| The Laurels of Willow Creek | |
| 11611 Robious Road, Midlothian, Virginia 23113 | |
| (804) 379-4771 | |
| Name | The Laurels of Willow Creek |
|---|---|
| Location | 11611 Robious Road, Midlothian, Virginia |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 120 |
| Occupancy Rate | 93.33% |
| Medicare ID (CCN) | 495257 |
| Legal Business Name | Oak Health Care Investors of Richmond Virginia, Inc. |
| Ownership Type | For Profit - Corporation |
| Chain | Ciena Healthcare/laurel Health Care (81 nursing homes) |
| Chain Average Overall Rating | 2.8 out of 5 |
| NPI Number | 1578518577 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Oak Health Care Investors of Richmond Virginia, Inc. |
| Doing Business As | The Laurels of Willow Creek |
| Address | 11611 Robious Rd, Midlothian, VA 23113 |
| Phone Number | 804-379-4771 |
| NPI Number | 1316802267 |
| Match | Possible same name, address or phone number |
| Organization Name | Robious Health & Rehab Center, LLC |
| Address | 11611 Robious Rd, Midlothian, VA 23113 |
| Phone Number | 804-379-4771 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.24 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.5 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.84 | 0.86 |
| Nurse aide hours per resident per day | 1.9 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.79 | 3.42 |
| RN hours per resident per day on the weekend | 0.33 | 0.48 |
| Physical therapist hours per resident per day | 0.1 | 0.07 |
| Total nursing staff turnover | 47% | 45.8% |
| Registered nurse turnover | 33.3% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Sep 13, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Oct 16, 2023 |
| Sep 13, 2023 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Oct 16, 2023 |
| Sep 13, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Oct 16, 2023 |
| Sep 13, 2023 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Oct 16, 2023 |
| Sep 13, 2023 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Oct 16, 2023 |
| Sep 13, 2023 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Oct 16, 2023 |
| Sep 13, 2023 | 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. F0585, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Oct 16, 2023 |
| Sep 13, 2023 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Oct 16, 2023 |
| Sep 13, 2023 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Oct 16, 2023 |
| Sep 13, 2023 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 16, 2023 |
| Sep 13, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Oct 16, 2023 |
| Sep 13, 2023 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 16, 2023 |
| Sep 13, 2023 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 16, 2023 |
| Sep 13, 2023 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. F0700, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 16, 2023 |
| Sep 13, 2023 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by Oct 16, 2023 |
| Sep 13, 2023 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. F0800, Nutrition and Dietary, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Oct 16, 2023 |
| Sep 13, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Oct 16, 2023 |
| Sep 13, 2023 | Post nurse staffing information every day. F0732, Nursing and Physician Services, Standard inspection | Minimal harm potential, widespread | Corrected by Oct 16, 2023 |
| Mar 24, 2022 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Jun 2, 2022 |
| Mar 24, 2022 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Actual harm, isolated | Corrected by Apr 19, 2022 |
| Mar 24, 2022 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Jun 2, 2022 |
| Mar 24, 2022 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Jun 2, 2022 |
| Mar 24, 2022 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Jun 2, 2022 |
| Mar 24, 2022 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Apr 19, 2022 |
| Mar 24, 2022 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Apr 19, 2022 |
| Mar 24, 2022 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 19, 2022 |
| Mar 24, 2022 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 19, 2022 |
| Mar 24, 2022 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 19, 2022 |
| Mar 24, 2022 | PASARR screening for Mental disorders or Intellectual Disabilities F0645, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 19, 2022 |
| Mar 24, 2022 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 19, 2022 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.76 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 10.26 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.44 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 1.12 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.47 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.23 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 71.44 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.8 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 13.85 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.01 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.52 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 9.13 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 32.45 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 11.21 | 15.38 |
The Haven at Brandermill Woods Location: 2100 Brandermill Pkwy, Midlothian, Virginia 23112 Phone: (804) 379-7100 |