An Analysis of the Quality of Care in Consulate Health Care Facilities in Florida

Consulate Health Care is a fast-growing, large nursing home chain with 151.7% increase in revenues since 2010iii. However, the data shows Consulate failed to comply with the state’s minimum staffing standards in 16% of its facilities for the first quarter of 2013. The use of antipsychotic medications at Consulate nursing homes was above average in all but one of the homes for the first quarter of 2013. These are serious issues that have an impact on the quality of life for nursing home residents that need immediate intervention.

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Key Findings:

A Shaky Track Record

• Consulate’s federal fines exceeded $1.5 million while state fines rang in at a whopping $397,250
• Two-thirds of Consulate’s nursing homes have been sanctioned by federal or state inspectors
• 1 in 3 Consulate nursing homes were cited with a severe deficiency.
• Thirty-six percent of Consulate nursing homes are on Florida’s watch list “for not meeting state standards, or for not making corrections quickly enough.” The high number of watch list facilities is nearly twice the statewide average.
• At $679,900, Consulate’s Deltona Healthcare received Florida’s largest single federal fine in  recent history.

Staffing Levels

• 15.8% of Consulate facilities were below the state mandated 2.5 Certified Nursing Assistant (CNA) hours per resident per day standard.
• An additional 62% of Consulate facilities were below the Florida average of 2.79 CNA hours per resident per day.

Pressure Ulcers

• 63% of reporting Consulate’s Florid a facilities have a higher percentage of high risk long-stay  residents with pressure ulcers than the Florida average.
• 43% of reporting Consulate’s Florid a facilities have a higher percentage of high risk short-stay  residents with pressure ulcers than the Florida average.

Depression

• 37% of reporting Consulate Florida  facilities have a higher percentage of long-stay residents who  have depressive symptoms than the Florida average.

Falls with Major Injury

• 43% of reporting Consulate Florida facilities have a higher percentage of long-stay residents  experiencing one or more falls with major injury than the Florida average.

Antipsychotic Medication Usage

• Only one reporting Consulate Florida facility is below the Florida average for percentage of long-stay residents who received an antipsychotic medication.
• 36.8% of reporting Florida Consulate facilities have a higher percentage of short-stay residents who received an antipsychotic medication than the Florida average.

Physical Restraints

• 46% of reporting Consulate Florida facilities have a higher percentage of long-stay residents who were physically restrained than the Florida average.

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