| Percent of High Risk Long Term Nursing Home Residents Who Have Pressure Sores: 13% |
| Percent of Long Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: 29% |
| Percent of Long Term Nursing Home Residents Who are More Depressed or Anxious: 8% |
| Percent of Long Term Nursing Home Residents Who Have Moderate to Severe Pain: 3% |
| Percent of Long Term Nursing Home Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 5% |
| Percent of Long Term Nursing Home Residents Who Lose Too Much Weight: 6% |
| Percent of Long Term Nursing Home Residents Who Spend Most of Their Time in Bed or in a Chair: 5% |
| Percent of Long Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: 27% |
| Percent of Long Term Nursing Home Residents Who Were Physically Restrained: 7% |
| Percent of Long Term Nursing Home Residents Whose Ability to Move About in and Around Their Room Got Worse: 7% |
| Percent of Long Term Nursing Home Residents Whose Need for Help With Daily Activities Has Increased: 8% |
| Percent of Long Term Nursing Home Residents With a Urinary Tract Infection: 7% |
| Percent of Low-Risk Long Term Nursing Home Residents Who Have Pressure Sores: 1% |
| Percent of Low-Risk Long Term Nursing Home Residents Who Lose Control of Their Bowels or Bladder: 55% |
| Percent of Short Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: 34% |
| Percent of Short Term Nursing Home Residents Who Had Moderate to Severe Pain: 5% |
| Percent of Short Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: 60% |
| Percent of Short Term Nursing Home Residents With Delirium: 0% |
| Percent of Short Term Nursing Home Residents With Pressure Sores: 35% |
Nursing Home Violations by Jefferson Rehab & Health Center
|
| Health Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Environmental Deficiencies |
11/01/2002 |
Provide needed housekeeping and maintenance. |
Pattern |
Potential for minimal harm |
| Environmental Deficiencies |
11/01/2002 |
Make sure that staff members wash their hands when needed. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
11/01/2002 |
Keep all essential equipment working safely. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
11/01/2002 |
Put firmly secured handrails on each side of hallways. |
Pattern |
Potential for minimal harm |
| Nutrition and Dietary Deficiencies |
11/01/2002 |
Make sure that residents are well nourished. |
Isolated |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
11/01/2002 |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Potential for minimal harm |
| Quality Care Deficiencies |
11/01/2002 |
Give professional services that follow each resident's written care plan. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
11/01/2002 |
Give each resident care and services to get or keep the highest quality of life possible. |
Pattern |
Immediate jeopardy to resident health or safety |
| Quality Care Deficiencies |
11/01/2002 |
Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
11/01/2002 |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
11/01/2002 |
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
11/01/2002 |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
11/01/2002 |
Make a complete assessment that covers all questions for areas that are listed in official regulations. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
12/11/2003 |
Make sure that the nursing home area is free of dangers that cause accidents. |
Isolated |
Minimal harm or potential for actual harm |
| Mistreatment Deficiencies |
12/11/2003 |
Keep each resident free from physical restraints, unless needed for medical treatment. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
12/11/2003 |
Give professional services that follow each resident's written care plan. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
12/11/2003 |
Let residents give themselves their drugs if they are able. |
Isolated |
Minimal harm or potential for actual harm |
| Mistreatment Deficiencies |
03/03/2005 |
1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. |
Isolated |
Actual harm |
| Mistreatment Deficiencies |
03/03/2005 |
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. |
Pattern |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
03/03/2005 |
Store, cook, and give out food in a safe and clean way. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
03/03/2005 |
Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
03/03/2005 |
Make a complete assessment that covers all questions for areas that are listed in official regulations. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
03/03/2005 |
Keep each resident's personal and medical records private and confidential. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
03/03/2005 |
Try to resolve each resident's complaints quickly. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
03/03/2005 |
Provide care in a way that keeps or builds each resident's dignity and self respect. |
Isolated |
Minimal harm or potential for actual harm |
| Fire Safety Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Hazardous Area Deficiencies |
11/04/2002 |
construction that can resist fire for one hour or an approved fire extinguishing system. |
Isolated |
Minimal harm or potential for actual harm |
| Miscellaneous Deficiencies |
11/04/2002 |
fire safety features required by current fire safety codes. |
Pattern |
Potential for minimal harm |
| Electrical Deficiencies |
12/17/2003 |
properly installed electrical wiring and equipment. |
Pattern |
Potential for minimal harm |
| Illumination and Emergency Power Deficiencies |
12/17/2003 |
emergency lighting that can last at least 1 1/2 hours. |
Isolated |
Minimal harm or potential for actual harm |
| Smoking Regulations Deficiencies |
12/17/2003 |
posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed. |
Isolated |
Minimal harm or potential for actual harm |
