THE SPRINGS NURSING CENTER

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

THE SPRINGS NURSING CENTER
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

90%

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

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Nearby Cities:

Grundy

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 "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 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: 6-101.8%
Total Percent:1.8%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-100.2%
ADL Index Range: 0-51.3%
Total Percent:1.4%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-168.7%
ADL Index Range: 6-106.0%
Total Percent:14.6%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-166.1%
ADL Index Range: 6-1013.7%
ADL Index Range: 0-52.7%
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 DayReportedExpected
Registered Nurse (RN) Hours43 Minutes1 Hour
Licensed Practical/Vocational Nurse (LPN/LVN) Hours43 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 4 Minutes2 Hours and 24 Minutes
Total Licensed Nurse Hours1 Hour and 26 Minutes1 Hour and 38 Minutes
Total Nurse Hours3 Hours and 29 Minutes4 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 FacilityVirginia Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination65%90%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%92%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased24%17%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair3%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 Bladder1%4%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse17%13%
Percent of Long-Stay Residents Who Were Physically Restrained1%2%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder58%59%
Percent of Long-Stay Residents Who Lose Too Much Weight7%9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain-3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection3%10%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores10%11%
Percent of Long-Stay Residents Who Are More Depressed or Anxious16%15%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%83%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination64%82%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores11%12%
Percent of Short-Stay Residents Who Have Delirium1%2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain12%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 InspectorsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 05/23/2008
  • Correction Date: 07/07/2008
Train All Employees on What to Do in an Emergency.
  • Inspection Date: 05/23/2008
  • Correction Date: 05/29/2008
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 07/17/2009
  • Correction Date: 10/16/2009
Give Lab Tests Only when the Attending Doctor Ordered Them.
  • Inspection Date: 07/17/2009
  • Correction Date: 09/16/2009
Give or Get X-Rays and Other Tests to Meet the Needs of Residents.
  • Inspection Date: 07/17/2009
  • Correction Date: 09/16/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 07/17/2009
  • Correction Date: 10/16/2009
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 07/17/2009
  • Correction Date: 10/16/2009
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 07/15/2010
  • Correction Date: 08/27/2010

Environmental

Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 05/23/2008
  • Correction Date: 06/11/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 05/23/2008
  • Correction Date: 07/07/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 05/23/2008
  • Correction Date: 07/07/2008
Keep All Essential Equipment Working Safely.
  • Inspection Date: 05/23/2008
  • Correction Date: 07/07/2008
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 05/23/2008
  • Correction Date: 07/07/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 07/17/2009
  • Correction Date: 09/16/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 07/17/2009
  • Correction Date: 09/16/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 07/15/2010
  • Correction Date: 08/27/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 07/15/2010
  • Correction Date: 06/08/2010
Put Firmly Secured Handrails on Each Side of Hallways.
  • Inspection Date: 07/15/2010
  • Correction Date: 08/27/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 05/23/2008
  • Correction Date: 07/07/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 05/23/2008
  • Correction Date: 07/07/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 07/17/2009
  • Correction Date: 09/16/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 05/23/2008
  • Correction Date: 06/13/2008

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 05/23/2008
  • Correction Date: 07/07/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 05/23/2008
  • Correction Date: 07/07/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 07/17/2009
  • Correction Date: 10/16/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 07/17/2009
  • Correction Date: 09/16/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 07/15/2010
  • Correction Date: 08/27/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 05/23/2008
  • Correction Date: 07/07/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 05/23/2008
  • Correction Date: 07/07/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 05/23/2008
  • Correction Date: 07/07/2008
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 05/23/2008
  • Correction Date: 07/07/2008
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 05/23/2008
  • Correction Date: 07/07/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 07/17/2009
  • Correction Date: 09/16/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 07/17/2009
  • Correction Date: 10/16/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 07/17/2009
  • Correction Date: 09/16/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 07/17/2009
  • Correction Date: 09/16/2009
Give or Get Special Rehabilitation if in the Patient's Plan of Care.
  • Inspection Date: 07/17/2009
  • Correction Date: 10/16/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 07/15/2010
  • Correction Date: 08/27/2010

Resident Assessment

Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
  • Inspection Date: 05/23/2008
  • Correction Date: 07/07/2008
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: 05/23/2008
  • Correction Date: 07/07/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 05/23/2008
  • Correction Date: 07/07/2008
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.
  • Inspection Date: 05/23/2008
  • Correction Date: 07/07/2008
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
  • Inspection Date: 05/23/2008
  • Correction Date: 07/07/2008
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: 07/17/2009
  • Correction Date: 09/16/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 07/17/2009
  • Correction Date: 09/16/2009
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.
  • Inspection Date: 07/17/2009
  • Correction Date: 09/16/2009
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
  • Inspection Date: 07/17/2009
  • Correction Date: 09/16/2009
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing.
  • Inspection Date: 07/17/2009
  • Correction Date: 09/16/2009
Make Sure That Doctors Visit Residents Regularly, As Required.
  • Inspection Date: 07/17/2009
  • Correction Date: 09/16/2009
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: 07/15/2010
  • Correction Date: 08/27/2010

Resident Rights

Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment.
  • Inspection Date: 05/23/2008
  • Correction Date: 07/07/2008
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.
  • Inspection Date: 05/23/2008
  • Correction Date: 07/07/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 05/23/2008
  • Correction Date: 07/07/2008
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.
  • Inspection Date: 07/17/2009
  • Correction Date: 09/16/2009

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 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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 06/02/2008
  • Correction Date: 01/01/1900
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/27/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 06/02/2008
  • Correction Date: 01/01/1900

Exits and Egress

Rooms That Can Be Unlocked from Inside Without a Key.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/27/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/27/2009

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains.
  • Inspection Date: 06/02/2008
  • Correction Date: 01/01/1900

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 06/02/2008
  • Correction Date: 01/01/1900
Source: Medicare Nursing Home Compare; Department of Health of Virginia - Center for Quality Health Care Services and Consumer Protection - Retrieved 2011