TIFFANY HALL NURSING AND REHAB CENTER

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 Tiffany Hall Nursing and Rehab Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

High Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care High

Special Care Low

Clinically Complex

Reduced Physical Function

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.

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.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

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 08/20/2010.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 05/08/2008 Correction Date: 06/26/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 08/20/2010 Correction Date: 09/20/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 05/08/2008 Correction Date: 06/26/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/08/2008 Correction Date: 06/26/2008
Get Rid of Garbage Properly. Inspection Date: 06/26/2009 Correction Date: 08/11/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 08/20/2010 Correction Date: 09/20/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 05/08/2008 Correction Date: 06/26/2008
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served. Inspection Date: 05/08/2008 Correction Date: 06/26/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/08/2008 Correction Date: 06/26/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/20/2010 Correction Date: 09/20/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 05/08/2008 Correction Date: 06/26/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 05/08/2008 Correction Date: 06/26/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 06/26/2009 Correction Date: 08/11/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 06/26/2009 Correction Date: 08/11/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 08/20/2010 Correction Date: 09/20/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 05/08/2008 Correction Date: 06/26/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 05/08/2008 Correction Date: 06/26/2008
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 05/08/2008 Correction Date: 06/26/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 05/08/2008 Correction Date: 06/26/2008
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Inspection Date: 05/08/2008 Correction Date: 06/26/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 06/26/2009 Correction Date: 08/11/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 06/26/2009 Correction Date: 08/11/2009
Give or Get Dental Care for Each Resident. Inspection Date: 06/26/2009 Correction Date: 08/11/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 08/20/2010 Correction Date: 09/20/2010

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: 05/08/2008 Correction Date: 06/26/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 06/26/2009 Correction Date: 08/11/2009
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: 06/26/2009 Correction Date: 08/11/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 08/20/2010 Correction Date: 09/20/2010
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 08/20/2010 Correction Date: 09/20/2010

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 05/08/2008 Correction Date: 06/26/2008
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 05/08/2008 Correction Date: 06/26/2008
Try to Resolve Each Resident's Complaints Quickly. Inspection Date: 05/08/2008 Correction Date: 06/26/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 05/08/2008 Correction Date: 06/26/2008
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 06/26/2009 Correction Date: 08/11/2009
Try to Resolve Each Resident's Complaints Quickly. Inspection Date: 08/20/2010 Correction Date: 09/20/2010
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care. Inspection Date: 08/20/2010 Correction Date: 09/20/2010

The table below lists incident reports by the nursing staff or administration for Tiffany Hall Nursing and Rehab Center, as well as complaints by residents or their family in the previous three years.

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: 06/28/2010 Correction Date: 07/28/2010
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: 12/08/2010 Correction Date: 01/08/2011