BARBOURVILLE HEALTH & REHABILITATION CENTER

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

BARBOURVILLE HEALTH & REHABILITATION CENTER
117 SHELBY STREET, P O BOX 1090
BARBOURVILLE, KY 40906
(606) 546-5136

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: 115
  • Certified Beds: 119

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:

Corbin | Pineville | Williamsburg

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 "Very 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 Barbourville Health & Rehabilitation 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 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: 11-163.7%
Total Percent:3.7%
 

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: 11-161.8%
ADL Index Range: 2-102.1%
Total Percent:3.9%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • 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: 2-106.4%
Total Percent:6.4%
 

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: 11-1618.9%
ADL Index Range: 6-107.7%
ADL Index Range: 0-52.6%
Total Percent:29.2%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.9%
ADL Index Range: 6-1014.2%
ADL Index Range: 0-511.6%
Total Percent:30.6%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-1617.4%
ADL Index Range: 6-108.4%
Total Percent:25.7%
 

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: 15-16
- No Signs of depression
0.1%
Total Percent:0.1%
 

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
0.3%
Total Percent:0.3%
 

Rating Details For Barbourville Health & Rehabilitation 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) Hours25 Minutes1 Hour and 10 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours45 Minutes48 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 21 Minutes2 Hours and 35 Minutes
Total Licensed Nurse Hours1 Hour and 10 Minutes1 Hour and 57 Minutes
Total Nurse Hours3 Hours and 31 Minutes4 Hours and 32 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 Kentucky are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityKentucky Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%93%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%93%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Lose Too Much Weight5%9%
Percent of Long-Stay Residents Who Were Physically Restrained6%6%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores3%3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores14%11%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse3%12%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection7%11%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased4%17%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain-3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder41%53%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder10%6%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%9%
Percent of Long-Stay Residents Who Are More Depressed or Anxious12%17%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%89%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%88%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain9%17%
Percent of Short-Stay Residents Who Have Pressure Sores13%11%

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 12/01/2010.

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: 08/27/2008
  • Correction Date: 09/12/2008
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 12/01/2010
  • Correction Date: 12/20/2010

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 08/27/2008
  • Correction Date: 09/10/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 08/27/2008
  • Correction Date: 09/10/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 10/22/2009
  • Correction Date: 10/30/2009
Put Firmly Secured Handrails on Each Side of Hallways.
  • Inspection Date: 10/22/2009
  • Correction Date: 10/30/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 12/01/2010
  • Correction Date: 12/20/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 12/01/2010
  • Correction Date: 12/20/2010

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.
  • Inspection Date: 08/27/2008
  • Correction Date: 09/17/2008
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.
  • Inspection Date: 12/01/2010
  • Correction Date: 12/20/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 08/27/2008
  • Correction Date: 09/10/2008
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 10/22/2009
  • Correction Date: 10/30/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 10/22/2009
  • Correction Date: 10/30/2009

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 08/27/2008
  • Correction Date: 09/10/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 08/27/2008
  • Correction Date: 09/10/2008
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 08/27/2008
  • Correction Date: 09/10/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 10/22/2009
  • Correction Date: 10/30/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 10/22/2009
  • Correction Date: 10/30/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 12/01/2010
  • Correction Date: 12/20/2010
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 12/01/2010
  • Correction Date: 12/20/2010

Resident Assessment

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: 10/22/2009
  • Correction Date: 10/30/2009

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 08/27/2008
  • Correction Date: 09/10/2008
Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 08/27/2008
  • Correction Date: 09/10/2008
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 08/27/2008
  • Correction Date: 09/12/2008
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: 12/01/2010
  • Correction Date: 12/20/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Barbourville Health & Rehabilitation 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 ComplaintsDegree of HarmResidents Affected

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: 02/03/2009
  • Correction Date: 02/10/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 02/28/2011
  • Correction Date: 03/04/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 07/24/2009
  • Correction Date: 07/31/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 07/24/2009
  • Correction Date: 07/31/2009

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 Barbourville Health & Rehabilitation 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 11/30/2010.

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

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 11/30/2010
  • Correction Date: 12/20/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 08/26/2008
  • Correction Date: 09/10/2008
Source: Medicare Nursing Home Compare; Office of Inspector General of Kentucky - Retrieved 2011