THATCHER BROOK REHABILITATION & CARE

The information listed below provides an in-depth look into the type and quality of care offered at Thatcher Brook 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

THATCHER BROOK REHABILITATION & CARE
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

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Nearby Cities:

Layton | Roy | Ogden

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 ServicesResident ConditionsPercent of Service Days

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: 11-1623.8%
ADL Index Range: 6-1012.4%
ADL Index Range: 0-521.9%
Total Percent:58.1%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1613.1%
ADL Index Range: 6-109.5%
ADL Index Range: 0-516.3%
Total Percent:38.9%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-52.4%
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 DayReportedExpected
Registered Nurse (RN) Hours2 Hours and 16 Minutes1 Hour and 34 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours52 Minutes44 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 21 Minutes2 Hours and 6 Minutes
Total Licensed Nurse Hours3 Hours and 8 Minutes2 Hours and 18 Minutes
Total Nurse Hours6 Hours and 29 Minutes4 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 FacilityUtah Average

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%90%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%89%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores16%12%
Percent of Short-Stay Residents Who Have Delirium2%3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain7%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 InspectorsDegree of HarmResidents Affected

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/20/2010
Get Proof That a Nurse Aide Has the Training and Skills That the State Requires.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/20/2010
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/20/2010
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/27/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/18/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 07/06/2010
  • Correction Date: 07/30/2010
Keep All Essential Equipment Working Safely.
  • Inspection Date: 07/06/2010
  • Correction Date: 07/06/2010
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/20/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/20/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 07/06/2010
  • Correction Date: 07/10/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/18/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/20/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/01/2010

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.
  • Inspection Date: 07/06/2010
  • Correction Date: 07/10/2010
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
  • Inspection Date: 07/06/2010
  • Correction Date: 07/10/2010

Resident Rights

Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 07/06/2010
  • Correction Date: 07/06/2010

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 06/29/2010
  • Correction Date: 07/19/2010
Portable Fire Extinguishers.
  • Inspection Date: 06/29/2010
  • Correction Date: 07/13/2010

Building Service Equipment

Restrictions on the Use of Portable Space Heaters.
  • Inspection Date: 06/29/2010
  • Correction Date: 06/29/2010
A Properly Installed and Maintained Dumbwaiter or Escalator.
  • Inspection Date: 06/29/2010
  • Correction Date: 07/12/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 06/29/2010
  • Correction Date: 08/05/2010

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 06/29/2010
  • Correction Date: 07/12/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 06/29/2010
  • Correction Date: 07/12/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 06/29/2010
  • Correction Date: 07/10/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 06/29/2010
  • Correction Date: 07/19/2010
Properly Maintained Smoke Detectors.
  • Inspection Date: 06/29/2010
  • Correction Date: 07/19/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 06/29/2010
  • Correction Date: 07/14/2010

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 06/29/2010
  • Correction Date: 08/05/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 06/29/2010
  • Correction Date: 08/03/2010
Source: Medicare Nursing Home Compare; Dept of Health of Utah - Bureau of Medicare/Medicaid Program-Certification and Resident Assessment - Retrieved 2011