Comprehensive Analysis: Bedrock Rehabilitation & Nursing Center at Vista Manor

• Facility overview

• Rehabilitation programs and services
  • Short-term rehabilitation
  • Therapy services
  • Long-term care services
• Quality of nursing care
  • Staffing levels
  • Quality metrics
• Patient reviews and satisfaction
• Amenities and living experience
• Unique features and specialties
• Financial information
• Areas for improvement

Facility overview

Bedrock Rehabilitation & Nursing Center at Vista Manor is located at 1550 Jess Parrish Ct., Titusville, FL. The facility has been operating since 1985.

• 120 licensed beds
• 108 residents currently (90% occupancy)
• For-profit operation
• Accepts Medicare and Medicaid
• Operating since September 1985

Rehabilitation programs and services

Short-term rehabilitation

Vista Manor provides short-term rehabilitation for patients recovering from strokes, heart attacks, infections, and injuries following hospitalization.

Discharge outcomes:

• 45.6% of short-term residents return home after discharge
  • This falls below Florida's average of 49.6% and the national average of 50.4%.

To improve discharge outcomes, the facility could:

1. Start discharge planning when a resident arrives
2. Involve nurses, therapists, and social workers in the process
3. Assess homes before discharge
4. Provide written discharge instructions
5. Call residents within 48 hours of leaving
6. Offer a transitional care program for the first 30 days after discharge

Therapy services

Vista Manor offers three therapy services.

1. Physical therapy helps residents improve mobility, strength, and balance.
2. Occupational therapy builds independence in everyday activities.
3. Speech therapy addresses communication and swallowing problems.

To stand out in therapy offerings, the facility could invest in:

1. Advanced equipment such as anti-gravity treadmills and integrated therapy systems
2. Offer specialized therapy programs for Parkinson's disease and stroke recovery.
3. Track therapy outcomes to measure effectiveness.
4. Create an outdoor therapy garden where residents can do rehabilitation sessions in a natural setting.

2.3 Long-term care services

Vista Manor provides long-term care for residents who need ongoing help with daily activities.

What residents can do independently:

• 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. Nursing care quality

3.1 Staffing levels

Vista Manor provides 3 hours and 30 minutes of nursing care per resident per day.

• This falls below the state average of 3 hours 52 minutes and the national average of 3 hours 46 minutes.

The facility's staff turnover rate is 68.4%, which is higher than both state and national averages.

To improve staffing and retention:

1. Increase pay and benefits to be competitive with other facilities in the area.
   • Create clear paths for career advancement.
   • Recognize staff for good performance.
   • Assign experienced nurses to mentor new hires.
2. Ask staff regularly what's working and what isn't, and respond to their concerns.
3. Offer scheduling flexibility so nurses can balance work and home life.
4. Fund training and professional development so staff can advance their skills.
5. 3.2 Quality metrics

Metric

Facility Rate

State Average

National Average

Falls with Major Injury

1.6%

0.8%

1.0%

Infections Resulting in Hospitalization

8.1%

7.4%

7.0%

Emergency Room Visits

Emergency Room Visits

15.2%

9.6%

11.9%

Ways to improve quality metrics:

1. Prevent falls:
   • Conduct regular environmental safety audits
   • Provide balance and strength training for residents
   • Ensure proper lighting and use of assistive devices
2. Control infections:

• Implement a hand hygiene compliance monitoring system
• Conduct regular staff training on infection prevention
• Establish an antibiotic stewardship program

1. 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

Patient reviews and satisfaction

Vista Manor has a 2.3 out of 5 star rating on SeniorCare.com based on resident and family reviews.

What residents and families praised:

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

Common complaints:

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

Ways to improve satisfaction:

1. Strengthen quality assurance:
   • Conduct regular resident satisfaction surveys
   • Establish a resident council to address concerns
   • Use family members as evaluators. Have them visit unannounced and assess the facility as outsiders would. This approach exposes gaps in cleanliness, care routines, and staff responsiveness that residents or staff might overlook. When family members spot problems directly, the facility gets honest feedback and can act on it.
2. Improve 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

Amenities and living experience

Vista Manor offers several amenities, including social activities, community programs, and dining.

