|
|
General |
| City |
|
WILMINGTON |
0.2% Nursing Homes USA have WILMINGTON |
| State attribute explanation |
|
DE |
0.3% Nursing Homes USA have DE
|
| Street |
|
1912 MARSH ROAD |
|
| Zip Code |
|
19810 |
|
| Phone |
|
3025291601 |
|
| Overall Star Rating |
|
|
|
| Health Inspections Star Rating |
|
|
|
| Nurse Staffing Star Rating |
|
|
|
| Quality Measures Star Rating |
|
|
|
| RN Only Star Rating |
|
|
|
| Number of Certified Beds |
|
|
|
| Total Number of Residents |
|
|
|
| Percent of Occupied Beds |
|
|
|
| Health Survey Date |
|
5/17/2012 |
|
| Fire Survey Date |
|
5/10/2012 |
|
| Sprinkler Status |
|
Fully Sprinklered |
90.2% Nursing Homes USA have Fully Sprinklered |
| Program Participation |
|
Medicare And Medicaid |
91.5% Nursing Homes USA have Medicare and Medicaid
|
| Type of Ownership |
|
For Profit - Corporation |
56.7% Nursing Homes USA have For profit - Corporation
|
| Located Within a Hospital? |
|
No |
93.6% Nursing Homes USA don't have Located Within a Hospital?
|
| Multi Nursing Home Ownership? |
|
Yes |
54.9% Nursing Homes USA have Multi Nursing Home Ownership? |
| Resident and Family Councils |
|
RESIDENT |
66% Nursing Homes USA have RESIDENT |
| Continuing Care Retirement Community? |
|
Yes |
9.1% Nursing Homes USA have Continuing Care Retirement Community? |
| Quality Indicator Survey? |
|
Yes |
31.3% Nursing Homes USA have Quality Indicator Survey? |
| Special Focus Facility? |
|
No |
99% Nursing Homes USA don't have Special Focus Facility? |
| Civil Money Penalty Count |
|
|
|
| Total Enforcement Actions Count |
|
|
|
| # of deficiencies |
|
36 |
|
| Percent of long-stay residents experiencing one or more falls with major injury |
|
75.2 % |
|
|
|
|
Staff Information |
| Number of Residents |
|
|
|
| Number of RN Hours Per Resident Per Day |
|
|
|
| Number of LPN/LVN Hours Per Resident Per Day |
|
|
|
| Total Number of Licensed Staff Hours Per Resident Per Day |
|
|
|
| Number of CNA Hours Per Resident Per Day |
|
|
|
| Number Therapy Hours Per Resident Per Day |
|
|
|
|
|
Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Many
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 05/17/2012
date Of Correction: Not Available |
|
| Deficiency #2 |
|
Scope: Few
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 05/17/2012
date Of Correction: Not Available |
|
| Deficiency #3 |
|
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: 10/06/2011
date Of Correction: 11/28/2011 |
|
|
|
Mistreatment Deficiencies |
| Deficiency #1 |
|
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: 05/17/2012
date Of Correction: Not Available |
|
| 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: 10/06/2011
date Of Correction: 11/28/2011 |
|
|
|
Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Some
level Of Harm: 2
deficiency: Listen To The Resident Or Family Groups Or Act On Their Complaints Or Suggestions.
survey Date: 05/17/2012
date Of Correction: Not Available |
|
| Deficiency #2 |
|
Scope: Few
level Of Harm: 2
deficiency: Make Sure That Private Space Is Available In The Nursing Home For Resident Groups Or Residents' Families To Meet.
survey Date: 05/17/2012
date Of Correction: Not Available |
|
| Deficiency #3 |
|
Scope: Few
level Of Harm: 2
deficiency: Determine If It Is Safe For The Resident To Self-administer Drugs.
survey Date: 05/17/2012
date Of Correction: Not Available |
|
| Deficiency #4 |
|
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: 05/17/2012
date Of Correction: Not Available |
|
| Deficiency #5 |
|
Scope: Few
level Of Harm: 2
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 07/15/2010
date Of Correction: 09/15/2010 |
|
| Deficiency #6 |
|
Scope: Few
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: 05/13/2009
date Of Correction: 07/12/2009 |
|
|
|
Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Few
level Of Harm: 2
deficiency: Develop Policies And Procedures For Influenza And Pneumococcal Immunizations.
