| 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: 24% |
| 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: 7% |
| 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: 5% |
| Percent of Long Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: 81% |
| Percent of Long Term Nursing Home Residents Who Were Physically Restrained: 7% |
| Percent of Long Term Nursing Home Residents Whose Ability to Move About in and Around Their Room Got Worse: 14% |
| 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: 15% |
| Percent of Low-Risk Long Term Nursing Home Residents Who Have Pressure Sores: 6% |
| Percent of Low-Risk Long Term Nursing Home Residents Who Lose Control of Their Bowels or Bladder: 44% |
| Percent of Short Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: 71% |
| Percent of Short Term Nursing Home Residents Who Had Moderate to Severe Pain: 7% |
| Percent of Short Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: 79% |
| Percent of Short Term Nursing Home Residents With Delirium: 16% |
| Percent of Short Term Nursing Home Residents With Pressure Sores: 32% |
Nursing Home Violations by Shadescrest Health Care Center
|
| Health Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Quality Care Deficiencies |
09/19/2003 |
Give professional services that follow each resident's written care plan. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
09/19/2003 |
Make sure that each resident's nutritional needs were met. |
Isolated |
Actual harm |
| Resident Rights Deficiencies |
09/19/2003 |
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 |
10/28/2004 |
Make sure that staff members wash their hands when needed. |
Isolated |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
10/28/2004 |
Make sure that residents are well nourished. |
Isolated |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
10/28/2004 |
Make sure that the attending doctor orders special diets. |
Isolated |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
10/28/2004 |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
10/28/2004 |
Let residents give themselves their drugs if they are able. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
05/11/2006 |
Provide needed housekeeping and maintenance. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
05/11/2006 |
Make sure there is a program to prevent/deal with mice, insects, or other pests. |
Pattern |
Minimal harm or potential for actual harm |
| Mistreatment Deficiencies |
05/11/2006 |
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 |
| Nutrition and Dietary Deficiencies |
05/11/2006 |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Potential for minimal harm |
| Quality Care Deficiencies |
05/11/2006 |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
05/11/2006 |
Give professional services that follow each resident's written care plan. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
05/11/2006 |
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 |
05/11/2006 |
Make a complete assessment that covers all questions for areas that are listed in official regulations. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
05/11/2006 |
Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
05/11/2006 |
Try to resolve each resident's complaints quickly. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
05/11/2006 |
Send and promptly deliver unopened mail to residents. |
Widespread |
Potential for minimal harm |
| Resident Rights Deficiencies |
05/11/2006 |
Have a private telephone available for use. |
Widespread |
Potential for minimal harm |
| Resident Rights Deficiencies |
05/11/2006 |
Provide care in a way that keeps or builds each resident's dignity and self respect. |
Pattern |
Minimal harm or potential for actual harm |
| Fire Safety Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Smoke Compartmentation and Control Deficiencies |
10/28/2004 |
smoke barrier doors that can resist smoke for at least 20 minutes. |
Pattern |
Potential for minimal harm |
| Exits and Egress Deficiencies |
05/31/2006 |
exits that are accessible at all times. |
Isolated |
Minimal harm or potential for actual harm |
| Fire Alarm Systems Deficiencies |
05/31/2006 |
an approved installation, maintenance and testing program for fire alarm systems. |
Pattern |
Potential for minimal harm |