 2.9% |
Total Percent: | 12.5% |
Rating Details For The Springs Nursing 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 | 43 Minutes | 1 Hour |
Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 43 Minutes | 38 Minutes |
Certified Nursing Assistant (CNA) Hours | 2 Hours and 4 Minutes | 2 Hours and 24 Minutes |
Total Licensed Nurse Hours | 1 Hour and 26 Minutes | 1 Hour and 38 Minutes |
Total Nurse Hours | 3 Hours and 29 Minutes | 4 Hours and 3 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 Virginia are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
This Facility | Virginia Average |
Long-Term Stay Preventive Actions
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 65% | 90% |
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 92% |
Long-Term Stay Deficiencies
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 24% | 17% |
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 3% | 6% |
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | - | 4% |
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 1% | 4% |
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 17% | 13% |
Percent of Long-Stay Residents Who Were Physically Restrained | 1% | 2% |
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 58% | 59% |
Percent of Long-Stay Residents Who Lose Too Much Weight | 7% | 9% |
Percent of Long-Stay Residents Who Have Moderate to Severe Pain | - | 3% |
Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 3% | 10% |
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 10% | 11% |
Percent of Long-Stay Residents Who Are More Depressed or Anxious | 16% | 15% |
Short-Term Stay Preventive Actions
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 83% |
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 64% | 82% |
Short-Term Stay Deficiencies
Percent of Short-Stay Residents Who Have Pressure Sores | 11% | 12% |
Percent of Short-Stay Residents Who Have Delirium | 1% | 2% |
Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 12% | 16% |
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 07/15/2010.
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
Keep Accurate and Appropriate Medical Records.
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Train All Employees on What to Do in an Emergency.
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Give or Get Lab Tests to Meet the Needs of Residents.
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Give Lab Tests Only when the Attending Doctor Ordered Them.
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Give or Get X-Rays and Other Tests to Meet the Needs of Residents.
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Keep Accurate and Appropriate Medical Records.
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Set Up or Keep a Group of People to Review and Ensure Quality.
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Give or Get Lab Tests to Meet the Needs of Residents.
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Environmental
Keep Safe, Clean and Homelike Surroundings.
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Provide Needed Housekeeping and Maintenance.
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Have a Program to Keep Infection from Spreading.
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Keep All Essential Equipment Working Safely.
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Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Have a Program to Keep Infection from Spreading.
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Provide Needed Housekeeping and Maintenance.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Put Firmly Secured Handrails on Each Side of Hallways.
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Mistreatment
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
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Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
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Pharmacy Service
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
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At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
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Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
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At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
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Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
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Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
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Make Sure That Each Resident's Nutritional Needs Were Met.
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Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
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Give Professional Services That Meet a Professional Standard of Quality.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
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Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
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Give or Get Special Rehabilitation if in the Patient's Plan of Care.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Resident Assessment
Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
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Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
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Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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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.
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Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
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Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
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Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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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.
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Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
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Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing.
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Make Sure That Doctors Visit Residents Regularly, As Required.
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Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
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Resident Rights
Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment.
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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.
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Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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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.
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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 Springs Nursing 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 07/21/2010.
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 Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Emergency Plans and Fire Drills
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Exits and Egress
Rooms That Can Be Unlocked from Inside Without a Key.
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Fire Alarm Systems
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
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Furnishings and Decorations
Restrictions on the Use of Flammable Curtains.
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Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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