Three Springs Lodge Nursing Home

Total Number of Beds: 83	Percent of Occupied Beds: 87%
Total Number of Residents: 72	Located Within a Hospital: No
Type of Ownership: For profit - Individual	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: Family & Resident	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 10/16/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.32

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.35

Number of CNA Hours per Nursing Home Resident per Day: 1.58

Number of Staff Hours per Nursing Home Resident per Day: 2.25

Nursing Home Resident Information**:

Percent of Low-Risk Residents Who Have Pressure Sores: 6%
Percent of High-Risk Residents Who Have Pressure Sores: 15%
Percent of Residents Who Have Moderate to Severe Pain: 14%
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse: 9%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 1%
Percent of Residents Whose Need for Help With Daily Activities Has Increased: 16%
Percent of Residents Who are More Depressed or Anxious: 22%
Percent of Residents Who Were Physically Restrained: 10%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder: 44%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 5%
Percent of Residents With a Urinary Tract Infection: 4%
** Details Last Reported on: 10/16/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-10-31	2001-12-31	Resident Rights Deficiencies	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	Minimal harm or potential for actual harm
2001-10-31	2001-12-31	Resident Rights Deficiencies	Keep each resident's personal and medical records private and confidential.	Pattern	Minimal harm or potential for actual harm
2001-10-31	2001-12-31	Resident Rights Deficiencies	Allow residents to easily see the results of the nursing home's most recent survey.	Widespread	Potential for minimal harm
2001-10-31	2001-12-31	Mistreatment Deficiencies	Keep each resident free from physical restraints, unless needed for medical treatment.	Isolated	Minimal harm or potential for actual harm
2001-10-31	2001-12-31	Mistreatment Deficiencies	1) Hire only people who have 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.	Pattern	Minimal harm or potential for actual harm
2001-10-31	2001-12-31	Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.	Pattern	Minimal harm or potential for actual harm
2001-10-31	2001-12-31	Resident Rights Deficiencies	Provide services to meet the needs and preferences of each resident.	Pattern	Minimal harm or potential for actual harm
2001-10-31	2001-12-31	Quality Care Deficiencies	Provide activities to meet the needs of each resident.	Pattern	Minimal harm or potential for actual harm
2001-10-31	2001-12-31	Environmental Deficiencies	Keep safe, clean and homelike surroundings.	Pattern	Minimal harm or potential for actual harm
2001-10-31	0000-00-00	Environmental Deficiencies	Provide needed housekeeping and maintenance.	Pattern	Potential for minimal harm
2001-10-31	0000-00-00	Environmental Deficiencies	Provide clean bed and bath linens that are in good condition.	Pattern	Potential for minimal harm
2001-10-31	2001-12-31	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Isolated	Minimal harm or potential for actual harm
2001-10-31	2001-12-31	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm
2001-10-31	2001-12-31	Quality Care Deficiencies	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	Isolated	Minimal harm or potential for actual harm
2001-10-31	2001-12-31	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Isolated	Actual harm
2001-10-31	2001-12-31	Quality Care Deficiencies	Make sure that residents with loss of bladder control receive treatment or service to prevent infections and help get normal bladder control.	Isolated	Minimal harm or potential for actual harm
2001-10-31	2001-12-31	Quality Care Deficiencies	Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.	Isolated	Actual harm
2001-10-31	2001-12-31	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Isolated	Minimal harm or potential for actual harm
2001-10-31	2001-12-31	Quality Care Deficiencies	Make sure each resident is being watched and has assistance devices when needed, to prevent accidents.	Isolated	Actual harm
2001-10-31	2001-12-31	Quality Care Deficiencies	Give each resident a special diet to help when there is a nutritional problem.	Isolated	Actual harm
2001-10-31	2001-12-31	Quality Care Deficiencies	Give each resident enough fluids to keep them healthy and prevent dehydration.	Isolated	Minimal harm or potential for actual harm
2001-10-31	0000-00-00	Quality Care Deficiencies	Have enough nurses to care for every resident in a way that maximizes the resident's well being.	Isolated	Actual harm
2001-10-31	2001-12-31	Nutrition and Dietary Deficiencies	Offer other nutritional food to each resident who will not eat the food served.	Isolated	Minimal harm or potential for actual harm
2001-10-31	2001-12-31	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Pattern	Minimal harm or potential for actual harm
2001-10-31	2001-12-31	Pharmacy Service Deficiencies	Keep drugs and other similar products locked safely and properly stored.	Isolated	Minimal harm or potential for actual harm
2001-10-31	2001-12-31	Environmental Deficiencies	Have a program to keep infection from spreading.	Widespread	Minimal harm or potential for actual harm
2001-10-31	2001-12-31	Environmental Deficiencies	Make sure that staff members wash their hands when needed.	Isolated	Minimal harm or potential for actual harm
2001-10-31	2001-12-31	Environmental Deficiencies	Provide rooms that are big enough for each resident.	Pattern	Potential for minimal harm
2002-11-22	2003-01-21	Resident Rights Deficiencies	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	Minimal harm or potential for actual harm
2002-11-22	2003-01-21	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
2002-11-22	2003-01-21	Quality Care Deficiencies	Give each resident a special diet to help when there is a nutritional problem.	Pattern	Minimal harm or potential for actual harm
2002-11-22	2003-01-21	Environmental Deficiencies	Keep a resident apart from the others if the resident has an infection that can spread.	Isolated	Minimal harm or potential for actual harm
2002-11-22	0000-00-00	Environmental Deficiencies	Provide rooms that are big enough for each resident.	Pattern	Potential for minimal harm
2003-10-16	2003-11-14	Quality Care Deficiencies	Provide activities to meet the needs of each resident.	Pattern	Minimal harm or potential for actual harm
2003-10-16	2003-11-14	Resident Assessment Deficiencies	Develop a plan with the resident and family for the resident's care after leaving the nursing home.	Pattern	Minimal harm or potential for actual harm
2003-10-16	2003-11-14	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Isolated	Minimal harm or potential for actual harm
2003-10-16	2003-11-14	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Isolated	Minimal harm or potential for actual harm
2003-10-16	2003-11-07	Quality Care Deficiencies	Use a registered nurse at least 8 hours a day, 7 days a week.	Widespread	Potential for minimal harm
2003-10-16	2003-11-14	Environmental Deficiencies	Get rid of garbage properly.	Pattern	Potential for minimal harm
2003-10-16	0000-00-00	Environmental Deficiencies	Provide rooms that are big enough for each resident.	Pattern	Potential for minimal harm

*** All violations listed are based on federal government records.