CHOWAN RIVER NURSING AND REHABILITATION CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Chowan River Nursing and Rehabilitation Center. 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

CHOWAN RIVER NURSING AND REHABILITATION CENTER
1341 PARADISE RD P O BOX 566
EDENTON, NC 27932
(252) 482-7481

Nursing Home Ratings

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

Percent of Beds Occupied

72%

Number of Residents and Certified Beds

  • Residents: 93
  • Certified Beds: 130

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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Nearby Cities:

Hertford | Plymouth | Windsor

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 Chowan River Nursing and Rehabilitation Center. 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: 2-101.1%
Total Percent:1.1%
 

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: 11-169.7%
ADL Index Range: 6-105.7%
ADL Index Range: 0-55.2%
Total Percent:20.6%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-168.0%
ADL Index Range: 6-108.6%
ADL Index Range: 0-520.8%
Total Percent:37.4%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1611.5%
ADL Index Range: 6-104.3%
ADL Index Range: 0-54.8%
Total Percent:20.7%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-162.8%
ADL Index Range: 6-100.8%
ADL Index Range: 0-50.2%
Total Percent:3.8%
 

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
5.6%
Total Percent:5.6%
 

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: 6-10
- No Signs of depression
0.9%
ADL Index Range: 2-5
- Signs of depression
0.7%
Total Percent:1.6%
 

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
3.6%
ADL Index Range: 11-14
- No Signs of depression
0.7%
ADL Index Range: 6-10
- Signs of depression
0.5%
Total Percent:4.8%
 

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: 11-14
- No Signs of depression
0.3%
ADL Index Range: 6-10
- No Signs of depression
1.7%
ADL Index Range: 2-5
- No Signs of depression
1.1%
Total Percent:3.2%
 

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: 11-14
- Less restorative nursing
1.1%
Total Percent:1.1%
 

Rating Details For Chowan River Nursing and Rehabilitation 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 DayReportedExpected
Registered Nurse (RN) Hours30 Minutes1 Hour and 10 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours50 Minutes43 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 11 Minutes2 Hours and 30 Minutes
Total Licensed Nurse Hours1 Hour and 20 Minutes1 Hour and 53 Minutes
Total Nurse Hours3 Hours and 30 Minutes4 Hours and 23 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%92%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season88%92%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder56%60%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores13%11%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse20%12%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain4%3%
Percent of Long-Stay Residents Who Were Physically Restrained4%4%
Percent of Long-Stay Residents Who Lose Too Much Weight15%9%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair9%9%
Percent of Long-Stay Residents Who Are More Depressed or Anxious26%15%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection11%11%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder2%4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased17%20%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season63%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination50%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium1%2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain12%17%
Percent of Short-Stay Residents Who Have Pressure Sores17%11%

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 01/13/2011.

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

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 03/19/2009
  • Correction Date: 05/14/2009
Get Rid of Garbage Properly.
  • Inspection Date: 03/19/2009
  • Correction Date: 05/14/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 03/19/2009
  • Correction Date: 05/14/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 02/25/2010
  • Correction Date: 04/01/2010

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: 03/19/2009
  • Correction Date: 05/14/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 03/19/2009
  • Correction Date: 05/14/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 03/19/2009
  • Correction Date: 04/14/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 03/19/2009
  • Correction Date: 05/14/2009
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Inspection Date: 01/13/2011
  • Correction Date: 02/03/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 03/19/2009
  • Correction Date: 05/14/2009
Make Sure That Doctors Visit Residents Regularly, As Required.
  • Inspection Date: 03/19/2009
  • Correction Date: 04/14/2009
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: 01/13/2011
  • Correction Date: 02/03/2011

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 01/13/2011
  • Correction Date: 02/03/2011

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)09/02/2010$3,900

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Chowan River Nursing and Rehabilitation 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 ComplaintsDegree of HarmResidents Affected

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Complaint Filed: 09/02/2010
  • Correction Date: 08/24/2010

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 03/19/2009
  • Correction Date: 05/14/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 01/13/2011
  • Correction Date: 02/03/2011
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Complaint Filed: 01/13/2011
  • Correction Date: 02/03/2011

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 Chowan River Nursing and Rehabilitation 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 02/02/2011.

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: 04/22/2009
  • Correction Date: 05/31/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 04/22/2009
  • Correction Date: 05/31/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 02/02/2011
  • Correction Date: 02/24/2011
Properly Working Alarms on Sprinkler Valves.
  • Inspection Date: 02/02/2011
  • Correction Date: 02/24/2011

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 04/06/2010
  • Correction Date: 05/07/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 04/22/2009
  • Correction Date: 05/31/2009

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 04/22/2009
  • Correction Date: 05/31/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 04/22/2009
  • Correction Date: 05/31/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 04/06/2010
  • Correction Date: 05/07/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 04/22/2009
  • Correction Date: 05/31/2009
Exits That Are Accessible at All Times.
  • Inspection Date: 04/06/2010
  • Correction Date: 05/07/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 04/22/2009
  • Correction Date: 05/31/2009
Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 02/02/2011
  • Correction Date: 02/24/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 04/22/2009
  • Correction Date: 05/31/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 04/22/2009
  • Correction Date: 05/31/2009
No-Smoking Signs Where Oxygen is Used.
  • Inspection Date: 04/22/2009
  • Correction Date: 05/31/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 04/22/2009
  • Correction Date: 05/31/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 02/02/2011
  • Correction Date: 02/24/2011
Source: Medicare Nursing Home Compare; Division of Health Service Regulation-Nursing Home Licensure and Certification - Retrieved 2011