| Percent of High Risk Long Term Nursing Home Residents Who Have Pressure Sores: 27% |
| 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: 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: 1% |
| Percent of Long Term Nursing Home Residents Who Lose Too Much Weight: 8% |
| Percent of Long Term Nursing Home Residents Who Spend Most of Their Time in Bed or in a Chair: 14% |
| 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: 0% |
| 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: 6% |
| Percent of Long Term Nursing Home Residents With a Urinary Tract Infection: 12% |
| Percent of Low-Risk Long Term Nursing Home Residents Who Have Pressure Sores: 4% |
| Percent of Low-Risk Long Term Nursing Home Residents Who Lose Control of Their Bowels or Bladder: 46% |
| 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: 13% |
| Percent of Short Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: 90+% |
| Percent of Short Term Nursing Home Residents With Delirium: 2% |
| Percent of Short Term Nursing Home Residents With Pressure Sores: 37% |
Nursing Home Violations by Self Health Care & Rehab Center Inc
|
| Health Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Administration Deficiencies |
12/30/2004 |
Hire a qualified social worker; or in homes with more than 120 beds, hire a qualified full-time social worker. |
Widespread |
Potential for minimal harm |
| Mistreatment Deficiencies |
12/30/2004 |
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. |
Widespread |
Potential for minimal harm |
| Nutrition and Dietary Deficiencies |
12/30/2004 |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Potential for minimal harm |
| Pharmacy Service Deficiencies |
12/30/2004 |
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 |
12/30/2004 |
Make sure that the pharmacist reports anything unusual to the doctor on duty and the director of nursing. |
Isolated |
Minimal harm or potential for actual harm |
| Fire Safety Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Fire Alarm Systems Deficiencies |
10/29/2003 |
a fire alarm system that can be heard throughout the facility. |
Widespread |
Potential for minimal harm |
| Smoke Compartmentation and Control Deficiencies |
01/05/2005 |
walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. |
Pattern |
Potential for minimal harm |
| Building Service Equipment Deficiencies |
06/21/2006 |
an externally vented heating system. |
Isolated |
Minimal harm or potential for actual harm |
| Exits and Egress Deficiencies |
06/21/2006 |
exit stairways and towers that are smoke proof. |
Isolated |
Minimal harm or potential for actual harm |
| Fire Alarm Systems Deficiencies |
06/21/2006 |
a fire alarm system that can be heard throughout the facility. |
Isolated |
Minimal harm or potential for actual harm |
| Fire Alarm Systems Deficiencies |
06/21/2006 |
an approved installation, maintenance and testing program for fire alarm systems. |
Pattern |
Potential for minimal harm |
| Vertical Openings Deficiencies |
06/21/2006 |
proper stairway enclosures and vertical shafts. |
Isolated |
Minimal harm or potential for actual harm |
