MOUNTAIN TRACE REHABILITATION & NURSING CENTER

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

MOUNTAIN TRACE REHABILITATION & NURSING CENTER
417 MOUNTAIN TRACE ROAD
SYLVA, NC 28779
(828) 631-1600

Nursing Home Ratings

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

Percent of Beds Occupied

96%

Number of Residents and Certified Beds

  • Residents: 102
  • Certified Beds: 106

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:

Bryson City | Waynesville | Franklin

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 Mountain Trace Rehabilitation & Nursing 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: 11-160.8%
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: 11-169.1%
ADL Index Range: 6-1013.1%
ADL Index Range: 0-55.2%
Total Percent:27.4%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1617.2%
ADL Index Range: 6-1020.2%
ADL Index Range: 0-58.7%
Total Percent:46.1%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-169.6%
ADL Index Range: 6-101.0%
ADL Index Range: 0-51.5%
Total Percent:12.0%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-166.9%
ADL Index Range: 6-100.7%
Total Percent:7.5%
 

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
1.6%
ADL Index Range: 15-16
- No Signs of depression
0.2%
Total Percent:1.7%
 

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
- Signs of depression
1.4%
ADL Index Range: 11-14
- No Signs of depression
0.3%
ADL Index Range: 6-10
- No Signs of depression
0.2%
ADL Index Range: 2-5
- No Signs of depression
0.2%
Total Percent:2.0%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 2-5
- Less restorative nursing
2.4%
Total Percent:2.4%
 

Rating Details For Mountain Trace Rehabilitation & 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 DayReportedExpected
Registered Nurse (RN) Hours1 Hour1 Hour and 9 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours31 Minutes41 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 35 Minutes2 Hours and 32 Minutes
Total Licensed Nurse Hours1 Hour and 32 Minutes1 Hour and 51 Minutes
Total Nurse Hours4 Hours and 7 Minutes4 Hours and 23 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 Given Influenza Vaccination During the Flu Season90-100%92%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination88%92%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Had a Urinary Tract Infection11%11%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain4%3%
Percent of Long-Stay Residents Who Are More Depressed or Anxious16%15%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder51%60%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased10%20%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores3%4%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse13%12%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%4%
Percent of Long-Stay Residents Who Lose Too Much Weight4%9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores12%11%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-9%
Percent of Long-Stay Residents Who Were Physically Restrained9%4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination81%83%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season78%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores14%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain31%17%
Percent of Short-Stay Residents Who Have Delirium-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 11/03/2010.

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

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 11/06/2008
  • Correction Date: 12/04/2008
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 11/06/2008
  • Correction Date: 12/04/2008

Quality Care

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.
  • Inspection Date: 11/06/2008
  • Correction Date: 12/04/2008

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: 11/06/2008
  • Correction Date: 12/03/2008
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: 11/06/2008
  • Correction Date: 12/03/2008
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: 12/04/2009
  • Correction Date: 01/02/2010

Resident Rights

Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure.
  • Inspection Date: 11/06/2008
  • Correction Date: 11/24/2008
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 11/06/2008
  • Correction Date: 11/25/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 11/03/2010
  • Correction Date: 12/01/2010

Deficiencies from Complaints and Incidents

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

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Complaint Filed: 12/04/2009
  • Correction Date: 01/02/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 01/20/2011
  • Correction Date: 02/17/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 12/04/2009
  • Correction Date: 01/02/2010
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting.
  • Complaint Filed: 12/04/2009
  • Correction Date: 01/02/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 11/03/2010
  • Correction Date: 12/01/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 11/03/2010
  • Correction Date: 12/01/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 01/20/2011
  • Correction Date: 02/17/2011
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 01/20/2011
  • Correction Date: 02/17/2011

Resident Rights

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.
  • Complaint Filed: 12/04/2009
  • Correction Date: 01/01/1900
Quickly Give a Resident's Personal Money to the Heads of His or Her Estate After the Resident's Death.
  • Complaint Filed: 11/03/2010
  • Correction Date: 11/28/2010
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: 01/20/2011
  • Correction Date: 02/17/2011

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 Mountain Trace Rehabilitation & Nursing 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 12/16/2010.

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

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 01/20/2010
  • Correction Date: 03/18/2010

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 12/03/2008
  • Correction Date: 12/10/2008

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 12/03/2008
  • Correction Date: 12/10/2008

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 01/20/2010
  • Correction Date: 03/18/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 01/20/2010
  • Correction Date: 03/18/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 12/16/2010
  • Correction Date: 12/30/2010

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 12/16/2010
  • Correction Date: 12/30/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 12/03/2008
  • Correction Date: 12/10/2008
Source: Medicare Nursing Home Compare; Division of Health Service Regulation-Nursing Home Licensure and Certification - Retrieved 2011