BEYSTONE HEALTH & REHABILITATION

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

BEYSTONE HEALTH & REHABILITATION
80 BROWNSBERGER CIRCLE
FLETCHER, NC 28732
(828) 684-4857

Nursing Home Ratings

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

Percent of Beds Occupied

96%

Number of Residents and Certified Beds

  • Residents: 48
  • Certified Beds: 50

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Hendersonville | Arden | Asheville

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 Beystone Health & Rehabilitation. 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: 11-1641.7%
ADL Index Range: 6-104.3%
Total Percent:46.0%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1622.5%
ADL Index Range: 6-104.6%
ADL Index Range: 0-513.2%
Total Percent:40.4%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-104.0%
Total Percent:4.0%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.3%
Total Percent:1.3%
 

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: 15-16
- No Signs of depression
8.3%
Total Percent:8.3%
 

Rating Details For Beystone Health & Rehabilitation

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) Hours36 Minutes1 Hour and 25 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours36 Minutes50 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 51 Minutes2 Hours and 49 Minutes
Total Licensed Nurse Hours1 Hour and 12 Minutes2 Hours and 14 Minutes
Total Nurse Hours3 Hours and 3 Minutes5 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 North Carolina are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityNorth Carolina Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%92%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%92%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder56%60%
Percent of Long-Stay Residents Who Are More Depressed or Anxious21%15%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%3%
Percent of Long-Stay Residents Who Were Physically Restrained9%4%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse10%12%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder8%4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair5%9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores13%11%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased13%20%
Percent of Long-Stay Residents Who Lose Too Much Weight11%9%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection5%11%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores9%11%
Percent of Short-Stay Residents Who Have Delirium2%2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain7%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 12/02/2010.

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

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 10/09/2008
  • Correction Date: 10/31/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 11/19/2009
  • Correction Date: 12/16/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 12/02/2010
  • Correction Date: 12/30/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 12/02/2010
  • Correction Date: 12/30/2010

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 11/19/2009
  • Correction Date: 12/16/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 11/19/2009
  • Correction Date: 12/16/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 12/02/2010
  • Correction Date: 12/30/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 12/02/2010
  • Correction Date: 12/30/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 12/02/2010
  • Correction Date: 12/30/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 12/02/2010
  • Correction Date: 12/30/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 12/02/2010
  • Correction Date: 12/30/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Beystone Health & Rehabilitation, 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

Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Complaint Filed: 11/19/2009
  • Correction Date: 12/16/2009

Mistreatment

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: 04/22/2009
  • Correction Date: 06/03/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 04/22/2009
  • Correction Date: 06/03/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 06/14/2011
  • Correction Date: 07/12/2011

Resident Rights

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: 06/14/2011
  • Correction Date: 07/12/2011

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 Beystone Health & Rehabilitation 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 12/29/2010.

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

Properly Working Alarms on Sprinkler Valves.
  • Inspection Date: 11/12/2008
  • Correction Date: 12/27/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 12/29/2010
  • Correction Date: 01/14/2011

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 01/07/2010
  • Correction Date: 01/21/2010

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 12/29/2010
  • Correction Date: 01/14/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 11/12/2008
  • Correction Date: 12/27/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 12/29/2010
  • Correction Date: 01/14/2011

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 01/07/2010
  • Correction Date: 01/21/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 01/07/2010
  • Correction Date: 01/21/2010
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 12/29/2010
  • Correction Date: 01/14/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 12/29/2010
  • Correction Date: 01/14/2011

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 01/07/2010
  • Correction Date: 01/21/2010
Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 12/29/2010
  • Correction Date: 01/14/2011
Restrictions on the Use of Flammable Curtains.
  • Inspection Date: 12/29/2010
  • Correction Date: 01/14/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 11/12/2008
  • Correction Date: 12/27/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 12/29/2010
  • Correction Date: 01/14/2011

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 11/12/2008
  • Correction Date: 12/27/2008
Proper Backup Exit Lighting.
  • Inspection Date: 12/29/2010
  • Correction Date: 01/14/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 12/29/2010
  • Correction Date: 01/14/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 11/12/2008
  • Correction Date: 12/27/2008
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 01/07/2010
  • Correction Date: 01/21/2010
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 12/29/2010
  • Correction Date: 01/14/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 12/29/2010
  • Correction Date: 01/14/2011
Source: Medicare Nursing Home Compare; Division of Health Service Regulation-Nursing Home Licensure and Certification - Retrieved 2011