| Percent of High Risk Long Term Nursing Home Residents Who Have Pressure Sores: 26% |
| 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: 7% |
| Percent of Long Term Nursing Home Residents Who Have Moderate to Severe Pain: 5% |
| Percent of Long Term Nursing Home Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 6% |
| Percent of Long Term Nursing Home Residents Who Lose Too Much Weight: 9% |
| 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: 71% |
| Percent of Long Term Nursing Home Residents Who Were Physically Restrained: 38% |
| Percent of Long Term Nursing Home Residents Whose Ability to Move About in and Around Their Room Got Worse: 11% |
| Percent of Long Term Nursing Home Residents Whose Need for Help With Daily Activities Has Increased: 14% |
| Percent of Long Term Nursing Home Residents With a Urinary Tract Infection: 10% |
| Percent of Low-Risk Long Term Nursing Home Residents Who Have Pressure Sores: 8% |
| Percent of Low-Risk Long Term Nursing Home Residents Who Lose Control of Their Bowels or Bladder: 40% |
| Percent of Short Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: 82% |
| 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: 44% |
| Percent of Short Term Nursing Home Residents With Delirium: 3% |
| 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 Heritage Manor Health & Rehab
|
| Health Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Environmental Deficiencies |
05/13/2004 |
Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
Pattern |
Potential for minimal harm |
| Resident Rights Deficiencies |
05/13/2004 |
Provide services to meet the needs and preferences of each resident. |
Pattern |
Potential for minimal harm |
| Administration Deficiencies |
03/11/2005 |
Follow all laws and professional standards. |
Pattern |
Minimal harm or potential for actual harm |
| Administration Deficiencies |
03/11/2005 |
Keep accurate and appropriate medical records. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
03/11/2005 |
Have a program to keep infection from spreading. |
Pattern |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
03/11/2005 |
Make sure that residents are well nourished. |
Pattern |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
03/11/2005 |
Store, cook, and give out food in a safe and clean way. |
Pattern |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
03/11/2005 |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
03/11/2005 |
Give professional services that meet a professional standard of quality. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
03/11/2005 |
Give professional services that follow each resident's written care plan. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
03/11/2005 |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
03/11/2005 |
Make sure that each resident's nutritional needs were met. |
Isolated |
Actual harm |
| Quality Care Deficiencies |
03/11/2005 |
Give each resident enough fluids to keep them healthy and prevent dehydration. |
Isolated |
Actual harm |
| Resident Assessment Deficiencies |
03/11/2005 |
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 Assessment Deficiencies |
03/11/2005 |
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 Assessment Deficiencies |
03/11/2005 |
1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
03/11/2005 |
Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. |
Isolated |
Actual harm |
| Resident Rights Deficiencies |
03/11/2005 |
Let residents give themselves their drugs if they are able. |
Isolated |
Minimal harm or potential for actual harm |
| Fire Safety Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Fire Alarm Systems Deficiencies |
03/09/2005 |
properly maintained smoke detectors. |
Widespread |
Potential for minimal harm |
| Smoke Compartmentation and Control Deficiencies |
03/09/2005 |
proper construction of ducts through walls designed to prevent smoke passage. |
Pattern |
Minimal harm or potential for actual harm |
| Corridor Walls and Doors Deficiencies |
06/06/2006 |
corridors that are separated from common areas by walls constructed to limit the passage of smoke. |
Isolated |
Minimal harm or potential for actual harm |
| Corridor Walls and Doors Deficiencies |
06/06/2006 |
corridor and hallway doors that block smoke. |
Isolated |
Minimal harm or potential for actual harm |
| Exits and Egress Deficiencies |
06/06/2006 |
exits that are accessible at all times. |
Isolated |
Minimal harm or potential for actual harm |
