THE LAURELS OF UNIVERSITY PARK

The information listed below provides an in-depth look into the type and quality of care offered at The Laurels of University Park. 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

THE LAURELS OF UNIVERSITY PARK
2420 PEMBERTON RD
RICHMOND, VA 23233
(804) 747-9200

Nursing Home Ratings

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

Percent of Beds Occupied

92%

Number of Residents and Certified Beds

  • Residents: 133
  • Certified Beds: 145

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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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 The Laurels of University Park. 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: 11-161.4%
ADL Index Range: 2-103.1%
Total Percent:4.6%
 

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: 11-162.9%
ADL Index Range: 2-100.2%
Total Percent:3.1%
 

High Rehabilitation Plus Extensive Services

Rehabilitation 325 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: 2-101.7%
Total Percent:1.7%
 

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: 2-100.8%
Total Percent:0.8%
 

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: 11-165.0%
ADL Index Range: 6-1015.6%
ADL Index Range: 0-523.4%
Total Percent:43.9%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-166.4%
ADL Index Range: 6-107.7%
ADL Index Range: 0-59.6%
Total Percent:23.7%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-163.1%
ADL Index Range: 6-101.2%
ADL Index Range: 0-51.5%
Total Percent:5.8%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-164.0%
ADL Index Range: 6-105.2%
ADL Index Range: 0-52.9%
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
- Tracheostomy care or ventilator/respirator
0.1%
ADL Index Range: 2-16
- Isolation for active infectious disease
0.4%
Total Percent:0.6%
 

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
- Signs of depression
0.6%
ADL Index Range: 11-14
- No Signs of depression
0.2%
ADL Index Range: 6-10
- No Signs of depression
2.5%
Total Percent:3.2%
 

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
0.6%
ADL Index Range: 6-10
- No Signs of depression
0.08%
ADL Index Range: 2-5
- No Signs of depression
0.04%
Total Percent:0.7%
 

Rating Details For The Laurels of University Park

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 9 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 5 Minutes40 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 16 Minutes2 Hours and 21 Minutes
Total Licensed Nurse Hours1 Hour and 29 Minutes1 Hour and 49 Minutes
Total Nurse Hours3 Hours and 45 Minutes4 Hours and 10 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 Virginia are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityVirginia Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season88%92%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination71%90%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Were Physically Restrained-2%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder61%59%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection16%10%
Percent of Long-Stay Residents Who Lose Too Much Weight14%9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain5%3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse4%13%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased8%17%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair11%6%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious7%15%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores15%11%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination59%82%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season54%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium1%2%
Percent of Short-Stay Residents Who Have Pressure Sores8%12%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain23%16%

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 08/03/2010.

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: 06/05/2008
  • Correction Date: 07/18/2008
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 08/03/2010
  • Correction Date: 09/14/2010
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 08/03/2010
  • Correction Date: 10/12/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 08/03/2010
  • Correction Date: 09/14/2010
Get Rid of Garbage Properly.
  • Inspection Date: 08/03/2010
  • Correction Date: 09/14/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 08/03/2010
  • Correction Date: 09/14/2010
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 08/03/2010
  • Correction Date: 09/14/2010

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: 06/05/2008
  • Correction Date: 07/18/2008

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 08/03/2010
  • Correction Date: 09/14/2010

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 06/05/2008
  • Correction Date: 07/18/2008
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: 08/03/2010
  • Correction Date: 09/14/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 08/03/2010
  • Correction Date: 09/14/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 06/05/2008
  • Correction Date: 07/18/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 06/05/2008
  • Correction Date: 07/18/2008
Make Sure That Each Residents' Abilities to Take Care of Themselves Does Not Lessen, Unless a Change Cannot Be Avoided.
  • Inspection Date: 06/05/2008
  • Correction Date: 07/18/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 06/05/2008
  • Correction Date: 07/18/2008
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 06/05/2008
  • Correction Date: 07/18/2008
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 07/24/2009
  • Correction Date: 10/08/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 08/03/2010
  • Correction Date: 09/14/2010
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Inspection Date: 08/03/2010
  • Correction Date: 09/14/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 08/03/2010
  • Correction Date: 09/14/2010
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 08/03/2010
  • Correction Date: 09/14/2010

