BARBOURVILLE HEALTH & REHABILITATION CENTER

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.

Ultra-High Rehabilitation Plus Extensive Services

Very High Rehabilitation Plus Extensive Services

Medium Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

Medium Rehabilitation

Special Care High

Special Care Low

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.

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.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

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.

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

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.

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

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.

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