Jefferson Healthcare

Total Number of Beds: 276	Percent of Occupied Beds: 68%
Total Number of Residents: 188	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: 02/13/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.24

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.92

Number of CNA Hours per Nursing Home Resident per Day: 18.84

Number of Staff Hours per Nursing Home Resident per Day: 20

Nursing Home Resident Information**:

Percent of Low-Risk Residents Who Have Pressure Sores: 1%
Percent of Short-Stay Residents With Pressure Sores: 11%
Percent of High-Risk Residents Who Have Pressure Sores: 19%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 7%
Percent of Residents Who Have Moderate to Severe Pain: 3%
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse: 8%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 5%
Percent of Residents Whose Need for Help With Daily Activities Has Increased: 22%
Percent of Residents Who are More Depressed or Anxious: 5%
Percent of Short-Stay Residents With Delirium: 0%
Percent of Residents Who Were Physically Restrained: 30%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder: 55%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 3%
Percent of Residents With a Urinary Tract Infection: 3%
** Details Last Reported on: 2/13/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-01-11	2001-02-16	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
2001-01-11	2001-02-09	Environmental Deficiencies	Provide clean bed and bath linens that are in good condition.	Pattern	Potential for minimal harm
2001-01-11	2001-02-16	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	Isolated	Actual harm
2001-01-11	2001-02-16	Quality Care Deficiencies	Give each resident enough fluids to keep them healthy and prevent dehydration.	Isolated	Actual harm
2001-01-11	2001-02-09	Environmental Deficiencies	Keep all essential equipment working safely.	Pattern	Potential for minimal harm
2001-01-11	2001-02-16	Environmental Deficiencies	Make sure that a working call system is available in each resident's room or bathroom and bathing area.	Pattern	Immediate jeopardy to resident health or safety
2001-01-11	2001-02-09	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Pattern	Potential for minimal harm
2001-01-11	2001-02-16	Environmental Deficiencies	Make sure there is a program to prevent/deal with mice, insects, or other pests.	Pattern	Minimal harm or potential for actual harm
2001-01-11	2001-02-16	Administration Deficiencies	Train all employees on what to do in an emergency.	Widespread	Minimal harm or potential for actual harm
2002-02-08	2002-04-15	Resident Rights Deficiencies	Provide proof that all residents' personal money which is deposited with the nursing home, is secure.	Widespread	Minimal harm or potential for actual harm
2002-02-08	2002-04-15	Mistreatment Deficiencies	Keep each resident free from physical restraints, unless needed for medical treatment.	Pattern	Minimal harm or potential for actual harm
2002-02-08	2002-04-15	Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.	Isolated	Minimal harm or potential for actual harm
2002-02-08	2002-04-15	Resident Rights Deficiencies	Provide services to meet the needs and preferences of each resident.	Pattern	Minimal harm or potential for actual harm
2002-02-08	2002-04-15	Environmental Deficiencies	Keep safe, clean and homelike surroundings.	Pattern	Minimal harm or potential for actual harm
2002-02-08	2002-04-15	Environmental Deficiencies	Provide clean bed and bath linens that are in good condition.	Pattern	Minimal harm or potential for actual harm
2002-02-08	2002-04-15	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Pattern	Minimal harm or potential for actual harm
2002-02-08	2002-04-15	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
2002-02-08	2002-04-15	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Pattern	Minimal harm or potential for actual harm
2002-02-08	2002-04-15	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
2002-02-08	2002-04-15	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
2002-02-08	2002-06-05	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
2002-02-08	2002-04-15	Pharmacy Service Deficiencies	Make sure that residents are safe from serious medication errors.	Isolated	Minimal harm or potential for actual harm
2002-02-08	2002-04-15	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Pattern	Minimal harm or potential for actual harm
2002-02-08	2002-04-15	Environmental Deficiencies	Get rid of garbage properly.	Isolated	Minimal harm or potential for actual harm
2002-02-08	2002-04-15	Environmental Deficiencies	Keep all essential equipment working safely.	Isolated	Minimal harm or potential for actual harm
2002-02-08	2002-04-15	Environmental Deficiencies	Provide bedrooms that don't allow residents to see each other when privacy is needed.	Isolated	Minimal harm or potential for actual harm
2002-02-08	2002-04-15	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Pattern	Minimal harm or potential for actual harm
2002-02-08	2002-04-15	Environmental Deficiencies	Make sure there is a program to prevent/deal with mice, insects, or other pests.	Pattern	Minimal harm or potential for actual harm
2002-02-08	2002-04-15	Administration Deficiencies	Make sure that nurse aides show they have the skills to be able to care for residents.	Isolated	Minimal harm or potential for actual harm
2002-02-08	2002-04-15	Administration Deficiencies	Keep accurate and appropriate medical records.	Pattern	Minimal harm or potential for actual harm
2002-02-08	2002-04-15	Administration Deficiencies	Keep clinical information safe, so that it will not be lost, destroyed or used by the wrong person.	Pattern	Potential for minimal harm
2003-02-13	0000-00-00	Resident Rights Deficiencies	Try to resolve each resident's complaints quickly.	Widespread	Potential for minimal harm
2003-02-13	2003-04-02	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

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