survey Date: 05/17/2012
date Of Correction: Not Available |
|
| Deficiency #2 |
|
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: 05/17/2012
date Of Correction: Not Available |
|
| Deficiency #3 |
|
Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 05/17/2012
date Of Correction: Not Available |
|
| Deficiency #4 |
|
Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 05/17/2012
date Of Correction: Not Available |
|
| 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: 05/17/2012
date Of Correction: Not Available |
|
| Deficiency #6 |
|
Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 10/06/2011
date Of Correction: 11/28/2011 |
|
| Deficiency #7 |
|
Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 07/15/2010
date Of Correction: 09/15/2010 |
|
|
|
Resident Assessment Deficiencies |
| Deficiency #1 |
|
Scope: Some
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: 05/17/2012
date Of Correction: Not Available |
|
| Deficiency #2 |
|
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: 05/17/2012
date Of Correction: Not Available |
|
| Deficiency #3 |
|
Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 05/17/2012
date Of Correction: Not Available |
|
| Deficiency #4 |
|
Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 05/17/2012
date Of Correction: Not Available |
|
| Deficiency #5 |
|
Scope: Few
level Of Harm: 2
deficiency: Provide Doctors Orders For The Resident's Immediate Care, At The Time The Resident Was Admitted.
survey Date: 10/06/2011
date Of Correction: 11/28/2011 |
|
|
|
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: 05/17/2012
date Of Correction: Not Available |
|
| Deficiency #2 |
|
Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 05/17/2012
date Of Correction: Not Available |
|
| Deficiency #3 |
|
Scope: Many
level Of Harm: 2
deficiency: Choose A Doctor To Serve As The Medical Director To Create Resident Care Policies And Coordinate Medical Care In The Facility.
survey Date: 05/17/2012
date Of Correction: Not Available |
|
| Deficiency #4 |
|
Scope: Many
level Of Harm: 2
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 05/17/2012
date Of Correction: Not Available |
|
| Deficiency #5 |
|
Scope: Many
level Of Harm: 1
deficiency: Post Nurse Staffing Information/data On A Daily Basis.
survey Date: 05/17/2012
date Of Correction: Not Available |
|
| Deficiency #6 |
|
Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 10/06/2011
date Of Correction: 11/28/2011 |
|
| Deficiency #7 |
|
Scope: Few
level Of Harm: 2
deficiency: Choose A Doctor To Serve As The Medical Director To Create Resident Care Policies And Coordinate Medical Care In The Facility.
survey Date: 10/06/2011
date Of Correction: 11/28/2011 |
|
| Deficiency #8 |
|
Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 07/15/2010
date Of Correction: 09/15/2010 |
|
|
|
Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 05/17/2012
date Of Correction: Not Available |
|
| Deficiency #2 |
|
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: 05/17/2012
date Of Correction: Not Available |
|
| Deficiency #3 |
|
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: 07/15/2010
date Of Correction: 09/15/2010 |
|
|
|
Nutrition and Dietary Deficiencies |
| Deficiency #1 |
|
Scope: Many
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 05/17/2012
date Of Correction: Not Available |
|
| 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: 12/10/2010
date Of Correction: 02/04/2011 |
|
|
|
Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
|
|
|
| Percent of long-stay residents whose need for help with daily activities has increased |
|
|
|
| Percent of long-stay residents who lose too much weight |
|
|
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
|
|
|
| Percent of long-stay residents with a urinary tract infection |
|
|
|
| Percent of long-stay residents who have depressive symptoms |
|
|
|
| Percent of long-stay residents who were physically restrained |
|
|
|
| Percent of short-stay residents who self-report moderate to severe pain |
|
10.7:1 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
|
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
|
|
|
| Percent of short-stay residents who newly received an antipsychotic medication |
|
|
|
| Percent of long-stay residents experiencing one or more falls with major injury |
|
5.6:1 % |
|
|
|
Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
|
|
|
| Percent of long-stay residents whose need for help with daily activities has increased |
|
|
|
| Percent of long-stay residents who self-report moderate to severe pain |
|
8.9 / 9.9 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
|
|
|
| Percent of long-stay residents who lose too much weight |
|
|
|
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
|
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
|
|
|
| Percent of long-stay residents with a urinary tract infection |
|
|
|
| Percent of long-stay residents who have depressive symptoms |
|
9.9:1 % |
|
| Percent of long-stay residents who were physically restrained |
|
|
|
| Percent of long-stay residents experiencing one or more falls with major injury |
|
|
|
| Percent of short-stay residents who self-report moderate to severe pain |
|
|
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
|
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
|
|
|
| Percent of short-stay residents who newly received an antipsychotic medication |
|
|
|