Cadia Rehabilitation Renaissance in Millsboro, Delaware

Nursing Home Ratings • Delaware • Millsboro

Cadia Rehabilitation Renaissance is a for-profit nursing home. It has a total of 120 beds available, 116 are occupied. The occupancy rate is 97 percent. This facility accepts Medicare and Medicaid. Cadia Rehabilitation Renaissance is not located within a hospital. The most recent health inspection of this facility was on 03-23-12. The last fire safety inspection was on 03-26-12, and is fully sprinklered. The owner of this nursing home owns other nursing home facilities. Cadia Rehabilitation Renaissance has family councils. Number of enforcement actions: 1. The provider number is #085052.

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Cadia Rehabilitation Renaissance

26002 John J Williams Highway

Millsboro, DE, 19966

Work (302) 947-4200

County: Sussex Nursing homes in Sussex County

Nursing Home Statistics

Title	Stat
Certified Number of Beds	120
Total Number of Residents	116
Percent of Occupied Beds	97%
Sprinkler Status	Fully Sprinklered
Medicare, Medicaid, or Both	Medicare and Medicaid
Located Within a Hospital	No
Type of Ownership	For Profit - Corporation
Multi-Nursing Home Ownership	Yes
Resident and Family Councils	Resident
Continuing Care Retirement Community	No
Special Focus Facility	No

Cadia Rehabilitation Renaissance Ratings

Name	Rating
Overall Rating	3 out of 5 stars
Health Inspections	2 out of 5 stars
Nurse Staffing	4 out of 5 stars
RN Only	5 out of 5 stars
Quality Measures	4 out of 5 stars
Average Rating	3.6 out of 5 stars

Overall Rating: 3 out of 5 stars Dept of Health and Human Services on 03-23-12

Staffing Information

Title	Stat
Number of RN Hours Per Resident Per Day	1.00
Number of LPN/LVN Hours Per Resident Per Day	.96
Total Number of Licensed Staff Hours Per Resident Per Day	1.96
Number of CNA Hours Per Resident Per Day	2.17
Number of Therapy Hours Per Resident Per Day	.10

Resident Survey (18) +

Nursing Home Treatment Deficiencies (35) +

Survey Date	Date of Correction	Category	Description	Scope	Level of Harm
12-19-08		Mistreatment Deficiencies	1) Hire only people with 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.	Few	2
12-19-08		Quality Care Deficiencies	Provide necessary care and services to maintain the highest well being of each resident .	Few	2
12-19-08		Quality Care Deficiencies	Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene.	Few	2
12-19-08		Quality Care Deficiencies	Develop policies and procedures for influenza and pneumococcal immunizations.	Few	2
12-19-08		Administration Deficiencies	Keep accurate, complete and organized clinical records on each resident that meet professional standards.	Some	1
08-19-10		Interior Finish Deficiencies	fire-resistant room wall surfaces.	Few	2
08-19-10		Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	Many	1
08-19-10		Vertical Openings Deficiencies	exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors.	Some	1
08-19-10		Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	Many	1
08-19-10		Miscellaneous Deficiencies	other fire safety features required by fire safety codes.	Few	2
08-19-10		Electrical Deficiencies	properly installed electrical wiring and equipment.	Some	1
08-12-10		Resident Rights Deficiencies	Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality.	Some	2
08-12-10		Resident Rights Deficiencies	Give notice to the resident before a room or roommate change.	Some	1
08-12-10		Environmental Deficiencies	Provide housekeeping and maintenance services.	Some	1
08-12-10		Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Few	2
08-12-10		Quality Care Deficiencies	Make sure services provided by the nursing facility meet professional standards of quality.	Few	2
08-12-10		Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Few	3
08-12-10		Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	Some	2
03-23-12		Resident Rights Deficiencies	Try to resolve each resident's complaints quickly.	Few	2
03-23-12		Mistreatment Deficiencies	1) Hire only people with 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.	Few	2
03-23-12		Mistreatment Deficiencies	Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property.	Some	2
03-23-12		Resident Rights Deficiencies	Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality.	Few	2
03-23-12		Quality Care Deficiencies	Provide activities to meet the interests and needs of each resident.	Few	2
03-23-12		Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Few	2
03-23-12		Resident Assessment Deficiencies	Allow the resident the right to participate in the planning or revision of the resident's care plan.	Few	2
03-23-12		Quality Care Deficiencies	Provide necessary care and services to maintain the highest well being of each resident .	Some	2
03-23-12		Quality Care Deficiencies	Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene.	Some	2
03-23-12		Quality Care Deficiencies	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function.	Few	2
03-23-12		Quality Care Deficiencies	Give each resident enough fluids to keep them healthy and prevent dehydration.	Few	2
03-23-12		Pharmacy Service Deficiencies	1) Make sure that each resident's drug regimen is free from unnecessary drugs',' 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being.	Few	2
03-23-12		Nutrition and Dietary Deficiencies	Store, cook, and serve food in a safe and clean way.	Some	2
03-23-12		Quality Care Deficiencies	Provide routine and 24-hour emergency dental care for each resident.	Few	2
03-23-12		Environmental Deficiencies	Have a program that investigates, controls and keeps infection from spreading.	Some	2
03-23-12		Administration Deficiencies	1) Review the work of each nurse aide every year',' and 2) give regular in-service training based upon these reviews.	Some	2
03-23-12		Administration Deficiencies	Keep accurate, complete and organized clinical records on each resident that meet professional standards.	Few	2

