EASTERN SHORE REHABILITATION AND HEALTH CENTER Inspection Report, Violations & Safety Grade (DAPHNE, Alabama)

101 VILLA DRIVE, DAPHNE, Alabama 36526

Phone: 2516214200

CMS Overall:4/5

Overview & Bed Count

Certified Beds

117

Avg Residents/Day

100.8

Ownership

Non profit - Corporation

Provider Type

Medicare and Medicaid

County

Baldwin

Sprinkler Systems

Yes

Special Focus

None

Abuse Citation

Overall4/5

Health3/5

Staffing5/5

Quality4/5

Metric	This Facility	Alabama Avg	Difference
RN Hours per Resident per Day	0.79	0.66	+0.13
Total Nurse Hours per Resident per Day	4.07	3.90	+0.17
CMS Staffing Rating	5/5	3.7/5	-
Nursing Staff Turnover	50.0%	46.8%	-

7 health citations on record

Date	Category	Description	Severity
2021-03-26	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	E – Moderate Harm Potential
2021-03-26	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	D – Moderate Harm Potential
2021-03-26	Quality of Life and Care Deficiencies	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	D – Moderate Harm Potential
2019-01-31	Resident Assessment and Care Planning Deficiencies	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.	D – Moderate Harm Potential
2019-01-31	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D – Moderate Harm Potential
2019-01-31	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D – Moderate Harm Potential
2018-02-15	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D – Moderate Harm Potential

6 fire safety citations on record

Date	Category	Description	Severity
2021-03-26	Emergency Preparedness Deficiencies	Establish an Emergency Preparedness Program (EP).	F – Moderate Harm Potential
2019-01-31	Gas, Vacuum, and Electrical Systems Deficiencies	Have a properly installed medical gas master alarm panel.	E – Moderate Harm Potential
2019-01-31	Smoke Deficiencies	Provide properly protected cooking facilities.	D – Moderate Harm Potential
2019-01-31	Miscellaneous Deficiencies	Have restrictions on the use of portable space heaters.	D – Moderate Harm Potential
2018-02-15	Emergency Preparedness Deficiencies	Address patient/client population and determine types of services needed.	C – Minimal Harm Potential
2018-02-15	Emergency Preparedness Deficiencies	Provide primary/alternate means for communication.	C – Minimal Harm Potential

Total Fine Amount (CMS)

Number of Fines

Total Penalties

No penalty records found.

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