• Residents can attend musical performances, arts and crafts sessions, and organized outings.
• The facility organizes clubs and group activities throughout the year.
• Residents report positive feedback about the food quality.

Ways to enhance the living experience

1. Expand activities and life enrichment:
   • Offer a varied schedule of activities suited to different interests and abilities.
   • Let residents help plan activities through a resident committee.
   • Partner with local schools and organizations for intergenerational programs where younger and older adults interact.
2. Improve dining:
   • Offer restaurant-style dining with more flexible schedules and menu choices.
   • Host cooking classes or demonstrations led by staff or visiting chefs.
   • Arrange themed dining events, such as international cuisine nights.
3. Upgrade common areas:
   • Redesign common areas to feel more like home than institutional space.
   • Many senior communities now develop outdoor spaces with accessible gardens, walking paths, and seating areas. These give residents chances to move, socialize, and rest. Time outdoors can reduce stress and improve mood. A well-designed outdoor space also strengthens community ties among residents.
   • Start a pet therapy program if residents are interested.

6. Unique features and specialties

Vista Manor could develop specialized programs to stand out from other facilities in the area.

Possible specialties to consider:

1. Memory care unit:
   • Create a specialized program for residents with dementia. This means training staff in dementia care, designing secure and dementia-friendly spaces, and tailoring activities to each resident's needs and abilities. A good memory care program maintains residents' dignity while providing the support they need.
   • Train staff in dementia care techniques specific to memory loss and behavioral needs.
   • Design secure spaces with clear signage, safe layouts, and calm environments.
2. Cardiac rehabilitation program:
   • Work with local cardiologists to provide specialized cardiac care.
   • Install cardiac monitoring equipment for residents who need it.
   • Offer heart-healthy cooking classes and nutrition counseling.
3. Wound care center:
   • Invest in advanced wound care technology.
   • Train staff in specialized wound care.
   • Provide wound care services to community members as well as residents.

7. Financial information

• Starting price: Approximately $1,500 per month.
• Average cost in the area: $4,491 per month.
• The facility accepts Medicare and Medicaid.

To help families make informed decisions, Vista Manor could offer clearer pricing information and financial guidance. This might include detailed breakdowns of costs by care level, financial planning workshops, and help with Medicaid applications.

1. Post detailed pricing for different levels of care so families understand what they are paying for.
2. Hold financial planning workshops to help families understand payment options and plan ahead.
3. Assist residents and families with Medicaid applications and paperwork.

Areas for improvement

Recent government inspections and quality metrics show Vista Manor has several significant problems to address.

1. Health and Safety Compliance: Recent inspections found violations related to resident rights and care quality that need to be corrected.
2. Staff Retention: The facility has a 68.4% annual turnover rate. New hiring and retention strategies are needed.
3. Emergency Room Visits: At 15.2%, Vista Manor's ER visit rate is above state and national averages. The facility should review why residents need emergency care and develop ways to reduce these visits.
4. COVID-19 Vaccination Rates: Only 3.5% of residents and 0% of staff are vaccinated. These rates are extremely low and create health risks.

To improve, Vista Manor should:

1. Create a Quality Assurance and Performance Improvement (QAPI) committee
2. Set specific, measurable goals for each problem. If a resident has mobility issues, for example, a goal might be to increase daily walking by 10% in a month, or safely use stairs with assistance. For cognitive health, goals could include 30 minutes of memory activities daily or learning three new facts each week. Measurable goals let you see progress and adjust care plans as needed.
3. Provide staff training to address gaps in care and safety
4. Conduct monthly audits to track progress
5. Ask residents and families for feedback on what's improving

Fixing these problems will improve care quality, resident satisfaction, and Vista Manor's reputation in Titusville.