LUTHERAN HAVEN NURSING HOME

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

LUTHERAN HAVEN NURSING HOME
1525 HAVEN DRIVE
OVIEDO, FL 32765
(407) 365-3456

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: 41
  • Certified Beds: 42

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Church Related
  • Offers Both Resident and Family Counseling Services
  • This Facility is Not 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 Lutheran Haven Nursing Home. 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: 2-101.9%
Total Percent:1.9%
 

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: 11-163.2%
ADL Index Range: 2-105.1%
Total Percent:8.3%
 

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: 2-103.2%
Total Percent:3.2%
 

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: 11-1645.5%
ADL Index Range: 0-521.5%
Total Percent:67.0%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-165.1%
ADL Index Range: 6-105.4%
ADL Index Range: 0-59.0%
Total Percent:19.6%
 

Rating Details For Lutheran Haven Nursing Home

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) Hours48 Minutes1 Hour and 5 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours52 Minutes41 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 36 Minutes2 Hours and 48 Minutes
Total Licensed Nurse Hours1 Hour and 40 Minutes1 Hour and 47 Minutes
Total Nurse Hours5 Hours and 17 Minutes4 Hours and 35 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 FacilityFlorida Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%87%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%86%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have Moderate to Severe Pain8%3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores8%12%
Percent of Long-Stay Residents Who Were Physically Restrained-5%
Percent of Long-Stay Residents Who Lose Too Much Weight13%8%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse8%9%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection9%11%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%5%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder2%5%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder73%54%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased7%12%
Percent of Long-Stay Residents Who Are More Depressed or Anxious18%10%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%81%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%80%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain20%17%
Percent of Short-Stay Residents Who Have Pressure Sores10%14%
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 01/21/2011.

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 InspectorsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 02/20/2009
  • Correction Date: 04/01/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 02/04/2010
  • Correction Date: 03/17/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 02/04/2010
  • Correction Date: 03/17/2010
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 02/04/2010
  • Correction Date: 03/17/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 01/21/2011
  • Correction Date: 02/21/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 02/04/2010
  • Correction Date: 03/17/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 01/21/2011
  • Correction Date: 04/05/2011

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: 02/04/2010
  • Correction Date: 03/17/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 02/04/2010
  • Correction Date: 03/17/2010
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.
  • Inspection Date: 01/21/2011
  • Correction Date: 04/07/2011
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 01/21/2011
  • Correction Date: 04/07/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 02/20/2009
  • Correction Date: 04/01/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 02/04/2010
  • Correction Date: 03/17/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 02/04/2010
  • Correction Date: 03/17/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 01/21/2011
  • Correction Date: 02/21/2011
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Inspection Date: 01/21/2011
  • Correction Date: 02/21/2011

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: 02/20/2009
  • Correction Date: 04/01/2009
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: 02/04/2010
  • Correction Date: 03/17/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 01/21/2011
  • Correction Date: 02/21/2011
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: 01/21/2011
  • Correction Date: 02/21/2011

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.
  • Inspection Date: 01/21/2011
  • Correction Date: 02/21/2011

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 TakenDateAmount
Civil Money Penalty (CMP)01/21/2011$7,800

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Lutheran Haven Nursing Home, 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

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 03/09/2011
  • Correction Date: 04/09/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 03/09/2011
  • Correction Date: 04/09/2011
Give or Get Special Rehabilitation if in the Patient's Plan of Care.
  • Complaint Filed: 03/09/2011
  • Correction Date: 04/09/2011

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: 03/09/2011
  • Correction Date: 04/09/2011

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 Lutheran Haven Nursing Home 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 01/18/2011.

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 01/18/2011
  • Correction Date: 02/23/2011

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 01/18/2011
  • Correction Date: 02/23/2011

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 01/31/2010
  • Correction Date: 03/10/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 01/18/2011
  • Correction Date: 02/23/2011

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: 02/17/2009
  • Correction Date: 03/26/2009
Source: Medicare Nursing Home Compare; Agency for Health Care Administration of Florida - Retrieved 2011