| Percent of High Risk Long Term Nursing Home Residents Who Have Pressure Sores: 15% |
| Percent of Long Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: 49% |
| Percent of Long Term Nursing Home Residents Who are More Depressed or Anxious: 2% |
| 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: 5% |
| Percent of Long Term Nursing Home Residents Who Lose Too Much Weight: 15% |
| Percent of Long Term Nursing Home Residents Who Spend Most of Their Time in Bed or in a Chair: 11% |
| Percent of Long Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: 61% |
| Percent of Long Term Nursing Home Residents Who Were Physically Restrained: 1% |
| Percent of Long Term Nursing Home Residents Whose Ability to Move About in and Around Their Room Got Worse: 5% |
| Percent of Long Term Nursing Home Residents Whose Need for Help With Daily Activities Has Increased: 5% |
| Percent of Long Term Nursing Home Residents With a Urinary Tract Infection: 2% |
| Percent of Low-Risk Long Term Nursing Home Residents Who Have Pressure Sores: 5% |
| Percent of Low-Risk Long Term Nursing Home Residents Who Lose Control of Their Bowels or Bladder: 51% |
| Percent of Short Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: 16% |
| Percent of Short Term Nursing Home Residents Who Had Moderate to Severe Pain: 19% |
| Percent of Short Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: 22% |
| Percent of Short Term Nursing Home Residents With Delirium: 0% |
| Percent of Short Term Nursing Home Residents With Pressure Sores: 18% |
Nursing Home Violations by Park Manor Health and Rehabili
|
| Health Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Nutrition and Dietary Deficiencies |
03/06/2003 |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
03/06/2003 |
Do a new assessment after any major change in a resident's physical or mental health. |
Isolated |
Minimal harm or potential for actual harm |
| Administration Deficiencies |
04/15/2004 |
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 |
| Mistreatment Deficiencies |
04/15/2004 |
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 |
04/15/2004 |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
04/15/2004 |
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 |
04/15/2004 |
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 |
04/15/2004 |
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
04/15/2004 |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
04/15/2004 |
Give each resident enough fluids to keep them healthy and prevent dehydration. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
04/15/2004 |
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 |
04/15/2004 |
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 |
07/08/2005 |
Provide clean bed and bath linens that are in good condition. |
Pattern |
Potential for minimal harm |
| Environmental Deficiencies |
07/08/2005 |
Make sure that staff members wash their hands when needed. |
Isolated |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
07/08/2005 |
Make sure that residents are well nourished. |
Isolated |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
07/08/2005 |
Provide food in a way that meets a resident's needs. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
07/08/2005 |
Give professional services that follow each resident's written care plan. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
07/08/2005 |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
07/08/2005 |
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 Rights Deficiencies |
07/08/2005 |
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 |
03/11/2003 |
an approved automatic sprinkler system connected to the fire alarm system. |
Widespread |
Potential for minimal harm |
| Automatic Sprinkler Systems Deficiencies |
03/11/2003 |
automatic sprinkler systems that have been maintained in working order. |
Pattern |
Potential for minimal harm |
| Fire Alarm Systems Deficiencies |
03/11/2003 |
a fire alarm system that can be heard throughout the facility. |
Widespread |
Potential for minimal harm |
| Fire Alarm Systems Deficiencies |
03/11/2003 |
properly maintained smoke detectors. |
Widespread |
Potential for minimal harm |
| Medical Gases and Anesthetizing Areas Deficiencies |
03/11/2003 |
proper medical gas storage and administration areas. |
Isolated |
Minimal harm or potential for actual harm |
| Miscellaneous Deficiencies |
03/11/2003 |
fire safety features required by current fire safety codes. |
Widespread |
Potential for minimal harm |
| Smoke Compartmentation and Control Deficiencies |
03/11/2003 |
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 |
04/20/2004 |
automatic sprinkler systems that have been maintained in working order. |
Widespread |
Potential for minimal harm |
| Hazardous Area Deficiencies |
04/20/2004 |
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 |
04/20/2004 |
proper medical gas storage and administration areas. |
Isolated |
Minimal harm or potential for actual harm |
| Smoke Compartmentation and Control Deficiencies |
04/20/2004 |
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 |
| Smoke Compartmentation and Control Deficiencies |
04/20/2004 |
smoke barrier doors that can resist smoke for at least 20 minutes. |
Isolated |
Minimal harm or potential for actual harm |
| Smoking Regulations Deficiencies |
04/20/2004 |
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 |
| Electrical Deficiencies |
07/13/2005 |
weekly inspections and monthly testing of generators. |
Isolated |
Minimal harm or potential for actual harm |