| Percent of High Risk Long Term Nursing Home Residents Who Have Pressure Sores: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report. |
| Percent of Long Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report. |
| Percent of Long Term Nursing Home Residents Who are More Depressed or Anxious: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report. |
| Percent of Long Term Nursing Home Residents Who Have Moderate to Severe Pain: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report. |
| Percent of Long Term Nursing Home Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report. |
| Percent of Long Term Nursing Home Residents Who Lose Too Much Weight: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report. |
| Percent of Long Term Nursing Home Residents Who Spend Most of Their Time in Bed or in a Chair: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report. |
| Percent of Long Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report. |
| Percent of Long Term Nursing Home Residents Who Were Physically Restrained: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report. |
| Percent of Long Term Nursing Home Residents Whose Ability to Move About in and Around Their Room Got Worse: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report. |
| Percent of Long Term Nursing Home Residents Whose Need for Help With Daily Activities Has Increased: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report. |
| Percent of Long Term Nursing Home Residents With a Urinary Tract Infection: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report. |
| Percent of Low-Risk Long Term Nursing Home Residents Who Have Pressure Sores: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report. |
| Percent of Low-Risk Long Term Nursing Home Residents Who Lose Control of Their Bowels or Bladder: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report. |
| Percent of Short Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: 27% |
| Percent of Short Term Nursing Home Residents Who Had Moderate to Severe Pain: 24% |
| Percent of Short Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: 27% |
| Percent of Short Term Nursing Home Residents With Delirium: 7% |
| Percent of Short Term Nursing Home Residents With Pressure Sores: 28% |
Nursing Home Violations by Mercy Medical
|
| Health Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Administration Deficiencies |
05/13/2005 |
Set up or keep a group of people to review and ensure quality. |
Widespread |
Potential for minimal harm |
| Environmental Deficiencies |
05/13/2005 |
Have a program to keep infection from spreading. |
Isolated |
Minimal harm or potential for actual harm |
| Mistreatment Deficiencies |
05/13/2005 |
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 |
Minimal harm or potential for actual harm |
| Mistreatment Deficiencies |
05/13/2005 |
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 |
05/13/2005 |
Provide food in a way that meets a resident's needs. |
Isolated |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
05/13/2005 |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
05/13/2005 |
Provide activities to meet the needs of each resident. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
05/13/2005 |
Provide social services for related medical problems to help each resident achieve the highest possible quality of life. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
05/13/2005 |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
05/13/2005 |
Give professional services that follow each resident's written care plan. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
05/13/2005 |
Give each resident care and services to get or keep the highest quality of life possible. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
05/13/2005 |
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 |
05/13/2005 |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
05/13/2005 |
Make sure that each resident's nutritional needs were met. |
Isolated |
Actual harm |
| Resident Assessment Deficiencies |
05/13/2005 |
Assess the resident when the resident enters the nursing home, in a timely manner. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
05/13/2005 |
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
05/13/2005 |
Keep assessments completed in the preceding 15 months in the resident's active record. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
05/13/2005 |
Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
05/13/2005 |
Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
05/13/2005 |
Let residents give themselves their drugs if they are able. |
Isolated |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
09/27/2006 |
Keep drugs and other similar products locked safely and properly stored. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
09/27/2006 |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
09/27/2006 |
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 |
| Resident Assessment Deficiencies |
09/27/2006 |
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
09/27/2006 |
Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
09/27/2006 |
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: |
| Building Contruction Deficiencies |
04/01/2004 |
approved construction type or materials. |
Widespread |
Potential for minimal harm |
| Building Service Equipment Deficiencies |
04/01/2004 |
properly protected cooking facilities. |
Pattern |
Potential for minimal harm |
| Building Service Equipment Deficiencies |
04/01/2004 |
restrictions on the use of portable space heaters. |
Pattern |
Potential for minimal harm |
| Corridor Walls and Doors Deficiencies |
04/01/2004 |
corridors that are separated from common areas by walls constructed to limit the passage of smoke. |
Isolated |
Minimal harm or potential for actual harm |
| Electrical Deficiencies |
04/01/2004 |
properly installed electrical wiring and equipment. |
Pattern |
Potential for minimal harm |
| Exits and Egress Deficiencies |
04/01/2004 |
exits that are accessible at all times. |
Isolated |
Minimal harm or potential for actual harm |
| Hazardous Area Deficiencies |
04/01/2004 |
construction that can resist fire for one hour or an approved fire extinguishing system. |
Pattern |
Minimal harm or potential for actual harm |
| Medical Gases and Anesthetizing Areas Deficiencies |
04/01/2004 |
proper medical gas storage and administration areas. |
Isolated |
Minimal harm or potential for actual harm |
| Corridor Walls and Doors Deficiencies |
05/19/2005 |
corridor and hallway doors that block smoke. |
Isolated |
Minimal harm or potential for actual harm |
| Electrical Deficiencies |
05/19/2005 |
weekly inspections and monthly testing of generators. |
Isolated |
Minimal harm or potential for actual harm |
| Electrical Deficiencies |
05/19/2005 |
properly installed electrical wiring and equipment. |
Isolated |
Minimal harm or potential for actual harm |
| Smoke Compartmentation and Control Deficiencies |
05/19/2005 |
walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. |
Isolated |
Minimal harm or potential for actual harm |
| Vertical Openings Deficiencies |
05/19/2005 |
protected exits that allow the resident to escape the building. |
Pattern |
Minimal harm or potential for actual harm |
| Automatic Sprinkler Systems Deficiencies |
10/05/2006 |
an approved automatic sprinkler system connected to the fire alarm system. |
Pattern |
Potential for minimal harm |
| Building Service Equipment Deficiencies |
10/05/2006 |
properly protected cooking facilities. |
Widespread |
Potential for minimal harm |
| Electrical Deficiencies |
10/05/2006 |
properly installed electrical wiring and equipment. |
Widespread |
Potential for minimal harm |
| Fire Alarm Systems Deficiencies |
10/05/2006 |
a fire alarm system that can be heard throughout the facility. |
Isolated |
Minimal harm or potential for actual harm |
| Smoke Compartmentation and Control Deficiencies |
10/05/2006 |
walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. |
Isolated |
Minimal harm or potential for actual harm |