Compare with other Nursing Homes USA
Compare
Compare
| PINNACLE REHABILITATION & HEALTH CENTER | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
140 (48.62 higher than average)
|
vs |
91.38
|
||
| Number of RN Hours Per Resident Per Day |
0.76 (0.01 lower than average)
|
vs |
0.77
|
||
| Number of LPN/LVN Hours Per Resident Per Day |
1.21 (0.37 higher than average)
|
vs |
0.84
|
||
| Total Number of Licensed Staff Hours Per Resident Per Day |
1.96 (0.37 higher than average)
|
vs |
1.59
|
||
| Number of CNA Hours Per Resident Per Day |
0.08 (5.41 lower than average)
|
vs |
5.49
|
||
| Number Therapy Hours Per Resident Per Day |
0.08 (0.02 lower than average)
|
vs |
0.10
|
||
| Environmental Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 03/25/2011 date Of Correction: 06/01/2011 |
||||
| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 12/23/2010 date Of Correction: 03/11/2011 |
||||
| Deficiency #3 |
Scope: Some level Of Harm: 2 deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment. survey Date: 06/09/2010 date Of Correction: 07/06/2010 |
||||
| Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area. survey Date: 02/15/2010 date Of Correction: 04/25/2010 |
||||
| Deficiency #5 |
Scope: Few level Of Harm: 3 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 02/15/2010 date Of Correction: 04/25/2010 |
||||
| Deficiency #6 |
Scope: Few level Of Harm: 2 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 02/15/2010 date Of Correction: 04/25/2010 |
||||
| Deficiency #7 |
Scope: Some level Of Harm: 1 deficiency: Have Enough Outside Ventilation Via A Window Or Mechanical Ventilation, Or Both. survey Date: 04/28/2009 date Of Correction: 07/20/2009 |
||||
| Deficiency #8 |
Scope: Some level Of Harm: 1 deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public. survey Date: 04/28/2009 date Of Correction: 07/20/2009 |
||||
| Deficiency #9 |
Scope: Some level Of Harm: 2 deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area. survey Date: 04/28/2009 date Of Correction: 07/20/2009 |
||||
| Deficiency #10 |
Scope: Some level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 04/28/2009 date Of Correction: 07/20/2009 |
||||
| Deficiency #11 |
Scope: Many level Of Harm: 1 deficiency: Dispose Of Garbage And Refuse Properly. survey Date: 04/28/2009 date Of Correction: 07/20/2009 |
||||
| Deficiency #12 |
Scope: Some level Of Harm: 2 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 04/28/2009 date Of Correction: 07/20/2009 |
||||
| Deficiency #13 |
Scope: Some level Of Harm: 1 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 04/28/2009 date Of Correction: 07/20/2009 |
||||
| Deficiency #14 |
Scope: Some level Of Harm: 1 deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment. survey Date: 04/28/2009 date Of Correction: 07/20/2009 |
||||
| Mistreatment Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment. survey Date: 12/23/2010 date Of Correction: 03/11/2011 |
||||
| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: 1) Hire Only People With 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. survey Date: 02/15/2010 date Of Correction: 04/25/2010 |
||||
| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 04/28/2009 date Of Correction: 07/20/2009 |
||||
| Resident Rights Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Properly Hold, Secure And Manage Each Resident's Personal Money Which Is Deposited With The Nursing Home. survey Date: 01/04/2012 date Of Correction: 02/17/2012 |
||||
| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Make Sure Each Resident Has The Right To Have A Choice Over Activities, Their Schedules And Health Care According To His Or Her Interests, Assessment, And Plan Of Care. survey Date: 03/25/2011 date Of Correction: 06/01/2011 |
||||
| Deficiency #3 |
Scope: Some level Of Harm: 2 deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality. survey Date: 03/25/2011 date Of Correction: 06/01/2011 |
||||
| Deficiency #4 |
Scope: Some level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 12/23/2010 date Of Correction: 03/11/2011 |
||||
| Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: Try To Resolve Each Resident's Complaints Quickly. survey Date: 12/23/2010 date Of Correction: 03/11/2011 |
||||
| Deficiency #6 |
Scope: Few level Of Harm: 2 deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident. survey Date: 12/23/2010 date Of Correction: 03/11/2011 |
||||
| Deficiency #7 |
Scope: Few level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 02/15/2010 date Of Correction: 04/25/2010 |
||||
| Deficiency #8 |
Scope: Some level Of Harm: 1 deficiency: Provide Access To A Telephone For Resident To Use In Private. survey Date: 04/28/2009 date Of Correction: 07/20/2009 |
