Litchford Falls Healthcare

8200 LITCHFORD ROAD
Raleigh, NC 27615
(919) 878-7772
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 90
Number of Residents: 84
Percent of Occupied Beds: 93%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital? No
Multi Nursing Home Ownership? No
Resident and Family Councils? Both
Continuing Care Retirement Community? No
Quality Indicator Survey? No
Special Focus Facility? No
Overall: 1 Star Overall Rating
Health Inspection: 1 Star Health Inspection Rating
Nurse Staffing: 1 Star Nurse Staffing Rating
Quality Measures: 3 Star Quality Measures Rating
RN Only: 2 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20071203 Fire Safety Building Construction Deficiencies approved construction type or materials. Isolated Minimal harm or potential for actual harm 20071220
20071203 Fire Safety Corridor Walls and Doors Deficiencies corridors that are separated from common areas by walls constructed to limit the passage of smoke. Isolated Minimal harm or potential for actual harm 20071220
20071203 Fire Safety Corridor Walls and Doors Deficiencies corridor and hallway doors that block smoke. Isolated Minimal harm or potential for actual harm 20071220
20071203 Fire Safety Corridor Walls and Doors Deficiencies signs that state that exit doors are to be kept closed. Isolated Minimal harm or potential for actual harm 20071220
20071203 Fire Safety Exit and Exit Access Deficiencies at least two remote exits on each floor or fire section of the building. Widespread Immediate jeopardy to resident health or safety 20071220
20071203 Fire Safety Exits and Egress Deficiencies exits that are accessible at all times. Pattern Minimal harm or potential for actual harm 20071220
20071203 Fire Safety Illumination and Emergency Power Deficiencies proper backup exit lighting. Isolated Minimal harm or potential for actual harm 20071220
20071203 Fire Safety Emergency Plans and Fire Drills Deficiencies did not have a written emergency evacuation plan. Isolated Minimal harm or potential for actual harm 20071220
20071203 Fire Safety Fire Alarm Systems Deficiencies a fire alarm system that can be heard throughout the facility. Isolated Minimal harm or potential for actual harm 20071220
20071203 Fire Safety Automatic Sprinkler Systems Deficiencies an approved automatic sprinkler system connected to the fire alarm system. Isolated Minimal harm or potential for actual harm 20080619
20071203 Fire Safety Building Service Equipment Deficiencies heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Isolated Minimal harm or potential for actual harm 20071220
20071203 Fire Safety Miscellaneous Deficiencies fire safety features required by current fire safety codes. Isolated Minimal harm or potential for actual harm 20071220
20071203 Fire Safety Electrical Deficiencies properly installed electrical wiring and equipment. Isolated Minimal harm or potential for actual harm 20071220
20090724 Health Resident Rights Deficiencies 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. Isolated Minimal harm or potential for actual harm 20090727
20090724 Health Quality Care Deficiencies Give professional services that follow each resident's written care plan. Isolated Minimal harm or potential for actual harm 20090727
20090724 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Immediate jeopardy to resident health or safety 20090727
20090724 Health Administration Deficiencies Get proof that a nurse aide has the training and skills that the State requires. Isolated Minimal harm or potential for actual harm 20090727
20100804 Health Quality Care Deficiencies Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. Isolated Minimal harm or potential for actual harm 20100827
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 98
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 100
Percent of long-stay residents whose need for help with daily activities has increased: 17
Percent of long-stay residents who have moderate to severe pain: 3
Percent of high-risk long-stay residents who have pressure sores: 13
Percent of low-risk long-stay residents who have pressure sores: 3
Percent of long-stay residents who were physically restrained: 4
Percent of long-stay residents who are more depressed or anxious: 12
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 62
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 2
Percent of long-stay residents who spend most of their time in bed or in a chair: 1
Percent of long-stay residents whose ability to move about in and around their room got worse: 9
Percent of long-stay residents who had a urinary tract infection: 12
Percent of long-stay residents who lose too much weight: 9
Percent of short-stay residents given influenza vaccination during the flu season: 93
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 99
Percent of short-stay residents who have delirium: 5
Percent of short-stay residents who had moderate to severe pain: 15
Percent of short-stay residents who have pressure sores: 8
# of Residents: 84
# RN Hours per Resident: 0.47
# LPN Hours per Resident: 0.71
# CNA Hours per Resident: 1.35
Total Staff Hours per Resident: 1.18