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Bradley Creek Health Center in Wilmington, NC

740 Diamond Shoals Road, Wilmington, NC 28403
9107697550
Hours not listed yet
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Overall CMS Rating

5.0/5

vs State Average: 2.9 stars

5.0/5

Health Inspections

vs State Average: 2.9/5

5.0/5

Staffing Level

vs State Average: 2.7/5

4.0/5

Quality Measures

vs State Average: 3.2/5

0 penaltiesin last 3 years
Penalties
vs State Average: 1.6 penalties

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Ratings Deep Dive

Score
5.0
State Average
2.9
National Average
2.8
5Deficiencies found in last inspections
0Penalties in last 3 years
0Fines issued
CitationDateDescriptionSeverity
F760Apr 11, 2024Ensure that residents are free from significant medication errors.D
F580Apr 11, 2024Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
F758Apr 11, 2024Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D
F761Dec 22, 2022Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D
F812Dec 22, 2022Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
Score
5.0
State Average
2.7
National Average
2.9
1.4RN Hours / Resident / Day
4.7Total Nurse Hours / Resident / Day
12.5%RN Turnover Rate
Score
4.0
State Average
3.2
National Average
3.6
Long-Stay QM Rating
4.0Short-Stay QM Rating
28.3Avg Residents Per Day
MeasureScoreType
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay
Percentage of long-stay residents who lose too much weightLong Stay
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay
Percentage of long-stay residents with a urinary tract infectionLong Stay
Percentage of long-stay residents who have depressive symptomsLong Stay
Percentage of long-stay residents who were physically restrainedLong Stay
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccineLong Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccineShort Stay
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay

Ownership & Compliance

Ownership Info

Ownership information has not been added yet.

Ownership Info CMS
Ownership Data Not Available
Recent Penalties

No penalty records found.

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