||||
| Deficiency #9 |
Scope: Some level Of Harm: 1 deficiency: Try To Resolve Each Resident's Complaints Quickly. survey Date: 04/28/2009 date Of Correction: 07/20/2009 |
||||
| Deficiency #10 |
Scope: Some level Of Harm: 1 deficiency: Follow Policies And Procedures To Convey The Resident's Personal Funds To The Appropriate Party Responsible After The Resident's Death. survey Date: 04/28/2009 date Of Correction: 07/20/2009 |
||||
| Deficiency #11 |
Scope: Some level Of Harm: 1 deficiency: Properly Hold, Secure And Manage Each Resident's Personal Money Which Is Deposited With The Nursing Home. survey Date: 04/28/2009 date Of Correction: 07/20/2009 |
||||
| Deficiency #12 |
Scope: Few level Of Harm: 2 deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident. survey Date: 04/28/2009 date Of Correction: 07/20/2009 |
||||
| Deficiency #13 |
Scope: Some level Of Harm: 1 deficiency: Give Each Resident A Notice Of Rights, Rules, Services And Charges. Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items And Services Medicaid Covers And Which The Resident Must Pay For. survey Date: 04/28/2009 date Of Correction: 07/20/2009 |
||||
| Quality Care Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses. survey Date: 03/25/2011 date Of Correction: 06/01/2011 |
||||
| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 03/25/2011 date Of Correction: 06/01/2011 |
||||
| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration. survey Date: 12/23/2010 date Of Correction: 03/11/2011 |
||||
| Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 12/23/2010 date Of Correction: 03/11/2011 |
||||
| Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 12/23/2010 date Of Correction: 03/11/2011 |
||||
| Deficiency #6 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 02/15/2010 date Of Correction: 05/20/2010 |
||||
| Deficiency #7 |
Scope: Few level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 08/10/2009 date Of Correction: 10/16/2009 |
||||
| Deficiency #8 |
Scope: Few level Of Harm: 2 deficiency: Develop Policies And Procedures For Influenza And Pneumococcal Immunizations. survey Date: 04/28/2009 date Of Correction: 07/20/2009 |
||||
| Deficiency #9 |
Scope: Some level Of Harm: 1 deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses. survey Date: 04/28/2009 date Of Correction: 07/20/2009 |
||||
| Deficiency #10 |
Scope: Few level Of Harm: 3 deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration. survey Date: 04/28/2009 date Of Correction: 07/20/2009 |
||||
| Deficiency #11 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So. survey Date: 04/28/2009 date Of Correction: 07/20/2009 |
||||
| Deficiency #12 |
Scope: Few level Of Harm: 2 deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene. survey Date: 04/28/2009 date Of Correction: 07/20/2009 |
||||
| Deficiency #13 |
Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 04/28/2009 date Of Correction: 08/03/2009 |
||||
| Resident Assessment Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Doctors See A Resident's Plan Of Care At Every Visit And Make Notes About Progress And Orders In Writing. survey Date: 12/23/2010 date Of Correction: 03/11/2011 |
||||
| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan. survey Date: 12/23/2010 date Of Correction: 03/11/2011 |
||||
| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured. survey Date: 12/23/2010 date Of Correction: 03/11/2011 |
||||
| Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Doctors See A Resident's Plan Of Care At Every Visit And Make Notes About Progress And Orders In Writing. survey Date: 02/15/2010 date Of Correction: 05/20/2010 |
||||
| Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan. survey Date: 02/15/2010 date Of Correction: 04/25/2010 |
||||
| Deficiency #6 |
Scope: Few level Of Harm: 2 deficiency: Check And Assess Each Resident's Assessment At Least Every 3 Months. survey Date: 02/15/2010 date Of Correction: 05/20/2010 |
||||
| Deficiency #7 |
Scope: Few level Of Harm: 2 deficiency: Assess The Resident When The Resident Enters The Nursing Home, In A Timely Manner. survey Date: 02/15/2010 date Of Correction: 05/20/2010 |
||||
| Deficiency #8 |
Scope: Few level Of Harm: 2 deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured. survey Date: 04/28/2009 date Of Correction: 07/20/2009 |
||||
| Deficiency #9 |
Scope: Some level Of Harm: 2 deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional. survey Date: 04/28/2009 date Of Correction: 07/20/2009 |
||||
| Administration Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Many level Of Harm: 2 deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action. survey Date: 04/28/2009 date Of Correction: 07/20/2009 |
