CENTERS FOR LIVING AND REHAB

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 "Medium 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 Centers for Living and Rehab. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Very High Rehabilitation Plus Extensive Services

High Rehabilitation Plus Extensive Services

Medium Rehabilitation Plus Extensive Services

Low Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Low Rehabilitation

Extensive Services

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 Vermont 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 01/12/2011.

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 08/20/2008 Correction Date: 10/15/2008

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 01/12/2011 Correction Date: 02/12/2011

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: 01/12/2011 Correction Date: 02/12/2011

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/20/2008 Correction Date: 10/15/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/12/2011 Correction Date: 02/12/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 01/12/2011 Correction Date: 02/12/2011

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: 08/20/2008 Correction Date: 10/15/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 10/22/2009 Correction Date: 11/25/2009
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: 10/22/2009 Correction Date: 11/25/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 01/12/2011 Correction Date: 02/12/2011
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: 01/12/2011 Correction Date: 02/12/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/12/2011 Correction Date: 02/12/2011

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 08/20/2008 Correction Date: 11/06/2008

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

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 07/19/2010 Correction Date: 08/13/2010
Give Professional Services That Follow Each Resident's Written Care Plan. Complaint Filed: 07/19/2010 Correction Date: 08/13/2010

Resident Rights

Provide Care for Each Resident in a Way That Keeps or Builds the Resident's Quality of Life. Complaint Filed: 04/21/2010 Correction Date: 05/26/2010

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 Centers for Living and Rehab 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 01/12/2011.

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 10/01/2008 Correction Date: 10/22/2008