| Percent of High Risk Long Term Nursing Home Residents Who Have Pressure Sores: 5% |
| Percent of Long Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: Not Available - This facility has too few residents at the moment to give an accurate report. Please contact the nursing home directly to obtain current information. |
| Percent of Long Term Nursing Home Residents Who are More Depressed or Anxious: 17% |
| Percent of Long Term Nursing Home Residents Who Have Moderate to Severe Pain: 9% |
| 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: 5% |
| 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: Not Available - This facility has too few residents at the moment to give an accurate report. Please contact the nursing home directly to obtain current information. |
| Percent of Long Term Nursing Home Residents Who Were Physically Restrained: 6% |
| Percent of Long Term Nursing Home Residents Whose Ability to Move About in and Around Their Room Got Worse: 20% |
| Percent of Long Term Nursing Home Residents Whose Need for Help With Daily Activities Has Increased: 22% |
| Percent of Long Term Nursing Home Residents With a Urinary Tract Infection: 9% |
| Percent of Low-Risk Long Term Nursing Home Residents Who Have Pressure Sores: Not Available - This facility has too few residents at the moment to give an accurate report. Please contact the nursing home directly to obtain current information. |
| Percent of Low-Risk Long Term Nursing Home Residents Who Lose Control of Their Bowels or Bladder: 66% |
| Percent of Short Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: Not Available - This facility has too few residents at the moment to give an accurate report. Please contact the nursing home directly to obtain current information. |
| Percent of Short Term Nursing Home Residents Who Had Moderate to Severe Pain: 9% |
| Percent of Short Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: Not Available - This facility has too few residents at the moment to give an accurate report. Please contact the nursing home directly to obtain current information. |
| Percent of Short Term Nursing Home Residents With Delirium: 7% |
| Percent of Short Term Nursing Home Residents With Pressure Sores: 13% |
Nursing Home Violations by Montrose Bay Health and Rehabilitation Center
|
| Health Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Environmental Deficiencies |
04/17/2003 |
Have a program to keep infection from spreading. |
Isolated |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
04/17/2003 |
Hire enough skilled workers to carry out dietary service. |
Widespread |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
04/17/2003 |
Make sure that residents are well nourished. |
Widespread |
Potential for minimal harm |
| Nutrition and Dietary Deficiencies |
04/17/2003 |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
04/17/2003 |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
04/17/2003 |
Give professional services that follow each resident's written care plan. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
04/17/2003 |
Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
04/17/2003 |
Give each resident enough fluids to keep them healthy and prevent dehydration. |
Isolated |
Minimal harm or potential for actual harm |
| Administration Deficiencies |
03/31/2004 |
Get services outside the nursing home that meet professional standards. |
Isolated |
Minimal harm or potential for actual harm |
| Administration Deficiencies |
03/31/2004 |
Keep accurate and appropriate medical records. |
Isolated |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
03/31/2004 |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
03/31/2004 |
Give professional services that follow each resident's written care plan. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
03/31/2004 |
Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
03/31/2004 |
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
03/31/2004 |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
Isolated |
Actual harm |
| Quality Care Deficiencies |
03/31/2004 |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
03/31/2004 |
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 |
03/31/2004 |
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 |
03/31/2004 |
Try to resolve each resident's complaints quickly. |
Pattern |
Minimal harm or potential for actual harm |
| Administration Deficiencies |
06/30/2005 |
Make sure that nurse aides show they have the skills to be able to care for residents. |
Isolated |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
06/30/2005 |
Make sure that the attending doctor orders special diets. |
Isolated |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
06/30/2005 |
Provide special eating equipment and utensils for each resident who needs them. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
06/30/2005 |
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 |
| Resident Rights Deficiencies |
06/30/2005 |
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: |
| Automatic Sprinkler Systems Deficiencies |
04/29/2003 |
automatic sprinkler systems that have been maintained in working order. |
Pattern |
Potential for minimal harm |
| Building Service Equipment Deficiencies |
04/29/2003 |
properly protected cooking facilities. |
Widespread |
Potential for minimal harm |
| Emergency Plans and Fire Drills Deficiencies |
04/29/2003 |
record of quarterly fire drills for each shift under varying conditions. |
Widespread |
Potential for minimal harm |
| Exits and Egress Deficiencies |
04/29/2003 |
corridors or aisles that are unobstructed and are at least 8 feet in width. |
Isolated |
Minimal harm or potential for actual harm |
| Fire Alarm Systems Deficiencies |
04/29/2003 |
a fire alarm system that can be heard throughout the facility. |
Widespread |
Minimal harm or potential for actual harm |
| Illumination and Emergency Power Deficiencies |
04/29/2003 |
emergency lighting that can last at least 1 1/2 hours. |
Pattern |
Minimal harm or potential for actual harm |
| Miscellaneous Deficiencies |
04/29/2003 |
fire safety features required by current fire safety codes. |
Widespread |
Potential for minimal harm |
| Smoking Regulations Deficiencies |
04/29/2003 |
posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed. |
Widespread |
Potential for minimal harm |
| Hazardous Area Deficiencies |
04/09/2004 |
construction that can resist fire for one hour or an approved fire extinguishing system. |
Pattern |
Potential for minimal harm |
| Illumination and Emergency Power Deficiencies |
04/09/2004 |
proper backup exit lighting. |
Widespread |
Potential for minimal harm |
| Building Service Equipment Deficiencies |
07/20/2005 |
heating and ventilation systems that have been properly installed according to the manufacturer's instructions. |
Widespread |
Potential for minimal harm |
| Hazardous Area Deficiencies |
07/20/2005 |
construction that can resist fire for one hour or an approved fire extinguishing system. |
Isolated |
Minimal harm or potential for actual harm |