THATCHER BROOK REHABILITATION & CARE
Address
1795 SOUTH CHELEMES WAY
CLEARFIELD, UT 84015
(801) 614-5700
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
87%Number of Residents and Certified Beds
- Residents: 26
- Certified Beds: 30
This Facility Accepts
- Medicare
Operational Details
- Operated By For Profit - Corporation
- Offers Only Resident Counseling
- This Facility is Not 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 Thatcher Brook Rehabilitation & Care. 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 |
Ultra-High Rehabilitation
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
| ADL Index Range: 11-16 | 23.8% |
| ADL Index Range: 6-10 | 12.4% |
| ADL Index Range: 0-5 | 21.9% |
| Total Percent: | 58.1% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 13.1% |
| ADL Index Range: 6-10 | 9.5% |
| ADL Index Range: 0-5 | 16.3% |
| Total Percent: | 38.9% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
| ADL Index Range: 0-5 | 2.4% |
| Total Percent: | 2.4% |
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 - No Signs of depression | 0.2% |
| Total Percent: | 0.2% |
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: 2-5 - No Signs of depression | 0.2% |
| ADL Index Range: 0-1 - No Signs of depression | 0.2% |
| Total Percent: | 0.5% |
Rating Details For Thatcher Brook 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 Day | Reported | Expected |
| Registered Nurse (RN) Hours | 2 Hours and 16 Minutes | 1 Hour and 34 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 52 Minutes | 44 Minutes |
| Certified Nursing Assistant (CNA) Hours | 3 Hours and 21 Minutes | 2 Hours and 6 Minutes |
| Total Licensed Nurse Hours | 3 Hours and 8 Minutes | 2 Hours and 18 Minutes |
| Total Nurse Hours | 6 Hours and 29 Minutes | 4 Hours and 24 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 Utah are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
| This Facility | Utah Average |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 90% |
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 89% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Pressure Sores | 16% | 12% |
| Percent of Short-Stay Residents Who Have Delirium | 2% | 3% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 7% | 36% |
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 07/06/2010.
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 Inspectors | Degree of Harm | Residents Affected |
Administration
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
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Get Proof That a Nurse Aide Has the Training and Skills That the State Requires.
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Give or Get Lab Tests to Meet the Needs of Residents.
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Set Up or Keep a Group of People to Review and Ensure Quality.
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Environmental
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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Keep All Essential Equipment Working Safely.
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Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
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Mistreatment
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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Nutrition and Dietary
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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Pharmacy Service
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
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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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Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
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Resident Rights
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
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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 Thatcher Brook 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 06/29/2010.
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 Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Portable Fire Extinguishers.
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Building Service Equipment
Restrictions on the Use of Portable Space Heaters.
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A Properly Installed and Maintained Dumbwaiter or Escalator.
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Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
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Electrical
Weekly Inspections and Monthly Testing of Generators.
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Properly Installed Electrical Wiring and Equipment.
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Emergency Plans and Fire Drills
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Fire Alarm Systems
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
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Properly Maintained Smoke Detectors.
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Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Illumination and Emergency Power
Properly Located and Lighted "Exit" Signs.
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Miscellaneous
Fire Safety Features Required by Current Fire Safety Codes.
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