Manchester Health Care Center

Total Number of Beds: 120	Percent of Occupied Beds: 90%
Total Number of Residents: 108	Located Within a Hospital: No
Type of Ownership: For profit - Corporation	Multiple Nursing Homes by Same Owner: Yes
Councils the Nursing Home Participates in: Resident	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 08/22/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.25

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.79

Number of CNA Hours per Nursing Home Resident per Day: 2.08

Number of Staff Hours per Nursing Home Resident per Day: 3.12

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 14%
Percent of High-Risk Residents Who Have Pressure Sores: 17%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 34%
Percent of Residents Who Have Moderate to Severe Pain: 6%
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse: 22%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 19%
Percent of Residents Whose Need for Help With Daily Activities Has Increased: 20%
Percent of Residents Who are More Depressed or Anxious: 22%
Percent of Short-Stay Residents With Delirium: 6%
Percent of Residents Who Were Physically Restrained: 12%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder: 32%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 5%
Percent of Residents With a Urinary Tract Infection: 11%
** Details Last Reported on: 8/22/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-04-19	2001-06-12	Resident Rights Deficiencies	Tell the resident completely about his or her health status.	Isolated	Minimal harm or potential for actual harm
2001-04-19	2001-06-12	Resident Rights Deficiencies	Let each resident choose whether to manage his or her own money or deposit it with the nursing home.	Pattern	Minimal harm or potential for actual harm
2001-04-19	2001-06-12	Resident Rights Deficiencies	Allow residents to easily see the results of the nursing home's most recent survey.	Widespread	Potential for minimal harm
2001-04-19	2001-06-12	Mistreatment Deficiencies	Keep each resident free from physical restraints, unless needed for medical treatment.	Isolated	Minimal harm or potential for actual harm
2001-04-19	2001-06-12	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Isolated	Actual harm
2001-04-19	2001-06-12	Resident Assessment Deficiencies	Do a new assessment after any major change in a resident's physical or mental health.	Isolated	Minimal harm or potential for actual harm
2001-04-19	2001-06-12	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	Actual harm
2001-04-19	2001-06-12	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
2001-04-19	2001-06-12	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
2001-04-19	2001-06-12	Quality Care Deficiencies	Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.	Isolated	Actual harm
2001-04-19	2001-06-12	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Isolated	Minimal harm or potential for actual harm
2001-04-19	2001-06-12	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
2001-04-19	2001-06-12	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
2002-07-05	2002-07-26	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
2002-07-05	2002-07-26	Environmental Deficiencies	Keep sound levels comfortable.	Pattern	Minimal harm or potential for actual harm
2002-07-05	2002-07-26	Resident Assessment Deficiencies	Check and update (if needed) each resident's assessment every 3 months.	Isolated	Minimal harm or potential for actual harm
2002-07-05	2002-07-26	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
2002-07-05	2002-07-26	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
2002-07-05	2002-07-26	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
2002-07-05	2002-07-26	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Minimal harm or potential for actual harm
2002-07-05	2002-07-26	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
2002-07-05	2002-07-26	Nutrition and Dietary Deficiencies	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	Pattern	Minimal harm or potential for actual harm
2002-07-05	2002-07-26	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
2002-07-05	2002-07-26	Environmental Deficiencies	Get rid of garbage properly.	Isolated	Minimal harm or potential for actual harm
2002-07-05	2002-07-26	Resident Assessment Deficiencies	Make sure that all needed doctor visits are made personally by a doctor, as required.	Pattern	Minimal harm or potential for actual harm
2002-07-05	2002-07-26	Environmental Deficiencies	Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.	Pattern	Minimal harm or potential for actual harm
2002-07-05	2002-07-26	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
2003-08-22	2003-09-09	Resident Assessment Deficiencies	Do a new assessment after any major change in a resident's physical or mental health.	Isolated	Minimal harm or potential for actual harm
2003-08-22	2003-09-09	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
2003-08-22	2003-09-09	Quality Care Deficiencies	Give each resident a special diet to help when there is a nutritional problem.	Isolated	Minimal harm or potential for actual harm
2003-08-22	2003-09-09	Administration Deficiencies	Keep accurate and appropriate medical records.	Isolated	Minimal harm or potential for actual harm

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