Pilgrim Rehab & Senior Nursing Care

Total Number of Beds: 152	Percent of Occupied Beds: 96%
Total Number of Residents: 146	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: 06/23/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.64

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.62

Number of CNA Hours per Nursing Home Resident per Day: 1.9

Number of Staff Hours per Nursing Home Resident per Day: 3.16

Nursing Home Resident Information**:

Percent of Low-Risk Residents Who Have Pressure Sores: 0%
Percent of Short-Stay Residents With Pressure Sores: 21%
Percent of High-Risk Residents Who Have Pressure Sores: 12%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 2%
Percent of Residents Who Have Moderate to Severe Pain: 0%
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse: 17%
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: 24%
Percent of Residents Who are More Depressed or Anxious: 20%
Percent of Short-Stay Residents With Delirium: 1%
Percent of Residents Who Were Physically Restrained: 9%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder: 57%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 1%
Percent of Residents With a Urinary Tract Infection: 10%
** Details Last Reported on: 6/23/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-04-26	2001-06-25	Resident Rights Deficiencies	Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.	Isolated	Minimal harm or potential for actual harm
2001-04-26	2001-06-25	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
2001-04-26	2001-06-15	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
2001-04-26	2001-06-01	Pharmacy Service Deficiencies	Provide drugs and related services needed by each resident.	Isolated	Minimal harm or potential for actual harm
2001-04-26	2001-05-24	Pharmacy Service Deficiencies	Act when the pharmacist reports something unusual.	Isolated	Minimal harm or potential for actual harm
2001-04-26	2001-06-06	Administration Deficiencies	Get services outside the nursing home that meet professional standards.	Isolated	Minimal harm or potential for actual harm
2001-04-26	2001-06-01	Administration Deficiencies	Quickly tell the resident's doctor the results of lab tests.	Pattern	Minimal harm or potential for actual harm
2002-06-10	2002-07-17	Resident Rights Deficiencies	Give the resident's legal representative the same rights as the resident.	Isolated	Minimal harm or potential for actual harm
2002-06-10	2002-07-17	Resident Rights Deficiencies	Keep each resident's personal and medical records private and confidential.	Isolated	Minimal harm or potential for actual harm
2002-06-10	2002-07-17	Resident Rights Deficiencies	Let residents give themselves their drugs if they are able.	Isolated	Minimal harm or potential for actual harm
2002-06-10	2002-07-17	Quality Care Deficiencies	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	Isolated	Minimal harm or potential for actual harm
2002-06-10	2002-07-17	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
2002-06-10	2002-07-31	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
2002-06-10	2002-07-31	Nutrition and Dietary Deficiencies	Provide special eating equipment and utensils for each resident who needs them.	Isolated	Minimal harm or potential for actual harm
2002-06-10	2002-07-31	Administration Deficiencies	Have licensed, certified, or registered staff to give needed services.	Isolated	Minimal harm or potential for actual harm
2003-06-23	2003-08-20	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Actual harm
2003-06-23	2003-08-20	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Isolated	Actual harm
2003-06-23	2003-08-20	Quality Care Deficiencies	Make sure each resident is being watched and has assistance devices when needed, to prevent accidents.	Isolated	Actual harm
2003-06-23	2003-08-20	Quality Care Deficiencies	Make sure that each resident's nutritional needs were met.	Isolated	Actual harm
2003-06-23	2003-08-20	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
2003-06-23	2003-08-20	Environmental Deficiencies	Have a program to keep infection from spreading.	Isolated	Minimal harm or potential for actual harm
2003-06-23	2003-08-20	Administration Deficiencies	Give or get lab tests to meet the needs of residents.	Isolated	Minimal harm or potential for actual harm

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