Tandem Health Care of Jacksonville

Total Number of Beds: 116	Percent of Occupied Beds: 94%
Total Number of Residents: 109	Located Within a Hospital: No
Type of Ownership: For profit - Corporation	Multiple Nursing Homes by Same Owner: Yes
Councils the Nursing Home Participates in: Family & Resident	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 12/18/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.35

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.89

Number of CNA Hours per Nursing Home Resident per Day: 2.75

Number of Staff Hours per Nursing Home Resident per Day: 3.99

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 20%
Percent of High-Risk Residents Who Have Pressure Sores: 22%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 18%
Percent of Residents Who Have Moderate to Severe Pain: 8%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 2%
Percent of Residents Whose Need for Help With Daily Activities Has Increased: 53%
Percent of Residents Who are More Depressed or Anxious: 11%
Percent of Short-Stay Residents With Delirium: 2%
Percent of Residents Who Were Physically Restrained: 11%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder: 56%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 7%
Percent of Residents With a Urinary Tract Infection: 28%
** Details Last Reported on: 12/18/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2002-01-17	2002-02-18	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
2002-01-17	2002-02-18	Resident Assessment Deficiencies	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
2002-01-17	2002-02-18	Resident Assessment Deficiencies	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
2002-01-17	2002-02-18	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
2002-01-17	2002-02-18	Quality Care Deficiencies	Have enough nurses to care for every resident in a way that maximizes the resident's well being.	Pattern	Minimal harm or potential for actual harm
2002-01-17	2002-02-18	Resident Assessment Deficiencies	Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.	Isolated	Minimal harm or potential for actual harm
2002-01-17	2002-02-18	Pharmacy Service Deficiencies	Make sure that the pharmacist reports anything unusual to the doctor on duty and the director of nursing.	Isolated	Minimal harm or potential for actual harm
2002-01-17	2002-02-18	Administration Deficiencies	Keep accurate and appropriate medical records.	Isolated	Minimal harm or potential for actual harm
2003-02-13	2003-03-20	Resident Rights Deficiencies	Let residents give themselves their drugs if they are able.	Isolated	Minimal harm or potential for actual harm
2003-02-13	2003-03-20	Mistreatment Deficiencies	Keep each resident free from physical restraints, unless needed for medical treatment.	Pattern	Minimal harm or potential for actual harm
2003-02-13	2003-03-20	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Isolated	Minimal harm or potential for actual harm
2003-02-13	2003-03-20	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Pattern	Minimal harm or potential for actual harm
2003-02-13	2003-03-20	Quality Care Deficiencies	Give each resident enough fluids to keep them healthy and prevent dehydration.	Isolated	Minimal harm or potential for actual harm
2003-02-13	2003-03-20	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Pattern	Minimal harm or potential for actual harm
2003-02-13	2003-03-20	Pharmacy Service Deficiencies	Make sure that residents are safe from serious medication errors.	Isolated	Minimal harm or potential for actual harm
2003-02-13	2003-03-20	Pharmacy Service Deficiencies	Use the services of a licensed pharmacist.	Pattern	Minimal harm or potential for actual harm
2003-02-13	2003-03-20	Pharmacy Service Deficiencies	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	Pattern	Minimal harm or potential for actual harm
2003-02-13	2003-03-20	Pharmacy Service Deficiencies	Keep drugs and other similar products locked safely and properly stored.	Widespread	Minimal harm or potential for actual harm
2003-02-13	2003-03-20	Environmental Deficiencies	Make sure that staff members wash their hands when needed.	Isolated	Minimal harm or potential for actual harm
2003-12-18	2004-01-23	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Pattern	Minimal harm or potential for actual harm
2003-12-18	2004-01-23	Resident Assessment Deficiencies	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
2003-12-18	2004-01-23	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	Isolated	Minimal harm or potential for actual harm
2003-12-18	2004-01-23	Quality Care Deficiencies	Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.	Isolated	Minimal harm or potential for actual harm
2003-12-18	2004-01-23	Pharmacy Service Deficiencies	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
2003-12-18	2004-01-23	Nutrition and Dietary Deficiencies	Provide special eating equipment and utensils for each resident who needs them.	Isolated	Minimal harm or potential for actual harm
2003-12-18	2004-01-23	Pharmacy Service Deficiencies	Provide drugs and related services needed by each resident.	Pattern	Minimal harm or potential for actual harm
2003-12-18	2004-01-23	Pharmacy Service Deficiencies	Use the services of a licensed pharmacist.	Isolated	Minimal harm or potential for actual harm
2003-12-18	2004-01-23	Pharmacy Service Deficiencies	Act when the pharmacist reports something unusual.	Pattern	Minimal harm or potential for actual harm
2003-12-18	2004-01-23	Pharmacy Service Deficiencies	Properly mark drugs and other similar products.	Isolated	Minimal harm or potential for actual harm

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