SUNRISE REHABILITATION & CARE

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

SUNRISE REHABILITATION & CARE
306 DEER PARK ROAD
NEBO, NC 28761
(828) 652-3032

Nursing Home Ratings

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

Percent of Beds Occupied

78%

Number of Residents and Certified Beds

  • Residents: 109
  • Certified Beds: 140

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Morganton | Rutherfordton | Drexel

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 Sunrise Rehabilitation & Care. 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

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • 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: 11-161.9%
Total Percent:1.9%
 

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: 11-166.9%
ADL Index Range: 6-103.3%
ADL Index Range: 0-518.9%
Total Percent:29.1%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1615.6%
ADL Index Range: 6-103.1%
ADL Index Range: 0-512.5%
Total Percent:31.3%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1610.7%
ADL Index Range: 6-101.7%
ADL Index Range: 0-53.8%
Total Percent:16.1%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-168.2%
ADL Index Range: 0-51.5%
Total Percent:9.6%
 

Extensive Services

  • 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: 2-16
- Isolation for active infectious disease
1.0%
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: 15-16
- No Signs of depression
3.6%
ADL Index Range: 2-5
- No Signs of depression
0.2%
Total Percent:3.8%
 

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
- No Signs of depression
2.9%
Total Percent:2.9%
 

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
0.9%
ADL Index Range: 11-14
- No Signs of depression
2.7%
ADL Index Range: 0-1
- No Signs of depression
0.8%
Total Percent:4.3%
 

Rating Details For Sunrise Rehabilitation & Care

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) Hours26 Minutes1 Hour and 8 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 12 Minutes41 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 40 Minutes2 Hours and 23 Minutes
Total Licensed Nurse Hours1 Hour and 38 Minutes1 Hour and 48 Minutes
Total Nurse Hours4 Hours and 18 Minutes4 Hours and 11 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 Who Were Assessed and Given Pneumococcal Vaccination90-100%92%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%92%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Are More Depressed or Anxious4%15%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder6%4%
Percent of Long-Stay Residents Who Were Physically Restrained3%4%
Percent of Long-Stay Residents Who Lose Too Much Weight6%9%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased29%20%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection5%11%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder52%60%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores7%4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair11%9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse4%12%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores14%11%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%83%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores11%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain19%17%
Percent of Short-Stay Residents Who Have Delirium8%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 09/24/2010.

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

Administration

Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 09/24/2010
  • Correction Date: 10/22/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 08/13/2009
  • Correction Date: 09/10/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 07/24/2008
  • Correction Date: 08/13/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 08/13/2009
  • Correction Date: 09/10/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 09/24/2010
  • Correction Date: 10/22/2010

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 09/24/2010
  • Correction Date: 10/22/2010

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 07/24/2008
  • Correction Date: 08/13/2008
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 07/24/2008
  • Correction Date: 08/13/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 08/13/2009
  • Correction Date: 09/10/2009
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 09/24/2010
  • Correction Date: 10/22/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 09/24/2010
  • Correction Date: 10/22/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 09/24/2010
  • Correction Date: 10/22/2010
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 09/24/2010
  • Correction Date: 10/22/2010

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: 08/13/2009
  • Correction Date: 09/10/2009

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.
  • Inspection Date: 08/13/2009
  • Correction Date: 09/10/2009
Have a Private Telephone Available for Use.
  • Inspection Date: 08/13/2009
  • Correction Date: 09/10/2009
Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure.
  • Inspection Date: 09/24/2010
  • Correction Date: 01/01/1900

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)04/01/2011$3,400
Civil Money Penalty (CMP)04/01/2011$21,300

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Sunrise Rehabilitation & Care, 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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 09/24/2010
  • Correction Date: 10/22/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 04/01/2011
  • Correction Date: 05/05/2011

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 09/24/2010
  • Correction Date: 10/22/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 09/24/2010
  • Correction Date: 10/22/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 04/01/2011
  • Correction Date: 05/05/2011

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 Sunrise Rehabilitation & Care 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 10/21/2010.

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

Building Service Equipment

An Externally Vented Heating System.
  • Inspection Date: 08/13/2008
  • Correction Date: 09/27/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 08/13/2008
  • Correction Date: 09/27/2008
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 10/21/2010
  • Correction Date: 12/05/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 08/13/2008
  • Correction Date: 09/27/2008
A Separate and Independent Backup Electrical Power Source.
  • Inspection Date: 09/09/2009
  • Correction Date: 10/24/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 10/21/2010
  • Correction Date: 12/05/2010

Exit and Exit Access

At Least Two Remote Exits on Each Floor or Fire Section of the Building.
  • Inspection Date: 09/09/2009
  • Correction Date: 10/24/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 08/13/2008
  • Correction Date: 09/27/2008

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 10/21/2010
  • Correction Date: 12/05/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 10/21/2010
  • Correction Date: 12/05/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 08/13/2008
  • Correction Date: 09/27/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 10/21/2010
  • Correction Date: 12/05/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 08/13/2008
  • Correction Date: 09/27/2008
Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 10/21/2010
  • Correction Date: 12/05/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 10/21/2010
  • Correction Date: 12/05/2010
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 10/21/2010
  • Correction Date: 12/05/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 08/13/2008
  • Correction Date: 09/27/2008

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: 10/21/2010
  • Correction Date: 12/05/2010
Source: Medicare Nursing Home Compare; Division of Health Service Regulation-Nursing Home Licensure and Certification - Retrieved 2011