MUSCOGEE MANOR & REHAB CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Muscogee Manor & Rehab Center. 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

MUSCOGEE MANOR & REHAB CENTER
7150 MANOR RD
COLUMBUS, GA 31907
(706) 561-3218

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: 211
  • Certified Beds: 242

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Government - City/County
  • Offers Both Resident and Family Counseling Services
  • Part of a Continuing Care Retirement Community (CCRC)
  • This Facility is Not 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 "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 Muscogee Manor & Rehab Center. 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

High Rehabilitation Plus Extensive Services

Rehabilitation 325 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: 2-100.9%
Total Percent:0.9%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-50.1%
Total Percent:0.1%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-103.4%
ADL Index Range: 0-54.6%
Total Percent:8.1%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-163.2%
ADL Index Range: 6-1018.8%
ADL Index Range: 0-58.7%
Total Percent:30.6%
 

Extensive Services

  • 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: 2-16
- Tracheostomy care or ventilator/respirator
1.2%
ADL Index Range: 2-16
- Isolation for active infectious disease
9.9%
Total Percent:11.1%
 

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: 15-16
- No Signs of depression
4.1%
ADL Index Range: 11-14
- Signs of depression
2.4%
ADL Index Range: 11-14
- No Signs of depression
1.3%
ADL Index Range: 2-5
- No Signs of depression
1.7%
Total Percent:9.5%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- Signs of depression
2.1%
ADL Index Range: 15-16
- No Signs of depression
1.2%
ADL Index Range: 11-14
- Signs of depression
2.1%
ADL Index Range: 11-14
- No Signs of depression
11.1%
ADL Index Range: 6-10
- No Signs of depression
2.9%
Total Percent:19.4%
 

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
- Signs of depression
1.8%
ADL Index Range: 11-14
- No Signs of depression
2.5%
ADL Index Range: 6-10
- Signs of depression
3.7%
ADL Index Range: 6-10
- No Signs of depression
1.8%
ADL Index Range: 2-5
- No Signs of depression
0.9%
ADL Index Range: 0-1
- Signs of depression
0.7%
ADL Index Range: 0-1
- No Signs of depression
5.4%
Total Percent:16.9%
 

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: 0-1
- Less restorative nursing
0.7%
Total Percent:0.7%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 11-14
- Less restorative nursing
0.8%
ADL Index Range: 2-5
- Less restorative nursing
1.8%
Total Percent:2.6%
 

Rating Details For Muscogee Manor & Rehab Center

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) Hours26 Minutes1 Hour and 4 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours58 Minutes44 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 38 Minutes2 Hours and 26 Minutes
Total Licensed Nurse Hours1 Hour and 24 Minutes1 Hour and 48 Minutes
Total Nurse Hours4 Hours and 1 Minutes4 Hours and 15 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 Georgia are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityGeorgia Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination85%94%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season71%94%

Long-Term Stay Deficiencies

Percent of High-Risk Long-Stay Residents Who Have Pressure Sores19%11%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair15%8%
Percent of Long-Stay Residents Who Are More Depressed or Anxious14%15%
Percent of Long-Stay Residents Who Lose Too Much Weight13%8%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%4%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse7%10%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%2%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder58%51%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased9%13%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection10%10%
Percent of Long-Stay Residents Who Were Physically Restrained5%3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination49%88%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season46%88%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain32%16%
Percent of Short-Stay Residents Who Have Delirium8%4%
Percent of Short-Stay Residents Who Have Pressure Sores13%12%

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 02/02/2011.

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: 09/11/2008
  • Correction Date: 10/10/2008
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 10/29/2009
  • Correction Date: 12/11/2009
Quickly Tell the Resident's Doctor the Results of Lab Tests.
  • Inspection Date: 10/29/2009
  • Correction Date: 12/11/2009

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/10/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/10/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 02/02/2011
  • Correction Date: 03/18/2011

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: 02/02/2011
  • Correction Date: 03/18/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/10/2008
Provide Food in a Way That Meets a Resident's Needs.
  • Inspection Date: 10/29/2009
  • Correction Date: 12/11/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 10/29/2009
  • Correction Date: 12/11/2009

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/10/2008
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 02/02/2011
  • Correction Date: 03/18/2011

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/10/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/10/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/10/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/10/2008
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/10/2008
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/10/2008
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 10/29/2009
  • Correction Date: 12/11/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 10/29/2009
  • Correction Date: 12/11/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 10/29/2009
  • Correction Date: 12/11/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 10/29/2009
  • Correction Date: 12/11/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 10/29/2009
  • Correction Date: 12/11/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 10/29/2009
  • Correction Date: 12/11/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 10/29/2009
  • Correction Date: 12/11/2009
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting.
  • Inspection Date: 10/29/2009
  • Correction Date: 12/11/2009
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 10/29/2009
  • Correction Date: 12/11/2009
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Inspection Date: 10/29/2009
  • Correction Date: 12/11/2009
Give or Get Special Rehabilitation if in the Patient's Plan of Care.
  • Inspection Date: 10/29/2009
  • Correction Date: 12/11/2009
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 02/02/2011
  • Correction Date: 03/18/2011
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 02/02/2011
  • Correction Date: 03/18/2011
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 02/02/2011
  • Correction Date: 03/18/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 02/02/2011
  • Correction Date: 03/18/2011
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 02/02/2011
  • Correction Date: 03/18/2011

Resident Assessment

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: 09/11/2008
  • Correction Date: 10/10/2008
Make Sure That Doctors Visit Residents Regularly, As Required.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/10/2008

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/10/2008
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/10/2008
Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/10/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 10/29/2009
  • Correction Date: 12/11/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 02/02/2011
  • Correction Date: 03/18/2011

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)09/11/2008$9,425

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Muscogee Manor & Rehab Center, 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

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 09/01/2010
  • Correction Date: 10/15/2010
Give or Get Lab Tests to Meet the Needs of Residents.
  • Complaint Filed: 02/02/2011
  • Correction Date: 03/18/2011
Quickly Tell the Resident's Doctor the Results of Lab Tests.
  • Complaint Filed: 02/02/2011
  • Correction Date: 03/18/2011

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Complaint Filed: 04/24/2008
  • Correction Date: 04/24/2008

Quality Care

Make Sure That Each Resident's Nutritional Needs Were Met.
  • Complaint Filed: 04/24/2008
  • Correction Date: 06/08/2008

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: 09/01/2010
  • Correction Date: 10/15/2010

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 Muscogee Manor & Rehab Center 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 02/02/2011.

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

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/10/2008

Building Construction

Fire-Resistant Interior Walls.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/10/2008

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/10/2008
Properly Protected Cooking Facilities.
  • Inspection Date: 10/29/2009
  • Correction Date: 12/11/2009

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/10/2008

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 10/29/2009
  • Correction Date: 12/11/2009

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/10/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/10/2008

Interior Finish

Fire-Resistant Interior Walls.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/10/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 09/11/2008
  • Correction Date: 10/10/2008
Source: Medicare Nursing Home Compare; Department of Human Resources of Georgia - Office of Regulatory Services - Retrieved 2011