MEDICANA NURSING AND REHAB CENTER
Address
1710 LAKE WORTH ROAD
LAKE WORTH, FL 33460
(561) 582-5331
Nursing Home Ratings
Health Inspections | |
Quality Measures | |
Nursing Staff | |
R.N. Staff Only | |
Overall Rating |
Percent of Beds Occupied
Number of Residents and Certified Beds
- Residents: 92
- Certified Beds: 116
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 Medicana Nursing and Rehab Center. 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 |
Medium Rehabilitation Plus Extensive Services
- 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: 11-16 | 1.4% |
Total Percent: | 1.4% |
Ultra-High Rehabilitation
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
ADL Index Range: 11-16 | 24.1% |
ADL Index Range: 6-10 | 16.2% |
ADL Index Range: 0-5 | 12.4% |
Total Percent: | 52.7% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 11.7% |
ADL Index Range: 6-10 | 13.0% |
ADL Index Range: 0-5 | 10.3% |
Total Percent: | 35.0% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 0.8% |
ADL Index Range: 0-5 | 1.1% |
Total Percent: | 1.9% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-16 | 4.9% |
Total Percent: | 4.9% |
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: 11-14 - No Signs of depression | 3.0% |
Total Percent: | 3.0% |
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: 15-16 - No Signs of depression | 0.1% |
Total Percent: | 0.1% |
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: 0-1 - Less restorative nursing | 0.1% |
Total Percent: | 0.1% |
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 | 0.6% |
ADL Index Range: 2-5 - Less restorative nursing | 0.1% |
Total Percent: | 0.7% |
Rating Details For Medicana Nursing and Rehab 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 Day | Reported | Expected |
Registered Nurse (RN) Hours | 20 Minutes | 1 Hour and 18 Minutes |
Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 1 Hour and 3 Minutes | 40 Minutes |
Certified Nursing Assistant (CNA) Hours | 2 Hours and 44 Minutes | 2 Hours and 23 Minutes |
Total Licensed Nurse Hours | 1 Hour and 23 Minutes | 1 Hour and 58 Minutes |
Total Nurse Hours | 4 Hours and 7 Minutes | 4 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 Florida are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
This Facility | Florida Average |
Long-Term Stay Preventive Actions
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 87% |
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90% | 86% |
Long-Term Stay Deficiencies
Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 13% | 11% |
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 47% | 54% |
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 4% | 9% |
Percent of Long-Stay Residents Who Have Moderate to Severe Pain | - | 3% |
Percent of Long-Stay Residents Who Lose Too Much Weight | 4% | 8% |
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 3% | 5% |
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 11% | 12% |
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 10% | 3% |
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 6% | 12% |
Percent of Long-Stay Residents Who Were Physically Restrained | 1% | 5% |
Percent of Long-Stay Residents Who Are More Depressed or Anxious | 12% | 10% |
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 3% | 5% |
Short-Term Stay Preventive Actions
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 80% |
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 87% | 81% |
Short-Term Stay Deficiencies
Percent of Short-Stay Residents Who Have Delirium | - | 2% |
Percent of Short-Stay Residents Who Had Moderate to Severe Pain | - | 17% |
Percent of Short-Stay Residents Who Have Pressure Sores | 15% | 14% |
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 07/08/2011.
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 |
Administration
Post Nurse Staffing Information.
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Keep Accurate and Appropriate Medical Records.
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Environmental
Keep Safe, Clean and Homelike Surroundings.
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Provide Needed Housekeeping and Maintenance.
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Put Firmly Secured Handrails on Each Side of Hallways.
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Provide Needed Housekeeping and Maintenance.
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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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Provide at Least One Room to Use As a Dining Room and for Activities, That is a Good Size, with Good Lighting, Airflow and Furniture.
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Provide Needed Housekeeping and Maintenance.
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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
Make Sure That Residents Are Well Nourished.
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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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Quality Care
Provide Activities to Meet the Needs of Each Resident.
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Give Professional Services That Meet a Professional Standard of Quality.
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Give Professional Services That Follow Each Resident's Written Care Plan.
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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 Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
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Give Professional Services That Meet a Professional Standard of Quality.
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Give Professional Services That Follow Each Resident's Written Care Plan.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
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Resident Assessment
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
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Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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Resident Rights
Honor All of the Resident's Rights As a Resident of the Nursing Home and As a Citizen or Resident of the United States.
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Give the Resident's Legal Representative the Same Rights As the Resident.
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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.
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Keep Each Resident's Personal and Medical Records Private and Confidential.
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Let Residents Give Themselves Their Drugs if They Are Able.
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Tell the Resident or the Resident's Representative in Writing How Long the Nursing Home Will Hold the Resident's Bed when the Resident Temporarily Leaves the Facility.
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Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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Keep Each Resident's Personal and Medical Records Private and Confidential.
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Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Medicana Nursing and Rehab 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 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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Quality Care
Provide Activities to Meet the Needs of Each Resident.
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Resident Assessment
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
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Resident Rights
Provide Written Records when a Resident is Transferred or Discharged.
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Provide Enough Notice Before Discharging or Transferring a Resident.
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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 Medicana Nursing and Rehab 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 07/07/2011.
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
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
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Electrical
Properly Installed Electrical Wiring and Equipment.
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Exits and Egress
Exits That Are Accessible at All Times.
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