| Percent of High 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 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: 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 Have Moderate to Severe Pain: 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 Have/Had a Catheter Inserted and Left in Their Bladder: 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 Lose Too Much Weight: 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 Spend Most of Their Time in Bed or in a Chair: 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 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: 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 Whose Ability to Move About in and Around Their Room Got Worse: 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 Whose Need for Help With Daily Activities Has Increased: 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 With a Urinary Tract Infection: 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 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: 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 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: 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 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: 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 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. |
Nursing Home Violations by South Peninsula Hospital Long Term Care
|
| Health Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Environmental Deficiencies |
08/06/2004 |
Make sure that the nursing home area is free of dangers that cause accidents. |
Widespread |
Potential for minimal harm |
| Environmental Deficiencies |
08/06/2004 |
Get rid of garbage properly. |
Widespread |
Potential for minimal harm |
| Quality Care Deficiencies |
08/06/2004 |
Provide activities to meet the needs of each resident. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
08/06/2004 |
Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. |
Pattern |
Potential for minimal harm |
| Resident Rights Deficiencies |
08/06/2004 |
Provide care in a way that keeps or builds each resident's dignity and self respect. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
08/06/2004 |
Provide services to meet the needs and preferences of each resident. |
Widespread |
Potential for minimal harm |
| Administration Deficiencies |
07/29/2005 |
Keep accurate and appropriate medical records. |
Widespread |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
07/29/2005 |
Make sure that staff members wash their hands when needed. |
Pattern |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
07/29/2005 |
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. |
Pattern |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
07/29/2005 |
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 |
| Quality Care Deficiencies |
07/29/2005 |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
07/29/2005 |
Make a complete assessment that covers all questions for areas that are listed in official regulations. |
Widespread |
Potential for minimal harm |
| Resident Assessment Deficiencies |
04/21/2006 |
Make a complete assessment that covers all questions for areas that are listed in official regulations. |
Widespread |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
04/21/2006 |
Allow residents to easily see the results of the nursing home's most recent survey. |
Widespread |
Potential for minimal harm |
| Fire Safety Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Automatic Sprinkler Systems Deficiencies |
09/08/2004 |
an approved automatic sprinkler system connected to the fire alarm system. |
Isolated |
Minimal harm or potential for actual harm |
| Automatic Sprinkler Systems Deficiencies |
09/08/2004 |
portable fire extinguishers. |
Isolated |
Minimal harm or potential for actual harm |
| Building Service Equipment Deficiencies |
09/08/2004 |
properly protected cooking facilities. |
Isolated |
Minimal harm or potential for actual harm |
| Corridor Walls and Doors Deficiencies |
09/08/2004 |
corridor and hallway doors that block smoke. |
Isolated |
Minimal harm or potential for actual harm |
| Electrical Deficiencies |
09/08/2004 |
properly installed electrical wiring and equipment. |
Isolated |
Minimal harm or potential for actual harm |
| Fire Alarm Systems Deficiencies |
09/08/2004 |
a fire alarm system that can be heard throughout the facility. |
Isolated |
Minimal harm or potential for actual harm |
| Illumination and Emergency Power Deficiencies |
09/08/2004 |
properly located and lighted Exit signs. |
Isolated |
Minimal harm or potential for actual harm |
| Miscellaneous Deficiencies |
09/08/2004 |
fire safety features required by current fire safety codes. |
Isolated |
Minimal harm or potential for actual harm |
| Automatic Sprinkler Systems Deficiencies |
07/27/2005 |
an approved automatic sprinkler system connected to the fire alarm system. |
Isolated |
Minimal harm or potential for actual harm |
| Corridor Walls and Doors Deficiencies |
07/27/2005 |
corridor and hallway doors that block smoke. |
Isolated |
Minimal harm or potential for actual harm |
| Electrical Deficiencies |
07/27/2005 |
properly installed electrical wiring and equipment. |
Isolated |
Minimal harm or potential for actual harm |
| Vertical Openings Deficiencies |
07/27/2005 |
exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors. |
Isolated |
Minimal harm or potential for actual harm |
| Building Service Equipment Deficiencies |
06/07/2006 |
heating and ventilation systems that have been properly installed according to the manufacturer's instructions. |
Isolated |
Minimal harm or potential for actual harm |
| Corridor Walls and Doors Deficiencies |
06/07/2006 |
corridors that are separated from common areas by walls constructed to limit the passage of smoke. |
Isolated |
Minimal harm or potential for actual harm |
| Electrical Deficiencies |
06/07/2006 |
properly installed electrical wiring and equipment. |
Pattern |
Minimal harm or potential for actual harm |
| Furnishings and Decorations Deficiencies |
06/07/2006 |
exits that are free from obstructions and can be used at all times. |
Isolated |
Minimal harm or potential for actual harm |
| Furnishings and Decorations Deficiencies |
06/07/2006 |
restrictions on the use of flammable curtains. |
Widespread |
Minimal harm or potential for actual harm |
| Hazardous Area Deficiencies |
06/07/2006 |
construction that can resist fire for one hour or an approved fire extinguishing system. |
Isolated |
Minimal harm or potential for actual harm |
| Illumination and Emergency Power Deficiencies |
06/07/2006 |
properly located and lighted Exit signs. |
Pattern |
Minimal harm or potential for actual harm |
| Laboratories Deficiencies |
06/07/2006 |
proper facilities for the use and storage of combustible liquids. |
Isolated |
Minimal harm or potential for actual harm |
| Smoking Regulations Deficiencies |
06/07/2006 |
posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed. |
Isolated |
Minimal harm or potential for actual harm |