| Percent of High Risk Long Term Nursing Home Residents Who Have Pressure Sores: 21% |
| Percent of Long Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: 90+% |
| Percent of Long Term Nursing Home Residents Who are More Depressed or Anxious: 4% |
| Percent of Long Term Nursing Home Residents Who Have Moderate to Severe Pain: 4% |
| Percent of Long Term Nursing Home Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 6% |
| Percent of Long Term Nursing Home Residents Who Lose Too Much Weight: 14% |
| Percent of Long Term Nursing Home Residents Who Spend Most of Their Time in Bed or in a Chair: 1% |
| Percent of Long Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: 90+% |
| Percent of Long Term Nursing Home Residents Who Were Physically Restrained: 16% |
| Percent of Long Term Nursing Home Residents Whose Ability to Move About in and Around Their Room Got Worse: 6% |
| Percent of Long Term Nursing Home Residents Whose Need for Help With Daily Activities Has Increased: 13% |
| Percent of Long Term Nursing Home Residents With a Urinary Tract Infection: 1% |
| Percent of Low-Risk Long Term Nursing Home Residents Who Have Pressure Sores: 0% |
| Percent of Low-Risk Long Term Nursing Home Residents Who Lose Control of Their Bowels or Bladder: 40% |
| Percent of Short Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: 90+% |
| Percent of Short Term Nursing Home Residents Who Had Moderate to Severe Pain: 34% |
| Percent of Short Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: 90% |
| Percent of Short Term Nursing Home Residents With Delirium: 1% |
| Percent of Short Term Nursing Home Residents With Pressure Sores: 10% |
Nursing Home Violations by Cullman Long Term Care and Rehabilitation Center
|
| Health Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Environmental Deficiencies |
02/12/2004 |
Make sure that the nursing home area is free of dangers that cause accidents. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
02/12/2004 |
Make sure that staff members wash their hands when needed. |
Isolated |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
02/12/2004 |
Keep drugs and other similar products locked safely and properly stored. |
Isolated |
Minimal harm or potential for actual harm |
| Administration Deficiencies |
04/14/2005 |
Make sure that nurse aides show they have the skills to be able to care for residents. |
Isolated |
Minimal harm or potential for actual harm |
| Administration Deficiencies |
04/14/2005 |
Give or get lab tests to meet the needs of residents. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
04/14/2005 |
Keep safe, clean and homelike surroundings. |
Pattern |
Potential for minimal harm |
| Resident Rights Deficiencies |
04/14/2005 |
Try to resolve each resident's complaints quickly. |
Pattern |
Potential for minimal harm |
| Administration Deficiencies |
09/08/2006 |
Give or get lab tests to meet the needs of residents. |
Isolated |
Minimal harm or potential for actual harm |
| Administration Deficiencies |
09/08/2006 |
Set up or keep a group of people to review and ensure quality. |
Widespread |
Potential for minimal harm |
| Environmental Deficiencies |
09/08/2006 |
Keep safe, clean and homelike surroundings. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
09/08/2006 |
Give professional services that follow each resident's written care plan. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
09/08/2006 |
1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
09/08/2006 |
Try to resolve each resident's complaints quickly. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
09/08/2006 |
Provide services to meet the needs and preferences of each resident. |
Isolated |
Minimal harm or potential for actual harm |
| Fire Safety Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Hazardous Area Deficiencies |
02/20/2004 |
construction that can resist fire for one hour or an approved fire extinguishing system. |
Isolated |
Minimal harm or potential for actual harm |
| Vertical Openings Deficiencies |
02/20/2004 |
proper stairway enclosures and vertical shafts. |
Isolated |
Minimal harm or potential for actual harm |
| Corridor Walls and Doors Deficiencies |
04/21/2005 |
corridor and hallway doors that block smoke. |
Isolated |
Minimal harm or potential for actual harm |
| Fire Alarm Systems Deficiencies |
04/21/2005 |
a fire alarm system that can be heard throughout the facility. |
Isolated |
Minimal harm or potential for actual harm |
| Automatic Sprinkler Systems Deficiencies |
09/12/2006 |
an approved automatic sprinkler system connected to the fire alarm system. |
Isolated |
Minimal harm or potential for actual harm |
| Smoke Compartmentation and Control Deficiencies |
09/12/2006 |
walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. |
Widespread |
Potential for minimal harm |
