COGBURN HEALTH & REHABILITATION-HUNTSVILLE, INC

The information listed below provides an in-depth look into the type and quality of care offered at Cogburn Health & Rehabilitation-Huntsville, Inc. 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

COGBURN HEALTH & REHABILITATION-HUNTSVILLE, INC
4010 CHRIS DRIVE
HUNTSVILLE, AL 35802
(256) 883-8656

Nursing Home Ratings

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

Percent of Beds Occupied

89%

Number of Residents and Certified Beds

  • Residents: 93
  • Certified Beds: 105

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • 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 Cogburn Health & Rehabilitation-Huntsville, Inc. 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: 2-103.1%
Total Percent:3.1%
 

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: 6-1023.5%
ADL Index Range: 0-526.8%
Total Percent:50.2%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-166.2%
ADL Index Range: 0-517.0%
Total Percent:23.2%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.3%
ADL Index Range: 0-51.3%
Total Percent:2.7%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 0-54.4%
Total Percent:4.4%
 

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
- Signs of depression
7.3%
Total Percent:7.3%
 

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
0.7%
ADL Index Range: 2-5
- No Signs of depression
2.4%
ADL Index Range: 0-1
- No Signs of depression
2.0%
Total Percent:5.1%
 

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: 2-5
- Less restorative nursing
2.7%
ADL Index Range: 0-1
- Less restorative nursing
1.3%
Total Percent:4.0%
 

Rating Details For Cogburn Health & Rehabilitation-Huntsville, Inc

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) Hours45 Minutes1 Hour and 1 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 24 Minutes40 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 40 Minutes2 Hours and 22 Minutes
Total Licensed Nurse Hours2 Hours and 9 Minutes1 Hour and 41 Minutes
Total Nurse Hours4 Hours and 49 Minutes4 Hours and 3 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 Alabama are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityAlabama Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%90%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination77%90%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder51%48%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%2%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased10%10%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection12%8%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair18%7%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse10%8%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%3%
Percent of Long-Stay Residents Who Lose Too Much Weight15%8%
Percent of Long-Stay Residents Who Are More Depressed or Anxious22%9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder7%4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores18%9%
Percent of Long-Stay Residents Who Were Physically Restrained4%4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination52%81%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season63%82%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium3%2%
Percent of Short-Stay Residents Who Have Pressure Sores16%12%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain16%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 03/31/2011.

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

Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 05/28/2010
  • Correction Date: 07/01/2010

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 03/31/2011
  • Correction Date: 05/05/2011
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 03/31/2011
  • Correction Date: 05/05/2011
Put Firmly Secured Handrails on Each Side of Hallways.
  • Inspection Date: 03/31/2011
  • Correction Date: 05/05/2011

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Inspection Date: 02/20/2009
  • Correction Date: 03/10/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 02/20/2009
  • Correction Date: 03/10/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 02/20/2009
  • Correction Date: 03/10/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 03/31/2011
  • Correction Date: 05/05/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 05/28/2010
  • Correction Date: 07/01/2010

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: 03/31/2011
  • Correction Date: 05/05/2011

Resident Assessment

Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner.
  • Inspection Date: 02/20/2009
  • Correction Date: 03/10/2009
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
  • Inspection Date: 02/20/2009
  • Correction Date: 03/10/2009
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
  • Inspection Date: 03/31/2011
  • Correction Date: 05/05/2011

Resident Rights

Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 05/28/2010
  • Correction Date: 07/01/2010
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: 03/31/2011
  • Correction Date: 05/05/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Cogburn Health & Rehabilitation-Huntsville, Inc, 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

Follow All Laws and Professional Standards.
  • Complaint Filed: 04/24/2008
  • Correction Date: 05/25/2008

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 11/26/2008
  • Correction Date: 12/21/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Complaint Filed: 10/29/2009
  • Correction Date: 12/01/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 03/31/2011
  • Correction Date: 05/05/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Complaint Filed: 10/29/2009
  • Correction Date: 12/01/2009

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 11/20/2009
  • Correction Date: 12/18/2009

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 04/24/2008
  • Correction Date: 05/25/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 11/20/2009
  • Correction Date: 12/18/2009

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Complaint Filed: 11/26/2008
  • Correction Date: 12/21/2008

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 11/20/2009
  • Correction Date: 12/18/2009

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 Cogburn Health & Rehabilitation-Huntsville, Inc 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 04/06/2011.

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 02/25/2009
  • Correction Date: 03/08/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 02/25/2009
  • Correction Date: 03/08/2009

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 06/02/2010
  • Correction Date: 07/01/2010

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 02/25/2009
  • Correction Date: 03/08/2009
Properly Protected Cooking Facilities.
  • Inspection Date: 06/02/2010
  • Correction Date: 07/01/2010
Properly Protected Cooking Facilities.
  • Inspection Date: 04/06/2011
  • Correction Date: 05/05/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 06/02/2010
  • Correction Date: 07/01/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 06/02/2010
  • Correction Date: 07/01/2010
A Separate and Independent Backup Electrical Power Source.
  • Inspection Date: 04/06/2011
  • Correction Date: 05/05/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 02/25/2009
  • Correction Date: 03/08/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 06/02/2010
  • Correction Date: 07/01/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 02/25/2009
  • Correction Date: 03/08/2009
A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 04/06/2011
  • Correction Date: 05/05/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 02/25/2009
  • Correction Date: 03/08/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 06/02/2010
  • Correction Date: 07/01/2010

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 02/25/2009
  • Correction Date: 03/08/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 04/06/2011
  • Correction Date: 05/05/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 04/06/2011
  • Correction Date: 05/05/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 02/25/2009
  • Correction Date: 03/08/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 04/06/2011
  • Correction Date: 05/05/2011
Source: Medicare Nursing Home Compare; Alabama Department of Public Health - Retrieved 2011