CHAPEL RIDGE HEALTH AND REHAB
Address
4623 ROGERS AVENUE
FORT SMITH, AR 72903
(479) 452-1541
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
52%Number of Residents and Certified Beds
- Residents: 82
- Certified Beds: 157
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
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 Chapel Ridge Health and Rehab. 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
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
| ADL Index Range: 6-10 | 3.8% |
| ADL Index Range: 0-5 | 56.4% |
| Total Percent: | 60.2% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 3.0% |
| ADL Index Range: 6-10 | 10.0% |
| ADL Index Range: 0-5 | 11.0% |
| Total Percent: | 24.0% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 0.6% |
| ADL Index Range: 0-5 | 9.4% |
| Total Percent: | 10.0% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 6-10 | 3.0% |
| ADL Index Range: 0-5 | 2.8% |
| Total Percent: | 5.8% |
Rating Details For Chapel Ridge Health and Rehab
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 | 21 Minutes | 55 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 54 Minutes | 37 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 15 Minutes | 2 Hours and 16 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 14 Minutes | 1 Hour and 32 Minutes |
| Total Nurse Hours | 3 Hours and 29 Minutes | 3 Hours and 48 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 Arkansas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
| This Facility | Arkansas Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 94% |
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 95% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 9% | 10% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 4% | 2% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 1% | 2% |
| Percent of Long-Stay Residents Who Were Physically Restrained | 1% | 5% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 10% | 14% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 1% | 5% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 2% | 5% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 6% | 10% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 14% | 10% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 2% | 8% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 44% | 42% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 2% | 7% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 90% |
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 90% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 3% | 13% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 13% | 11% |
| Percent of Short-Stay Residents Who Have Delirium | - | 3% |
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 01/06/2011.
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
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Have a Program to Keep Infection from Spreading.
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Nutrition and Dietary
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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Pharmacy Service
Make Sure That Residents Are Safe from Serious Medication Errors.
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Quality Care
Give Professional Services That Follow Each Resident's Written Care Plan.
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Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
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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.
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Resident Rights
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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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) | 03/02/2011 | $1,983 |
| Civil Money Penalty (CMP) | 03/02/2011 | $3,770 |
| Denial of Payment for New Admission (DPNA) | 03/02/2011 | - |
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Chapel Ridge Health and Rehab, 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 |
Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Pharmacy Service
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
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Make Sure That Residents Are Safe from Serious Medication Errors.
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Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
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Quality Care
Give Professional Services That Follow Each Resident's Written Care Plan.
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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 Chapel Ridge Health and Rehab 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 01/05/2011.
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 |
Building Service Equipment
An Externally Vented Heating System.
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Restrictions on the Use of Portable Space Heaters.
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Exits and Egress
Exits That Are Accessible at All Times.
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Fire Alarm Systems
A Fire Alarm System That Can Be Heard Throughout the Facility.
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Furnishings and Decorations
Properly Sized and Located Linen or Trash Receptacles.
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Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Smoke Compartmentation and Control
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
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