Resident Assessment

Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
  • Inspection Date: 06/05/2008
  • Correction Date: 07/18/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 07/24/2009
  • Correction Date: 08/26/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 07/24/2009
  • Correction Date: 08/26/2009

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 08/03/2010
  • Correction Date: 09/14/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 08/03/2010
  • Correction Date: 09/14/2010

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)07/24/2009$17,290

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for The Laurels of University Park, 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

Administration

Give or Get X-Rays and Other Tests to Meet the Needs of Residents.
  • Complaint Filed: 07/24/2009
  • Correction Date: 08/26/2009
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 07/24/2009
  • Correction Date: 10/08/2009
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 09/11/2009
  • Correction Date: 10/08/2009

Environmental

Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 06/05/2008
  • Correction Date: 07/18/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 06/05/2008
  • Correction Date: 07/18/2008
Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 07/24/2009
  • Correction Date: 10/08/2009
Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 09/11/2009
  • Correction Date: 10/08/2009
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 08/03/2010
  • Correction Date: 09/14/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Complaint Filed: 06/05/2008
  • Correction Date: 07/18/2008

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.
  • Complaint Filed: 07/24/2009
  • Correction Date: 08/26/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 07/24/2009
  • Correction Date: 10/08/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 07/24/2009
  • Correction Date: 10/08/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 07/24/2009
  • Correction Date: 10/08/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 09/11/2009
  • Correction Date: 10/08/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 09/11/2009
  • Correction Date: 10/08/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 09/11/2009
  • Correction Date: 10/08/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Complaint Filed: 09/11/2009
  • Correction Date: 10/08/2009
Provide Activities to Meet the Needs of Each Resident.
  • Complaint Filed: 08/03/2010
  • Correction Date: 09/14/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 08/03/2010
  • Correction Date: 09/14/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 08/03/2010
  • Correction Date: 09/14/2010
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.
  • Complaint Filed: 08/03/2010
  • Correction Date: 09/14/2010

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.
  • Complaint Filed: 08/03/2010
  • Correction Date: 09/14/2010

Resident Rights

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.
  • Complaint Filed: 06/05/2008
  • Correction Date: 07/18/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 06/05/2008
  • Correction Date: 07/18/2008
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.
  • Complaint Filed: 07/24/2009
  • Correction Date: 08/26/2009
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Complaint Filed: 07/24/2009
  • Correction Date: 10/08/2009
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Complaint Filed: 09/11/2009
  • Correction Date: 10/08/2009

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 The Laurels of University Park 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 07/29/2010.

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

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 06/05/2008
  • Correction Date: 07/22/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 07/29/2010
  • Correction Date: 09/24/2010

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 06/05/2008
  • Correction Date: 07/22/2008

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 06/05/2008
  • Correction Date: 07/22/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 06/05/2008
  • Correction Date: 07/22/2008
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 07/31/2009
  • Correction Date: 10/08/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 07/31/2009
  • Correction Date: 10/08/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 06/05/2008
  • Correction Date: 07/22/2008

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 06/05/2008
  • Correction Date: 07/22/2008
Exits That Are Accessible at All Times.
  • Inspection Date: 07/31/2009
  • Correction Date: 10/08/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 07/29/2010
  • Correction Date: 09/24/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 06/05/2008
  • Correction Date: 07/22/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 07/31/2009
  • Correction Date: 10/08/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 06/05/2008
  • Correction Date: 07/22/2008

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors.
  • Inspection Date: 06/05/2008
  • Correction Date: 07/22/2008
Source: Medicare Nursing Home Compare; Department of Health of Virginia - Center for Quality Health Care Services and Consumer Protection - Retrieved 2011