WELLINGTON REHABILITATION AND HEALTHCARE

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

WELLINGTON REHABILITATION AND HEALTHCARE
1000 TANDALL PLACE
KNIGHTDALE, NC 27545
(919) 266-7744

Nursing Home Ratings

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

Percent of Beds Occupied

98%

Number of Residents and Certified Beds

  • Residents: 78
  • Certified Beds: 80

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

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

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This FacilityFor-ProfitNon-ProfitGovt

Nearby Cities:

Raleigh | Garner | Zebulon

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 Wellington Rehabilitation and Healthcare. 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: 2-102.5%
Total Percent:2.5%
 

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: 11-1610.0%
ADL Index Range: 6-1021.5%
ADL Index Range: 0-58.3%
Total Percent:39.7%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.2%
ADL Index Range: 6-1029.1%
ADL Index Range: 0-53.2%
Total Percent:34.5%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-103.8%
ADL Index Range: 0-51.7%
Total Percent:5.6%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-168.4%
ADL Index Range: 6-103.7%
Total Percent:12.1%
 

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
- Isolation for active infectious disease
0.2%
Total Percent:0.2%
 

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: 11-14
- No Signs of depression
2.4%
ADL Index Range: 6-10
- No Signs of depression
2.2%
Total Percent:4.6%
 

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
0.8%
Total Percent:0.8%
 

Rating Details For Wellington Rehabilitation and Healthcare

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) Hours24 Minutes1 Hour and 18 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours50 Minutes44 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 23 Minutes2 Hours and 28 Minutes
Total Licensed Nurse Hours1 Hour and 14 Minutes2 Hours and 2 Minutes
Total Nurse Hours3 Hours and 37 Minutes4 Hours and 30 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 Long-Stay Residents Whose Need for Help with Daily Activities Has Increased32%20%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection7%11%
Percent of Long-Stay Residents Who Were Physically Restrained3%4%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder63%60%
Percent of Long-Stay Residents Who Are More Depressed or Anxious4%15%
Percent of Long-Stay Residents Who Lose Too Much Weight6%9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores4%11%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse6%12%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%9%

Short-Term Stay Preventive Actions

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

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain6%17%
Percent of Short-Stay Residents Who Have Pressure Sores5%11%
Percent of Short-Stay Residents Who Have Delirium5%2%

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 10/28/2010.

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

Hire a Qualified Activities Director.
  • Inspection Date: 11/21/2008
  • Correction Date: 11/24/2008
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 11/12/2009
  • Correction Date: 12/05/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 10/28/2010
  • Correction Date: 11/25/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 11/12/2009
  • Correction Date: 12/05/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 11/12/2009
  • Correction Date: 12/05/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 10/28/2010
  • Correction Date: 11/25/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 11/12/2009
  • Correction Date: 12/05/2009
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: 11/12/2009
  • Correction Date: 12/05/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 11/12/2009
  • Correction Date: 12/05/2009

Resident Rights

Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.
  • Inspection Date: 10/28/2010
  • Correction Date: 11/25/2010

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)10/16/2009$10,465

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Wellington Rehabilitation and Healthcare, 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 That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 11/21/2008
  • Correction Date: 12/19/2008
Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 06/23/2009
  • Correction Date: 07/21/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 10/16/2009
  • Correction Date: 11/12/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 10/28/2010
  • Correction Date: 11/25/2010

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Complaint Filed: 10/28/2010
  • Correction Date: 11/25/2010
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.
  • Complaint Filed: 05/25/2011
  • Correction Date: 06/22/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 06/23/2009
  • Correction Date: 07/21/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 10/28/2010
  • Correction Date: 11/25/2010

Resident Assessment

Make Sure That Doctors Visit Residents Regularly, As Required.
  • Complaint Filed: 10/28/2010
  • Correction Date: 11/25/2010

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Complaint Filed: 10/28/2010
  • Correction Date: 11/25/2010

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 Wellington Rehabilitation and Healthcare 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 11/17/2010.

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: 11/17/2010
  • Correction Date: 01/05/2011

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 12/08/2009
  • Correction Date: 01/20/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/31/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 12/08/2009
  • Correction Date: 01/20/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/31/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 12/08/2009
  • Correction Date: 01/20/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 12/08/2009
  • Correction Date: 01/20/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 11/17/2010
  • Correction Date: 01/05/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/31/2009

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/31/2009
Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 11/17/2010
  • Correction Date: 01/05/2011
Restrictions on the Use of Flammable Curtains.
  • Inspection Date: 11/17/2010
  • Correction Date: 01/05/2011

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 12/18/2008
  • Correction Date: 01/31/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 11/17/2010
  • Correction Date: 01/05/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 12/08/2009
  • Correction Date: 01/20/2010
Source: Medicare Nursing Home Compare; Division of Health Service Regulation-Nursing Home Licensure and Certification - Retrieved 2011