CMS data shows The Oaks-Brevard earning a D grade with a score of 46/100, placing it below most facilities in North Carolina. Prospective residents and families should carefully review the specific areas of concern detailed below.
Staffing at The Oaks-Brevard is near the national average, with 3.56 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 31 deficiencies at The Oaks-Brevard. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.56 | 3.8 | Average |
| Registered Nurses (RN) | 1.09 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.48 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 1.99 | 2.4 | Below Average |
| Weekend Total Nursing | 3.07 | 3.8 | Below Average |
| Weekend RN Hours | 0.71 | 0.7 | Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0680 Severity FEnsure the activities program is directed by a qualified professional.Dec 17, 2024 · Quality of Life and Care Deficiencies
- Tag 0565 Severity EHonor the resident's right to organize and participate in resident/family groups in the facility.Dec 17, 2024 · Resident Rights Deficiencies
- Tag 0679 Severity EProvide activities to meet all resident's needs.Dec 17, 2024 · Quality of Life and Care Deficiencies
- Tag 0585 Severity DHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt eDec 17, 2024 · Resident Rights Deficiencies
- Tag 0756 Severity DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in develoDec 17, 2024 · Pharmacy Service 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 | 6.0% | 4.5% | Worse |
| Falls with major injury | 4.0% | 3.0% | Worse |
| On antipsychotic medication | 20.9% | 14.5% | Worse |
| Urinary tract infections | 1.6% | 2.5% | Better |
| ADL decline (daily activities) | 23.6% | 14.0% | Worse |
| Excessive weight loss | 7.0% | 7.5% | Average |
| New/worsened incontinence | 24.0% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $6,936
How This Grade Was Calculated
This facility's grade of D is based on a score of 46 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -0 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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