Nursing Home Inspections and Abuse Reports (25) +

Survey Date	Date of Correction	Category	Description	Scope
12-18-12		Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident.	Few
12-18-12		Pharmacy Service Deficiencies	Make sure that residents are safe from serious medication errors.	Some
12-18-12		Administration Deficiencies	Keep accurate, complete and organized clinical records on each resident that meet professional standards.	Few
11-10-11		Resident Rights Deficiencies	Tell the resident completely about his or her health status, care and treatments.	Few
11-10-11		Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident.	Few
11-10-11		Quality Care Deficiencies	Provide medically-related social services to help each resident achieve the highest possible quality of life.	Few
11-10-11		Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Few
11-10-11		Quality Care Deficiencies	Provide necessary care and services to maintain the highest well being of each resident .	Few
11-10-11		Environmental Deficiencies	Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents.	Few
11-10-11		Environmental Deficiencies	Have a program that investigates, controls and keeps infection from spreading.	Few
11-10-11		Administration Deficiencies	Give or get quality lab services/tests in a timely manner to meet the needs of residents.	Few
11-10-11		Administration Deficiencies	Keep accurate, complete and organized clinical records on each resident that meet professional standards.	Few
07-22-10		Mistreatment Deficiencies	1) Hire only people with 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.	Few
07-22-10		Quality Care Deficiencies	Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene.	Few
03-24-12		Mistreatment Deficiencies	1) Hire only people with 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.	Few
03-24-12		Mistreatment Deficiencies	Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property.	Some
03-23-12		Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident.	Few
03-23-12		Resident Rights Deficiencies	Provide written records when a resident is transferred or discharged.	Few
02-27-12		Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Few
02-27-12		Quality Care Deficiencies	Provide necessary care and services to maintain the highest well being of each resident .	Few
02-27-12		Pharmacy Service Deficiencies	Make sure that residents are safe from serious medication errors.	Few
02-27-12		Resident Assessment Deficiencies	Make sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor.	Few
02-27-12		Pharmacy Service Deficiencies	Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.	Few
02-27-12		Environmental Deficiencies	Have a program that investigates, controls and keeps infection from spreading.	Few
02-27-12		Administration Deficiencies	Keep accurate, complete and organized clinical records on each resident that meet professional standards.	Few

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Nursing Home Ratings • Delaware • Millsboro

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Measure	Score
Percent of long-stay residents who lose too much weight.	5.3%
Percent of long-stay residents experiencing one or more falls with major injury.	3.2%
Percent of long-stay high-risk residents with pressure ulcers.	5.0%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine.	88.8%
Percent of long-stay residents who self-report moderate to severe pain.	13.6%
Percent of long-stay residents whose need for help with daily activities has increased.	15.9%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder.	3.1%
Percent of short-stay residents with Pressure ulcers that are new or worsened.	2.4%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine.	94.1%
Percent of short-stay residents who newly received an antipsychotic medication.	2.1%
Percent of long-stay residents with a urinary tract infection.	0.4%
Percent of short-stay residents who self-report moderate to severe pain.	31.2%
Percent of long-stay residents who have depressive symptoms.	4.9%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine.	92.4%
Percent of long-stay residents who were physically restrained.	0.0%
Percent of long-stay residents who received an antipsychotic medication.	28.5%
Percent of long-stay low-risk residents who lose control of their bowels or bladder	32.9%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine.	94.8%