| Percent of High Risk Long Term Nursing Home Residents Who Have Pressure Sores: 4% |
| Percent of Long Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: 74% |
| Percent of Long Term Nursing Home Residents Who are More Depressed or Anxious: 25% |
| 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: 23% |
| Percent of Long Term Nursing Home Residents Who Spend Most of Their Time in Bed or in a Chair: 2% |
| Percent of Long Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: 4% |
| Percent of Long Term Nursing Home Residents Who Were Physically Restrained: 11% |
| Percent of Long Term Nursing Home Residents Whose Ability to Move About in and Around Their Room Got Worse: 7% |
| Percent of Long Term Nursing Home Residents Whose Need for Help With Daily Activities Has Increased: 11% |
| 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: 0% |
| Percent of Low-Risk Long Term Nursing Home Residents Who Lose Control of Their Bowels or Bladder: 54% |
| Percent of Short Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: 61% |
| Percent of Short Term Nursing Home Residents Who Had Moderate to Severe Pain: 31% |
| Percent of Short Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: 24% |
| Percent of Short Term Nursing Home Residents With Delirium: 1% |
| Percent of Short Term Nursing Home Residents With Pressure Sores: 16% |
Nursing Home Violations by Medford Rehab and Healthcare
|
| Health Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Administration Deficiencies |
01/30/2004 |
Keep accurate and appropriate medical records. |
Pattern |
Potential for minimal harm |
| Environmental Deficiencies |
01/30/2004 |
Make sure that staff members wash their hands when needed. |
Pattern |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
01/30/2004 |
Provide special eating equipment and utensils for each resident who needs them. |
Isolated |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
01/30/2004 |
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. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
01/30/2004 |
Give each resident care and services to get or keep the highest quality of life possible. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
01/30/2004 |
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 |
01/30/2004 |
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 |
01/30/2004 |
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 |
01/30/2004 |
Make sure that each resident's nutritional needs were met. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
01/30/2004 |
Give each resident enough fluids to keep them healthy and prevent dehydration. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
01/30/2004 |
Do a new assessment after any major change in a resident's physical or mental health. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
01/30/2004 |
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. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
01/30/2004 |
Provide care in a way that keeps or builds each resident's dignity and self respect. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
01/30/2004 |
Provide services to meet the needs and preferences of each resident. |
Isolated |
Minimal harm or potential for actual harm |
| Administration Deficiencies |
12/13/2004 |
Keep accurate and appropriate medical records. |
Pattern |
Potential for minimal harm |
| Pharmacy Service Deficiencies |
12/13/2004 |
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. |
Isolated |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
12/13/2004 |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. |
Pattern |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
12/13/2004 |
Make sure that residents are safe from serious medication errors. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
12/13/2004 |
Give each resident care and services to get or keep the highest quality of life possible. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
11/17/2005 |
Give each resident care and services to get or keep the highest quality of life possible. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
11/17/2005 |
Provide a final summary of the resident's health status and a summary of the resident's stay, when the resident is ready to leave the nursing home. |
Pattern |
Potential for minimal harm |
| Fire Safety Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Emergency Plans and Fire Drills Deficiencies |
08/05/2003 |
record of quarterly fire drills for each shift under varying conditions. |
Pattern |
Potential for minimal harm |
| Exit and Exit Access Deficiencies |
08/05/2003 |
at least two remote exits on each floor or fire section of the building. |
Pattern |
Potential for minimal harm |
| Fire Alarm Systems Deficiencies |
08/05/2003 |
an approved installation, maintenance and testing program for fire alarm systems. |
Pattern |
Potential for minimal harm |
| Miscellaneous Deficiencies |
08/05/2003 |
fire safety features required by current fire safety codes. |
Pattern |
Potential for minimal harm |
| Automatic Sprinkler Systems Deficiencies |
12/13/2004 |
automatic sprinkler systems that have been maintained in working order. |
Isolated |
Minimal harm or potential for actual harm |
| Automatic Sprinkler Systems Deficiencies |
12/13/2004 |
portable fire extinguishers. |
Pattern |
Potential for minimal harm |
| Building Service Equipment Deficiencies |
12/13/2004 |
properly protected cooking facilities. |
Pattern |
Potential for minimal harm |
| Electrical Deficiencies |
12/13/2004 |
properly installed electrical wiring and equipment. |
Pattern |
Potential for minimal harm |
| Exits and Egress Deficiencies |
12/13/2004 |
corridors or aisles that are unobstructed and are at least 8 feet in width. |
Pattern |
Potential for minimal harm |
| Fire Alarm Systems Deficiencies |
12/13/2004 |
properly maintained smoke detectors. |
Pattern |
Potential for minimal harm |
| Furnishings and Decorations Deficiencies |
12/13/2004 |
exits that are free from obstructions and can be used at all times. |
Pattern |
Potential for minimal harm |
| Hazardous Area Deficiencies |
12/13/2004 |
construction that can resist fire for one hour or an approved fire extinguishing system. |
Pattern |
Potential for minimal harm |
| Illumination and Emergency Power Deficiencies |
12/13/2004 |
properly located and lighted Exit signs. |
Pattern |
Potential for minimal harm |
| Smoke Compartmentation and Control Deficiencies |
12/13/2004 |
smoke barrier doors that can resist smoke for at least 20 minutes. |
Pattern |
Potential for minimal harm |