CMS data shows Kerr Lake Nursing And Rehabilitation Center earning a D grade with a score of 47/100, placing it below most facilities in North Carolina. Prospective residents and families should carefully review the specific areas of concern detailed below.
Staffing at Kerr Lake Nursing And Rehabilitation Center is near the national average, with 4.16 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 11 deficiencies at Kerr Lake Nursing And Rehabilitation Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in develo.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.16 | 3.8 | Average |
| Registered Nurses (RN) | 0.54 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.08 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.54 | 2.4 | Average |
| Weekend Total Nursing | 3.79 | 3.8 | Average |
| Weekend RN Hours | 0.30 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0756 Severity EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in develoNov 5, 2024 · Pharmacy Service Deficiencies
- Tag 0758 Severity DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psyNov 5, 2024 · Pharmacy Service Deficiencies
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Apr 30, 2024 · Quality of Life and Care Deficiencies
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Apr 30, 2024 · Quality of Life and Care Deficiencies
- Tag 0867 Severity DSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Apr 30, 2024 · Administration Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 6.9% | 4.5% | Worse |
| Falls with major injury | 1.4% | 3.0% | Better |
| On antipsychotic medication | 9.7% | 14.5% | Better |
| Urinary tract infections | 1.0% | 2.5% | Better |
| ADL decline (daily activities) | 15.4% | 14.0% | Worse |
| Excessive weight loss | 7.6% | 7.5% | Average |
| New/worsened incontinence | 9.2% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $32,269
How This Grade Was Calculated
This facility's grade of D is based on a score of 47 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -3 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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