| Percent of High Risk Long Term Nursing Home Residents Who Have Pressure Sores: 11% |
| 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: 12% |
| 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: 1% |
| 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: 7% |
| Percent of Long Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: 89% |
| Percent of Long Term Nursing Home Residents Who Were Physically Restrained: 2% |
| Percent of Long Term Nursing Home Residents Whose Ability to Move About in and Around Their Room Got Worse: 10% |
| Percent of Long Term Nursing Home Residents Whose Need for Help With Daily Activities Has Increased: 9% |
| Percent of Long Term Nursing Home Residents With a Urinary Tract Infection: 3% |
| Percent of Low-Risk Long Term Nursing Home Residents Who Have Pressure Sores: 3% |
| Percent of Low-Risk Long Term Nursing Home Residents Who Lose Control of Their Bowels or Bladder: 49% |
| Percent of Short Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: 52% |
| Percent of Short Term Nursing Home Residents Who Had Moderate to Severe Pain: 16% |
| Percent of Short Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: 45% |
| Percent of Short Term Nursing Home Residents With Delirium: 0% |
| Percent of Short Term Nursing Home Residents With Pressure Sores: 21% |
Nursing Home Violations by Hendrix Health and Rehabilitation
|
| Health Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Environmental Deficiencies |
09/29/2003 |
Keep safe, clean and homelike surroundings. |
Isolated |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
09/29/2003 |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Potential for minimal harm |
| Resident Rights Deficiencies |
09/29/2003 |
Try to resolve each resident's complaints quickly. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
09/29/2003 |
Provide services to meet the needs and preferences of each resident. |
Isolated |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
11/18/2004 |
1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. |
Isolated |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
11/18/2004 |
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 |
11/18/2004 |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
11/18/2004 |
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 |
11/18/2004 |
Give each resident enough fluids to keep them healthy and prevent dehydration. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
06/08/2006 |
Make sure there is a program to prevent/deal with mice, insects, or other pests. |
Isolated |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
06/08/2006 |
Provide drugs and related services needed by each resident. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
06/08/2006 |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
Isolated |
Minimal harm or potential for actual harm |
| Fire Safety Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Hazardous Area Deficiencies |
10/01/2003 |
construction that can resist fire for one hour or an approved fire extinguishing system. |
Isolated |
Minimal harm or potential for actual harm |
| Medical Gases and Anesthetizing Areas Deficiencies |
10/01/2003 |
proper medical gas storage and administration areas. |
Isolated |
Minimal harm or potential for actual harm |
| Miscellaneous Deficiencies |
10/01/2003 |
fire safety features required by current fire safety codes. |
Isolated |
Minimal harm or potential for actual harm |
| Smoke Compartmentation and Control Deficiencies |
10/01/2003 |
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 |
| Automatic Sprinkler Systems Deficiencies |
06/14/2006 |
automatic sprinkler systems that have been maintained in working order. |
Isolated |
Minimal harm or potential for actual harm |
| Corridor Walls and Doors Deficiencies |
06/14/2006 |
corridor and hallway doors that block smoke. |
Widespread |
Potential for minimal harm |
| Fire Alarm Systems Deficiencies |
06/14/2006 |
a fire alarm system that can be heard throughout the facility. |
Isolated |
Minimal harm or potential for actual harm |
| Miscellaneous Deficiencies |
06/14/2006 |
fire safety features required by current fire safety codes. |
Isolated |
Minimal harm or potential for actual harm |
