ENVOY OF THORNTON HALL

The information listed below provides an in-depth look into the type and quality of care offered at Envoy of Thornton Hall. 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

ENVOY OF THORNTON HALL
827 NORVIEW AVENUE
NORFOLK, VA 23509
(757) 853-6281

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: 55
  • Certified Beds: 60

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • 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 Envoy of Thornton Hall. 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

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: 2-105.1%
Total Percent:5.1%
 

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: 2-101.0%
Total Percent:1.0%
 

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: 11-1610.5%
ADL Index Range: 6-1012.8%
ADL Index Range: 0-528.1%
Total Percent:51.4%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.6%
ADL Index Range: 6-105.3%
ADL Index Range: 0-521.1%
Total Percent:31.0%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.8%
ADL Index Range: 0-52.3%
Total Percent:5.1%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-160.4%
ADL Index Range: 6-100.6%
Total Percent:1.0%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-5
- No Signs of depression
2.0%
Total Percent:2.0%
 

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: 6-10
- No Signs of depression
0.8%
Total Percent:0.8%
 

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
0.08%
Total Percent:0.08%
 

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
1.2%
ADL Index Range: 2-5
- Less restorative nursing
1.4%
Total Percent:2.5%
 

Rating Details For Envoy of Thornton Hall

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) Hours34 Minutes1 Hour and 11 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours56 Minutes41 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 23 Minutes2 Hours and 29 Minutes
Total Licensed Nurse Hours1 Hour and 30 Minutes1 Hour and 52 Minutes
Total Nurse Hours2 Hours and 53 Minutes4 Hours and 21 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 Who Were Assessed and Given Pneumococcal Vaccination82%90%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season72%92%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Were Physically Restrained-2%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased14%17%
Percent of Long-Stay Residents Who Lose Too Much Weight15%9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse14%13%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder2%4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair6%6%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores16%11%
Percent of Long-Stay Residents Who Are More Depressed or Anxious9%15%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder58%59%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection17%10%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination82%82%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season77%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium5%2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain20%16%
Percent of Short-Stay Residents Who Have Pressure Sores12%12%

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 02/11/2011.

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

Administration

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 02/11/2011
  • Correction Date: 03/22/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 03/06/2009
  • Correction Date: 04/17/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 03/06/2009
  • Correction Date: 04/17/2009
Put Firmly Secured Handrails on Each Side of Hallways.
  • Inspection Date: 03/06/2009
  • Correction Date: 04/17/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 02/26/2010
  • Correction Date: 04/02/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 02/11/2011
  • Correction Date: 03/22/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 03/06/2009
  • Correction Date: 04/17/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 02/11/2011
  • Correction Date: 03/22/2011

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 03/06/2009
  • Correction Date: 04/17/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 03/06/2009
  • Correction Date: 04/17/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 02/11/2011
  • Correction Date: 03/22/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Envoy of Thornton Hall, 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

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 02/26/2010
  • Correction Date: 04/02/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 02/26/2010
  • Correction Date: 04/02/2010
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 02/11/2011
  • Correction Date: 03/22/2011

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Complaint Filed: 02/26/2010
  • Correction Date: 08/27/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 02/26/2010
  • Correction Date: 04/02/2010

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 Envoy of Thornton Hall 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 03/17/2011.

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

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 03/24/2009
  • Correction Date: 04/06/2009
Source: Medicare Nursing Home Compare; Department of Health of Virginia - Center for Quality Health Care Services and Consumer Protection - Retrieved 2011