The Laurels of University Park: A Comprehensive Overview
The Laurels of University Park, located in Richmond, Virginia, offers both short-term rehabilitation and long-term care services. This nursing home facility is a large, for-profit corporation with 145 beds. While it operates independently and is not part of a continuing care retirement community, it aims to provide comprehensive care to its residents.
Services and Costs
The Laurels of University Park provides nursing home care for residents who require it. The cost of care ranges from $1,500 to $6,691 per month, with potential additional costs depending on the services required. It's important to note that the facility does not permit residents to have pets.
Original Medicare may cover short-term rehabilitation for up to 100 days (lifetime) following a hospital stay of at least 3 inpatient days, after the deductible is met. Long-term nursing home care may be covered by Medicaid at some facilities after long-term care insurance and personal savings have been exhausted. It's recommended to confirm cost and payment information directly with the nursing facility.
Reviews and Testimonials
Experiences at The Laurels of University Park vary widely, as reflected in numerous reviews. Some residents and their families have reported positive experiences, praising the attentive and caring staff. Fred Talbott, a friend or relative of a past resident, mentioned that his mother spent her final six months at the facility and felt loved and cared for by the staff. He highlighted the timely, positive, kind, focused, encouraging, and caring services provided, as well as the excellent food.
W.S.S., a former patient who received hospice care at The Laurels, found the facility to be "pretty good in overall experience" compared to other nursing facilities. W.S.S. noted that while there are always some staff members who may need more training or empathy, the nurses, aides, and general staff were generally good.
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However, other reviews paint a less favorable picture. Kristina Z. described the facility as one of the worst she had seen, alleging that residents were not allowed to finish their meals and were scared of the staff. She also mentioned a terrible smell and residents being left in wheelchairs all day without proper care. HokieGirl74 gave a negative rating, recounting an incident where her grandmother experienced a significant delay in receiving necessary medication, leading to a return to the hospital within nine hours.
Catlover123 reported that their mother's room was dirty upon arrival and that call button response times were excessively long. Theprofessional expressed strong dissatisfaction, stating that the patient had not eaten a full meal since admission due to the facility's inability to meet specific dietary needs. GreenEyz claimed that the staff lacked training and compassion, with reports of verbal abuse and poor communication.
Conversely, Sabine found the staff to be nice and helpful, providing regular updates. Ms. Levor suggested that the facility is suitable for residents who can speak for themselves or have mobility, but noted potential issues otherwise, citing some aides as untrained or lazy. Barbara89979350 mentioned that while the staff did their best, her father experienced depression and loneliness due to a lack of socialization. Laura Gerlach reported that her grandfather did not receive the proper rehabilitation needed, and there were issues with obtaining a TV remote and missing personal items upon transfer to another facility.
Government Inspections and Ratings
The Centers for Medicare and Medicaid Services (CMS) conduct regular health, fire, and safety inspections of nursing homes. These inspections are critical for assessing the quality of care and adherence to federal regulations.
The Laurels of University Park has received an "As Expected" rating for long-term care. Recent health inspections revealed several violations, including issues related to:
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- Resident's personal and medical records not kept private and confidential.
- Transfer or discharge of a resident without an adequate reason.
- Failure to notify residents or their representatives in writing how long the nursing home will hold the resident's bed in cases of transfer to a hospital or therapeutic leave.
- Failure to ensure each resident receives an accurate assessment.
- PASARR screening for Mental disorders or Intellectual Disabilities
- Development and implementation of a complete care plan that meets all the resident's needs.
- Providing care and assistance to perform activities of daily living for any resident who is unable.
- Providing appropriate treatment and care according to orders, resident's preferences and goals.
- Providing appropriate pressure ulcer care and prevent new ulcers from developing.
- Providing enough food/fluids to maintain a resident's health.
- Providing safe and appropriate respiratory care for a resident when needed.
- Providing safe, appropriate pain management for a resident who requires such services.
- Providing safe, appropriate dialysis care/services for a resident who requires such services.
- Observing each nurse aide's job performance and give regular training.
- Posting nurse staffing information every day.
- Procuring food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Disposing of garbage and refuse properly.
- Providing and implementing an infection prevention and control program.
- Developing and implementing policies and procedures for flu and pneumonia vaccinations.
- Educating residents and staff on COVID-19 vaccination.
- Ensuring nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
These violations indicate potential areas of concern within the facility's operations and care practices. The potential for harm associated with these violations ranged from "Very Low" to "Low," and the number of residents affected varied from "Few" to "Many."
Financial Metrics
Understanding the financial metrics of a nursing facility can provide insights into its operational efficiency and financial stability. Key financial indicators include:
- Gross Patient Revenue Per Adjusted Patient Day: The average full patient charge, based on charge schedules, per adjusted patient day. Patient days are adjusted by case mix and by outpatient and ancillary service revenues.
- Net Patient Revenue Per Adjusted Patient Day: The average dollar amount expected to be collected per adjusted patient day. Patient days are adjusted by case mix and by outpatient and ancillary service revenues.
- Cost Per Adjusted Patient Day: The average total operating cost per adjusted patient day. Patient days are adjusted by case mix and by outpatient and ancillary service revenues.
- Labor Cost Per Adjusted Patient Day: The average personnel expense per adjusted patient day. Patient days are adjusted by case mix and by outpatient and ancillary service revenues.
- Non-Labor Cost Per Adjusted Patient Day: The average supply, maintenance and non-personnel expense per adjusted admission or patient day. Patient days are adjusted by case mix and by outpatient and ancillary service revenues.
- Capital Cost Per Adjusted Patient Day: The average physical facility costs (e.g., expenses for depreciation, amortization, interest, insurance and taxes as related to the acquisition of permanent assets) per adjusted patient day. Patient days are adjusted by case mix and by outpatient and ancillary service revenues.
- Paid Hours Per Adjusted Patient Day: The average number of hours the nursing facility paid to employees or an agency, per adjusted patient day. Patient days are adjusted by case mix and by outpatient and ancillary service revenues.
- Total Margin: Expressed as a percentage, the profit or loss after tax expense that the facility generates in relation to its expenses.
- Return on Assets: Expressed as a percentage, the facility's ability to generate cash on its financial resources (e.g., investments, receivables, inventory, physical plant, etc.).
- Cash Debt Coverage Ratio: A measure of the facility's ability to generate cash to cover its long-term debt.
- Fixed Asset Financing Ratio: The percentage of asset value financed by long-term debt.
- Charity Care, Bad Debt and Taxes: Expressed as a percentage, it is the amount of charity care (converted to a cost basis), bad debt and taxes the facility incurred in relation to its total expenses.
- Medicaid Participation: Expressed as a percentage, it is the amount of patient days for patients enrolled in the Medicaid program in relation to total patient days. The number of patient days has been adjusted to account for outpatient service revenue.
These metrics provide a financial snapshot of the facility's performance and can be used to assess its ability to provide quality care and maintain financial stability.
Staffing Levels
Staffing levels are a critical component of nursing home quality. The Centers for Medicare & Medicaid Services (CMS) collect data on staffing and convert it into the number of staff hours per resident per day. This data includes information on residents' health, physical functioning, mental status, and general well-being. Comparing staffing levels across different nursing facilities should be done carefully.
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