Darby Square

Total Number of Beds: 120	Percent of Occupied Beds: 98%
Total Number of Residents: 118	Located Within a Hospital: No
Type of Ownership: Non 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: 05/29/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.4

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.98

Number of CNA Hours per Nursing Home Resident per Day: 2.28

Number of Staff Hours per Nursing Home Resident per Day: 3.66

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 17%
Percent of High-Risk Residents Who Have Pressure Sores: 23%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 11%
Percent of Residents Who Have Moderate to Severe Pain: 9%
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse: 23%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 6%
Percent of Residents Whose Need for Help With Daily Activities Has Increased: 25%
Percent of Residents Who are More Depressed or Anxious: 11%
Percent of Short-Stay Residents With Delirium: 5%
Percent of Residents Who Were Physically Restrained: 3%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder: 48%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 8%
Percent of Residents With a Urinary Tract Infection: 15%
** Details Last Reported on: 5/29/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-07-27	2001-08-23	Environmental Deficiencies	Provide needed housekeeping and maintenance.	Isolated	Minimal harm or potential for actual harm
2001-07-27	2001-08-22	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
2001-07-27	2001-08-23	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
2001-07-27	2001-08-23	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	Pattern	Minimal harm or potential for actual harm
2001-07-27	2001-08-23	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Actual harm
2001-07-27	2001-08-23	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Pattern	Minimal harm or potential for actual harm
2001-07-27	2001-08-23	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Minimal harm or potential for actual harm
2001-07-27	2001-08-24	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
2001-07-27	2001-08-22	Pharmacy Service Deficiencies	Keep drugs and other similar products locked safely and properly stored.	Pattern	Minimal harm or potential for actual harm
2001-07-27	2001-08-23	Administration Deficiencies	Follow all laws and professional standards.	Isolated	Minimal harm or potential for actual harm
2002-08-28	2002-09-17	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
2002-08-28	2002-09-17	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	Isolated	Minimal harm or potential for actual harm
2002-08-28	2002-09-12	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Isolated	Minimal harm or potential for actual harm
2003-05-29	2003-06-13	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
2003-05-29	2003-06-18	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	Isolated	Minimal harm or potential for actual harm
2003-05-29	2003-06-13	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
2003-05-29	2003-06-16	Quality Care Deficiencies	Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable.	Isolated	Minimal harm or potential for actual harm
2003-05-29	2003-06-13	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Isolated	Minimal harm or potential for actual harm
2003-05-29	2003-06-13	Quality Care Deficiencies	Make sure each resident is being watched and has assistance devices when needed, to prevent accidents.	Isolated	Minimal harm or potential for actual harm

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