||||
| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 04/28/2009 date Of Correction: 07/20/2009 |
||||
| Deficiency #3 |
Scope: Many level Of Harm: 1 deficiency: Employ Or Obtain Outside Professional Resources Providing Services In The Nursing Home That Meet Professional Standards. survey Date: 04/28/2009 date Of Correction: 07/20/2009 |
||||
| Pharmacy Service Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards. survey Date: 12/23/2010 date Of Correction: 03/11/2011 |
||||
| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor. survey Date: 12/23/2010 date Of Correction: 03/11/2011 |
||||
| Deficiency #3 |
Scope: Some level Of Harm: 2 deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards. survey Date: 02/15/2010 date Of Correction: 04/25/2010 |
||||
| Deficiency #4 |
Scope: Some level Of Harm: 1 deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards. survey Date: 04/28/2009 date Of Correction: 07/20/2009 |
||||
| Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being. survey Date: 04/28/2009 date Of Correction: 07/20/2009 |
||||
| Nutrition and Dietary Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 12/23/2010 date Of Correction: 03/11/2011 |
||||
| Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature. survey Date: 12/23/2010 date Of Correction: 03/11/2011 |
||||
| Deficiency #3 |
Scope: Many level Of Harm: 2 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 04/28/2009 date Of Correction: 07/20/2009 |
||||
| Quality Measures Q1 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
24.8 % (0.29 % lower than average)
|
vs |
25.09 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
1.50 % (31.45 % lower than average)
|
vs |
32.95 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
1.7 % (14.96 % lower than average)
|
vs |
16.66 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
4.4 % (8.18 % lower than average)
|
vs |
12.58 %
|
||
| Percent of long-stay residents who lose too much weight |
5.1 % (6.73 % lower than average)
|
vs |
11.83 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
2.8 % (12.83 % lower than average)
|
vs |
15.63 %
|
||
| Percent of long-stay residents with a urinary tract infection |
6 % (7.46 % lower than average)
|
vs |
13.46 %
|
||
| Percent of long-stay residents who have depressive symptoms |
75.2 % (46.82 % higher than average)
|
vs |
28.38 %
|
||
| Percent of long-stay residents who were physically restrained |
0.8 % (42.88 % lower than average)
|
vs |
43.68 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain |
13.8 % (11.22 % lower than average)
|
vs |
25.02 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
82.5 % (2.14 % lower than average)
|
vs |
84.64 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
78.6 % (5.34 % lower than average)
|
vs |
83.94 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication |
3.5 % (42.4 % lower than average)
|
vs |
45.90 %
|
||
| Percent of long-stay residents experiencing one or more falls with major injury |
75.2 % (59.68 % higher than average)
|
vs |
15.52 %
|
||
| Quality Measures Q3 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
26.3 (79.3) % (0.91 % higher than average)
|
vs |
25.39 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
2.5 % (21.2 % lower than average)
|
vs |
23.70 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
3.8 % (10.3 % lower than average)
|
vs |
14.10 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
4.8 % (4.42 % lower than average)
|
vs |
9.22 %
|
||
| Percent of long-stay residents who lose too much weight |
6.3 % (2.2 % lower than average)
|
vs |
8.50 %
|
||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
50 % (6.62 % higher than average)
|
vs |
43.38 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder | 2.6 / 3 % | ||||
| Percent of long-stay residents with a urinary tract infection |
5.8 % (3.78 % lower than average)
|
vs |
9.58 %
|
||
| Percent of long-stay residents who have depressive symptoms |
75.2 % (55.34 % higher than average)
|
vs |
19.86 %
|
||
| Percent of long-stay residents who were physically restrained |
0.3 % (38.23 % lower than average)
|
vs |
38.53 %
|
||
| Percent of long-stay residents experiencing one or more falls with major injury |
0.3 % (10.43 % lower than average)
|
vs |
10.73 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain |
22 % (2.76 % lower than average)
|
vs |
24.76 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
78 % (3.44 % lower than average)
|
vs |
81.44 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
76.6 % (1.85 % higher than average)
|
vs |
74.75 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication |
30 % (12.66 % higher than average)
|
vs |
17.34 %
|
||