1. Facility Overview

Bedrock Rehabilitation & Nursing Center at Vista Manor is a skilled nursing facility located at 1550 Jess Parrish Ct., Titusville, FL. Here are the key details:

• Capacity: 120 beds
• Current Occupancy: Approximately 108 residents (90% occupancy rate)
• Ownership: For-profit, corporate entity
• Medicare/Medicaid: Certified for both programs
• Years in Operation: Since September 16, 1985

2. Rehabilitation Programs and Services

2.1 Short-Term Rehabilitation

Vista Manor offers short-term rehabilitation programs designed for patients recovering from hospital stays due to conditions such as strokes, heart attacks, infections, or injuries.

Key Performance Metric:

• 45.6% of short-term residents successfully return home after discharge
  • Note: This is below the state average of 49.6% and national average of 50.4%

Actionable Recommendation:
To improve the success rate of short-term rehabilitation, consider implementing a comprehensive discharge planning process:

1. Begin discharge planning at admission
2. Involve a multidisciplinary team (nurses, therapists, social workers)
3. Conduct home assessments prior to discharge
4. Provide detailed, written discharge instructions
5. Schedule follow-up calls within 48 hours of discharge
6. Offer a transitional care program for the first 30 days post-discharge

2.2 Therapy Services

Vista Manor provides three primary therapy services:

1. Physical Therapy: Focuses on improving mobility, strength, and balance
2. Occupational Therapy: Aims to enhance independence in daily living activities
3. Speech Therapy: Addresses communication and swallowing difficulties

Actionable Recommendation:
To differentiate your therapy services:

1. Invest in state-of-the-art rehabilitation equipment (e.g., AlterG Anti-Gravity Treadmill, Bioness Integrated Therapy System)
2. Offer specialized therapy programs for conditions like Parkinson’s disease or stroke recovery
3. Implement a robust outcomes measurement system to track and showcase therapy effectiveness
4. Create a “therapy garden” for outdoor rehabilitation sessions, enhancing patient engagement

2.3 Long-Term Care Services

For residents requiring ongoing assistance, Vista Manor offers long-term care services.

Key Performance Metric:

• 90.4% of long-term residents maintain their ability to perform daily activities independently

Services Include:

• 24/7 nursing supervision
• Medication management
• Personal care assistance
• Social and recreational activities

3. Quality of Nursing Care

3.1 Staffing Levels

Current Staffing: 3 hours and 30 minutes of nursing care per resident per day

• Note: This is below the state average of 3 hours 52 minutes and national average of 3 hours 46 minutes

Staff Turnover Rate: 68.4% (significantly higher than state and national averages)

Actionable Recommendations to Improve Staffing:

1. Implement a comprehensive staff retention program:
   • Offer competitive salaries and benefits
   • Provide career advancement opportunities
   • Recognize and reward exceptional performance
2. Establish a mentorship program for new hires
3. Conduct regular staff satisfaction surveys and address concerns promptly
4. Offer flexible scheduling options to improve work-life balance
5. Invest in ongoing training and professional development opportunities

3.2 Quality Metrics

Actionable Recommendations to Improve Quality Metrics:

1. Implement a comprehensive fall prevention program:
   • Conduct regular environmental safety audits
   • Provide balance and strength training for residents
   • Ensure proper lighting and use of assistive devices
2. Enhance infection control measures:
   • Implement a hand hygiene compliance monitoring system
   • Conduct regular staff training on infection prevention
   • Establish an antibiotic stewardship program
3. Reduce emergency room visits:
   • Implement telemedicine services for after-hours consultations
   • Enhance on-site diagnostic capabilities (e.g., mobile X-ray, lab services)
   • Develop clear protocols for managing common acute conditions

4. Patient Reviews and Satisfaction

Patient reviews for Vista Manor are mixed, with an overall rating of 2.3 out of 5 stars on SeniorCare.com.

Positive Feedback:

• Responsive nursing staff
• Quality of physical therapy services
• Good food quality

Areas of Concern:

• Cleanliness of the facility
• Timeliness of medication administration
• Support for daily living activities

Actionable Recommendations to Improve Patient Satisfaction:

1. Implement a robust quality assurance program:
   • Conduct regular resident satisfaction surveys
   • Establish a resident council to address concerns
   • Create a “secret shopper” program with family members
2. Enhance the facility’s cleanliness:
   • Implement a comprehensive cleaning schedule
   • Conduct regular cleanliness audits
   • Invest in modern cleaning technologies (e.g., UV disinfection)
3. Improve medication management:
   • Implement an electronic medication administration record system
   • Conduct regular medication reconciliation
   • Provide ongoing training for staff on medication safety

5. Amenities and Living Experience

Vista Manor offers several amenities to enhance the resident experience:

• Social Activities: Musical performances, arts and crafts, social outings
• Community Engagement: Various clubs and group activities
• Dining: Positive feedback on food quality

Actionable Recommendations to Enhance Living Experience:

1. Develop a comprehensive life enrichment program:
   • Offer a diverse calendar of activities catering to various interests
   • Implement a resident-led activity planning committee
   • Partner with local organizations for intergenerational programs
2. Enhance the dining experience:
   • Implement a restaurant-style dining program
   • Offer cooking classes or demonstrations
   • Create themed dining events (e.g., international cuisine nights)
3. Improve the physical environment:
   • Renovate common areas to create a more home-like atmosphere
   • Develop outdoor spaces for gardening and relaxation
   • Implement a pet therapy program

6. Unique Features and Specialties

While Vista Manor offers a range of standard services, there are areas where the facility could develop unique specialties to set itself apart:

Actionable Recommendations for Developing Specialties:

1. Create a Memory Care Unit:
   • Develop a specialized program for residents with dementia
   • Train staff in advanced dementia care techniques
   • Design a secure, dementia-friendly environment
2. Establish a Cardiac Rehabilitation Program:
   • Partner with local cardiologists for specialized care
   • Invest in cardiac monitoring equipment
   • Offer heart-healthy cooking classes and nutrition counseling
3. Develop a Comprehensive Wound Care Center:
   • Invest in advanced wound care technologies
   • Train staff in specialized wound care techniques
   • Offer outpatient wound care services to the community

7. Financial Information

• Starting price for services: Approximately $1,500
• Average cost in the community: $4,491
• Accepts both Medicare and Medicaid

Actionable Recommendation:
Develop a transparent pricing structure and financial counseling service to help potential residents and their families understand costs and payment options. This could include:

1. Creating detailed pricing breakdowns for different levels of care
2. Offering financial planning workshops for families
3. Providing assistance with Medicaid application processes

8. Areas for Improvement

Based on recent government inspections and quality metrics, Vista Manor has several areas that require immediate attention:

1. Health and Safety Compliance: Address violations noted in recent inspections, particularly those related to resident rights and care quality.
2. Staff Retention: Implement strategies to reduce the high staff turnover rate of 68.4%.
3. Emergency Room Visits: Develop protocols to reduce the rate of emergency room visits (currently 15.2%, above state and national averages).
4. COVID-19 Vaccination Rates: Significantly improve vaccination rates for both residents (currently 3.5%) and staff (currently 0.0%).

Actionable Recommendation:
Develop a comprehensive quality improvement plan addressing these key areas:

1. Establish a Quality Assurance and Performance Improvement (QAPI) committee
2. Set specific, measurable goals for each area of concern
3. Implement staff training programs focused on areas of deficiency
4. Conduct monthly audits to track progress
5. Engage with residents and families to gather feedback on improvements

By addressing these areas, Vista Manor can significantly enhance its quality of care, resident satisfaction, and overall reputation in the Titusville area.