| Percent of High Risk Long Term Nursing Home Residents Who Have Pressure Sores: 6% |
| 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: 20% |
| Percent of Long Term Nursing Home Residents Who Have Moderate to Severe Pain: 6% |
| 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: 11% |
| Percent of Long Term Nursing Home Residents Who Spend Most of Their Time in Bed or in a Chair: 3% |
| 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: 12% |
| Percent of Long Term Nursing Home Residents Whose Ability to Move About in and Around Their Room Got Worse: 8% |
| Percent of Long Term Nursing Home Residents Whose Need for Help With Daily Activities Has Increased: 12% |
| Percent of Long Term Nursing Home Residents With a Urinary Tract Infection: 8% |
| 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: 28% |
| Percent of Short Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: 73% |
| Percent of Short Term Nursing Home Residents Who Had Moderate to Severe Pain: 17% |
| Percent of Short Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: 70% |
| Percent of Short Term Nursing Home Residents With Delirium: 0% |
| Percent of Short Term Nursing Home Residents With Pressure Sores: 11% |
Nursing Home Violations by Decatur Health & Rehab Center
|
| Health Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Environmental Deficiencies |
01/15/2004 |
Provide needed housekeeping and maintenance. |
Pattern |
Potential for minimal harm |
| Mistreatment Deficiencies |
01/15/2004 |
Keep each resident free from physical restraints, unless needed for medical treatment. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
01/15/2004 |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
01/15/2004 |
Give each resident care and services to get or keep the highest quality of life possible. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
01/15/2004 |
Have a private telephone available for use. |
Pattern |
Potential for minimal harm |
| Resident Rights Deficiencies |
01/15/2004 |
Provide care in a way that keeps or builds each resident's dignity and self respect. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
03/10/2005 |
Make sure that staff members wash their hands when needed. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
03/10/2005 |
Have enough outside airflow. |
Pattern |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
03/10/2005 |
Provide special eating equipment and utensils for each resident who needs them. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
03/10/2005 |
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
03/10/2005 |
Make sure that each resident's nutritional needs were met. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
03/10/2005 |
Provide care in a way that keeps or builds each resident's dignity and self respect. |
Isolated |
Minimal harm or potential for actual harm |
| Administration Deficiencies |
07/27/2006 |
post nurse staffing information. |
Widespread |
Potential for minimal harm |
| Environmental Deficiencies |
07/27/2006 |
Make sure that staff members wash their hands when needed. |
Pattern |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
07/27/2006 |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
07/27/2006 |
Give professional services that follow each resident's written care plan. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
07/27/2006 |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
07/27/2006 |
Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. |
Pattern |
Potential for minimal harm |
| Resident Rights Deficiencies |
07/27/2006 |
Quickly give a resident's personal money to the heads of his or her estate after the resident's death. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
07/27/2006 |
Allow residents to easily see the results of the nursing home's most recent survey. |
Widespread |
Potential for minimal harm |
| Resident Rights Deficiencies |
07/27/2006 |
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: |
| Miscellaneous Deficiencies |
01/21/2004 |
fire safety features required by current fire safety codes. |
Isolated |
Minimal harm or potential for actual harm |
| Automatic Sprinkler Systems Deficiencies |
03/15/2005 |
automatic sprinkler systems that have been maintained in working order. |
Widespread |
Potential for minimal harm |
| Fire Alarm Systems Deficiencies |
03/15/2005 |
an approved installation, maintenance and testing program for fire alarm systems. |
Isolated |
Minimal harm or potential for actual harm |
| Electrical Deficiencies |
08/01/2006 |
properly installed electrical wiring and equipment. |
Widespread |
Potential for minimal harm |
| Fire Alarm Systems Deficiencies |
08/01/2006 |
a fire alarm system that can be heard throughout the facility. |
Widespread |
Potential for minimal harm |
| Furnishings and Decorations Deficiencies |
08/01/2006 |
properly sized and located linen or trash receptacles. |
Widespread |
Potential for minimal harm |
| Hazardous Area Deficiencies |
08/01/2006 |
construction that can resist fire for one hour or an approved fire extinguishing system. |
Widespread |
Potential for minimal harm |