SUMMER BROOK HEALTH CARE CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Summer Brook Health Care 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

SUMMER BROOK HEALTH CARE CENTER
5377 MONCRIEF ROAD
JACKSONVILLE, FL 32209
(904) 768-1506

Nursing Home Ratings

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

Overall Rating

Percent of Beds Occupied

97%

Number of Residents and Certified Beds

Residents: 116
Certified Beds: 120

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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Nearby Cities:

Orange Park | Atlantic Beach | Jacksonville Beach

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 Summer Brook Health Care 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 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: 11-16	4.8%
Total Percent:	4.8%

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: 2-10	4.4%
Total Percent:	4.4%

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: 6-10	21.9%
ADL Index Range: 0-5	9.5%
Total Percent:	31.4%

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 6-10	6.3%
ADL Index Range: 0-5	15.2%
Total Percent:	21.6%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 6-10	1.0%
ADL Index Range: 0-5	7.6%
Total Percent:	8.6%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 6-10	3.5%
ADL Index Range: 0-5	0.6%
Total Percent:	4.1%

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 - Tracheostomy care or ventilator/respirator	1.6%
Total Percent:	1.6%

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: 6-10 - No Signs of depression	3.2%
ADL Index Range: 2-5 - Signs of depression	12.4%
ADL Index Range: 0-1 - No Signs of depression	4.4%
Total Percent:	20.0%

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: 6-10 - Less restorative nursing	3.5%
Total Percent:	3.5%

Rating Details For Summer Brook Health Care 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	24 Minutes	57 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	1 Hour and 8 Minutes	35 Minutes
Certified Nursing Assistant (CNA) Hours	3 Hours and 11 Minutes	2 Hours
Total Licensed Nurse Hours	1 Hour and 32 Minutes	1 Hour and 32 Minutes
Total Nurse Hours	4 Hours and 43 Minutes	3 Hours and 33 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 Facility

Florida Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	84%	87%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	80%	86%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	6%	12%
Percent of Long-Stay Residents Who Were Physically Restrained	7%	5%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	4%	3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	5%	9%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	9%	11%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	40%	54%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	3%	5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	9%	10%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	13%	12%
Percent of Long-Stay Residents Who Lose Too Much Weight	11%	8%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	4%	3%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	-	5%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	84%	81%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	79%	80%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores	8%	14%
Percent of Short-Stay Residents Who Have Delirium	-	2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	13%	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 06/10/2011.

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 Inspectors

Degree of Harm

Residents Affected

Administration

Set Up or Keep a Group of People to Review and Ensure Quality.

Inspection Date: 06/10/2011
Correction Date: 07/09/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 10/09/2009 Correction Date: 11/06/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 10/09/2009 Correction Date: 11/06/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 04/01/2010 Correction Date: 05/11/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/01/2010 Correction Date: 05/11/2010
Get Rid of Garbage Properly. Inspection Date: 04/01/2010 Correction Date: 05/11/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 04/01/2010 Correction Date: 05/11/2010
Provide at Least One Room to Use As a Dining Room and for Activities, That is a Good Size, with Good Lighting, Airflow and Furniture. Inspection Date: 04/01/2010 Correction Date: 05/11/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 06/10/2011 Correction Date: 07/09/2011
Keep All Essential Equipment Working Safely. Inspection Date: 06/10/2011 Correction Date: 07/09/2011

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Inspection Date: 04/01/2010 Correction Date: 05/11/2010
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Inspection Date: 06/10/2011 Correction Date: 07/09/2011
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property. Inspection Date: 06/10/2011 Correction Date: 07/09/2011
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 06/10/2011 Correction Date: 07/09/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/01/2010 Correction Date: 05/11/2010
Hire Enough Skilled Workers to Carry out Dietary Service. Inspection Date: 06/10/2011 Correction Date: 07/14/2011
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 06/10/2011 Correction Date: 07/14/2011

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 10/09/2009 Correction Date: 11/06/2009
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 04/01/2010 Correction Date: 05/11/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 04/01/2010 Correction Date: 05/11/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 04/01/2010 Correction Date: 05/11/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 04/01/2010 Correction Date: 05/11/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 10/09/2009 Correction Date: 11/06/2009
Make Sure That Each Resident Gets Help to Keep Vision and Hearing. Inspection Date: 10/09/2009 Correction Date: 11/06/2009
Give or Get Special Rehabilitation if in the Patient's Plan of Care. Inspection Date: 10/09/2009 Correction Date: 11/06/2009
Give or Get Dental Care for Each Resident. Inspection Date: 10/09/2009 Correction Date: 11/06/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/01/2010 Correction Date: 05/11/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/01/2010 Correction Date: 05/11/2010
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 04/01/2010 Correction Date: 05/11/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 04/01/2010 Correction Date: 05/11/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 06/10/2011 Correction Date: 07/09/2011

Resident Assessment

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: 04/01/2010 Correction Date: 05/11/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/01/2010 Correction Date: 05/11/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 10/09/2009 Correction Date: 11/06/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 04/01/2010 Correction Date: 05/11/2010
Give Enough Notice to the Resident Before Changing the Resident's Room or Roommate. Inspection Date: 04/01/2010 Correction Date: 05/11/2010
Try to Resolve Each Resident's Complaints Quickly. Inspection Date: 06/10/2011 Correction Date: 07/09/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Summer Brook Health Care Center, 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 Complaints

Degree of Harm

Residents Affected