CRESTWOOD NURSING CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Crestwood Nursing 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

CRESTWOOD NURSING CENTER
501 S PALM AVE
PALATKA, FL 32177
(386) 328-1472

Nursing Home Ratings

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

Overall Rating

Percent of Beds Occupied

72%

Number of Residents and Certified Beds

Residents: 47
Certified Beds: 65

This Facility Accepts

Medicare
Medicaid

Operational Details

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

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Nearby Cities:

Crescent City | Saint Augustine | Green Cove Springs

Resident Services

The information below lists services this facility has provided for residents from November 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 Crestwood Nursing 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	3.0%
Total Percent:	3.0%

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	18.0%
ADL Index Range: 0-5	47.0%
Total Percent:	64.9%

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 6-10	13.7%
ADL Index Range: 0-5	16.8%
Total Percent:	30.5%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 11-16	1.5%
Total Percent:	1.5%

Rating Details For Crestwood Nursing 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	39 Minutes	1 Hour and 13 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours		42 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 45 Minutes	2 Hours and 24 Minutes
Total Licensed Nurse Hours	40 Minutes	1 Hour and 55 Minutes
Total Nurse Hours	3 Hours and 25 Minutes	4 Hours and 19 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 Who Were Assessed and Given Pneumococcal Vaccination	90-100%	86%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	87%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have Moderate to Severe Pain	13%	3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	47%	54%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	12%	5%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	18%	11%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	12%	12%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	6%	9%
Percent of Long-Stay Residents Who Were Physically Restrained	9%	5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	3%	10%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	2%	3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	5%	12%
Percent of Long-Stay Residents Who Lose Too Much Weight	8%	8%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	4%	5%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	80%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain	38%	17%
Percent of Short-Stay Residents Who Have Pressure Sores	11%	14%
Percent of Short-Stay Residents Who Have Delirium	1%	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 01/13/2011.

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

Environmental

Keep All Essential Equipment Working Safely. Inspection Date: 03/05/2009 Correction Date: 04/16/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/17/2010 Correction Date: 04/27/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 03/17/2010 Correction Date: 04/27/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 03/17/2010 Correction Date: 04/27/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.

Inspection Date: 03/05/2009
Correction Date: 04/16/2009

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: 01/13/2011
Correction Date: 02/24/2011

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 03/17/2010 Correction Date: 04/27/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 03/17/2010 Correction Date: 04/27/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 03/17/2010 Correction Date: 04/27/2010
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 01/13/2011 Correction Date: 02/24/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 01/13/2011 Correction Date: 02/24/2011
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Inspection Date: 01/13/2011 Correction Date: 02/24/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 03/17/2010 Correction Date: 04/27/2010
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: 03/17/2010 Correction Date: 04/27/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/13/2011 Correction Date: 02/24/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 03/05/2009 Correction Date: 04/16/2009
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 03/17/2010 Correction Date: 04/27/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 03/17/2010 Correction Date: 04/27/2010
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. Inspection Date: 01/13/2011 Correction Date: 02/24/2011
Try to Resolve Each Resident's Complaints Quickly. Inspection Date: 01/13/2011 Correction Date: 02/24/2011

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 Taken	Date	Amount
Civil Money Penalty (CMP)	01/13/2011	$6,825

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Crestwood Nursing 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