GRACE HALL - REHABILITATION
Address
1010 LAKE HUNTER CIRCLE
MT PLEASANT, SC 29464
(843) 388-2030
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: 31
- Certified Beds: 42
This Facility Accepts
- Medicare
Operational Details
- Operated By For Profit - Corporation
- Offers Both Resident and Family Counseling Services
- Part of a Continuing Care Retirement Community (CCRC)
- This Facility is Part of a Chain or Franchise
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 Grace Hall - Rehabilitation. 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
- 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: 2-10 | 0.5% |
Total Percent: | 0.5% |
Ultra-High Rehabilitation
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
ADL Index Range: 11-16 | 10.7% |
ADL Index Range: 6-10 | 48.0% |
ADL Index Range: 0-5 | 19.6% |
Total Percent: | 78.3% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 6.5% |
ADL Index Range: 6-10 | 6.8% |
ADL Index Range: 0-5 | 3.3% |
Total Percent: | 16.6% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 2.4% |
Total Percent: | 2.4% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-10 | 0.1% |
Total Percent: | 0.1% |
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: 11-14 - No Signs of depression | 0.2% |
Total Percent: | 0.2% |
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: 6-10 - No Signs of depression | 0.5% |
Total Percent: | 0.5% |
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 | 0.9% |
ADL Index Range: 6-10 - No Signs of depression | 0.5% |
Total Percent: | 1.4% |
Rating Details For Grace Hall - 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 Day | Reported | Expected |
Registered Nurse (RN) Hours | 60 Minutes | 1 Hour and 35 Minutes |
Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 1 Hour and 5 Minutes | 48 Minutes |
Certified Nursing Assistant (CNA) Hours | 2 Hours and 28 Minutes | 2 Hours and 30 Minutes |
Total Licensed Nurse Hours | 2 Hours and 5 Minutes | 2 Hours and 24 Minutes |
Total Nurse Hours | 4 Hours and 33 Minutes | 4 Hours and 53 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 South Carolina are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
This Facility | South Carolina Average |
Short-Term Stay Preventive Actions
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 87% | 88% |
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 88% |
Short-Term Stay Deficiencies
Percent of Short-Stay Residents Who Have Delirium | 1% | 2% |
Percent of Short-Stay Residents Who Have Pressure Sores | 9% | 13% |
Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 1% | 14% |
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 09/15/2010.
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
Get Proof That a Nurse Aide Has the Training and Skills That the State Requires.
| ||
Post Nurse Staffing Information.
| ||
Give or Get Lab Tests to Meet the Needs of Residents.
| ||
Give or Get Lab Tests to Meet the Needs of Residents.
|
Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| ||
Have a Program to Keep Infection from Spreading.
|
Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
| ||
Make Sure That the Attending Doctor Orders Special Diets.
| ||
Store, Cook, and Give out Food in a Safe and Clean Way.
| ||
Store, Cook, and Give out Food in a Safe and Clean Way.
|
Pharmacy Service
Properly Mark Drugs and Other Similar Products.
| ||
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.
| ||
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
|
Quality Care
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
| ||
Give Professional Services That Meet a Professional Standard of Quality.
| ||
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
| ||
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
| ||
Make Sure That Each Resident's Nutritional Needs Were Met.
| ||
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
| ||
Give Professional Services That Meet a Professional Standard of Quality.
| ||
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
| ||
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
| ||
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
|
Resident Assessment
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
| ||
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.
| ||
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
| ||
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.
|
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.
| ||
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.
| ||
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
|
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Grace Hall - 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 Complaints | Degree of Harm | Residents Affected |
Administration
Keep Accurate and Appropriate Medical Records.
|
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.
|
Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
|
Resident Assessment
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
| ||
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
|
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 Grace Hall - 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 09/15/2010.
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 |
Electrical
Properly Installed Electrical Wiring and Equipment.
|
Furnishings and Decorations
Restrictions on the Use of Highly Flammable Materials.
|
Medical Gases and Anesthetizing Areas
Proper Medical Gas Storage and Administration Areas.
|