Windsor Manor Rehabilitation Center
Detailed report on the nursing home located in Concord, California (CA).
Windsor Manor Rehabilitation Center is a large, for-profit, nursing home with 190 beds based at 3806 Clayton Road in Concord, CA. The facility has 143 residents indicating 75% of it's beds are occupied, which is below average within this state. The provider participates in the medicare & medicaid programs and provides resident & family counseling services. The home is not located in a hospital or continuing care retirement community and is fully sprinklered. A total of 176 Medicare patients were given 5,069 days of non-swing bed care and services in 2006, and the provider was reimbursed $2,250,744 by Medicare. 70 Medicare patients were given outpatient care and services by this provider in 2006. The provider was reimbursed $190,342 by Medicare for these services.
On a state level, the number of registered nurse hours per resident per day is lower than average. Certified nursing assistant hours per resident per day is average. The number of licensed practical or vocational nurse hours per resident per day is average. Licensed staff hours per resident per day is average.
When compared to other nursing homes in the state, it is more likely for long-stay residents to have moderate to severe pain, high-risk long-stay residents to have pressure sores, low-risk long-stay residents to have pressure sores, long-stay residents to have catheter inserted and left, long-stay residents to spend most of their time in bed, long-stay residents to have their ability to move around their room get worse, long-stay residents to have a urinary tract infection, and short-stay residents to have moderate to severe pain at Windsor Manor Rehabilitation Center.
When compared to other nursing homes in the state, it is less likely for long-stay residents to be given a influenza vaccination, long-stay residents to be given a pneumococcal vaccination, long-stay residents to be physically restrained, long-stay residents to lose too much weight, short-stay residents to be given a influenza vaccination, short-stay residents to be given a pneumococcal vaccination, and short-stay residents to have pressure sores.
Overall Rating
Ownership Type
Multiple Ownership
Address
Concord, CA 94521
Phone Number
Geographic Coordinates
Programs Accepted
Counseling Available
Sprinkler System
The amount of the facility that is sprinklered. All fire code regulations at different locations must be met.
Fully SprinkleredBeds
The total number of beds the facility operates. Each resident is assigned to a single bed.
- This Provider
- 190
- Concord Average
- 136
- Contra Costa County Average
- 94
- California Average
- 96
- United States Average
- 106
Beds Occupied
The percentage of total beds that are occupied by residents.
- This Provider
- 75.00%
- Concord
- 86.60%
- Contra Costa County
- 84.71%
- California
- 85.48%
- United States
- 84.18%
Residents
The total number of residents residing at the facility.
- This Provider
- 143
- Concord Average
- 117
- Contra Costa County Average
- 79
- California Average
- 82
- United States Average
- 90
Located in a Hospital
Indicates whether the facility is located within a hospital.
- This Provider
- No
- Concord
- 0 (0.00%)
- Contra Costa County
- 0 (0.00%)
- California
- 144 (11.30%)
- United States
- 1,271 (8.03%)
Located in a CCRC
Indicates whether the facility is located within a continuing care retirement community.
- This Provider
- No
- Concord
- 0 (0.00%)
- Contra Costa County
- 0 (0.00%)
- California
- 81 (6.36%)
- United States
- 1,255 (7.93%)
Recent Surveys
- 07/17/2007 - Fire Safety Survey
- 07/13/2007 - Health Survey (QIS)
- 04/14/2006 - Health Survey
- 04/12/2006 - Fire Safety Survey
- 03/30/2005 - Fire Safety Survey
- 03/25/2005 - Health Survey
Staff
RN Hours Per Resident
The average number of registered nurse hours per resident per day.
- This Provider
- 0.58
- Concord Average
- 0.62
- Contra Costa County Average
- 0.66
- California Average
- 0.69
- United States Average
- 0.64
CNA Hours Per Resident
The average number of certified nursing assistant hours per resident per day.
- This Provider
- 2.43
- Concord Average
- 2.56
- Contra Costa County Average
- 2.60
- California Average
- 2.59
- United States Average
- 2.34
LPNLVN Hours Per Resident
The average number of licensed practical or vocational nurse hours per resident per day.
- This Provider
- 0.86
- Concord Average
- 0.80
- Contra Costa County Average
- 0.64
- California Average
- 0.85
- United States Average
- 0.79
Licensed Staff Hours Per Resident
The average number of licensed staff hours per resident per day.
- This Provider
- 1.44
- Concord Average
- 1.42
- Contra Costa County Average
- 1.30
- California Average
- 1.54
- United States Average
- 1.43
Quality Measures
Long-Stay Residents Given Influenza Vaccination
The percentage of long-stay residents given influenza vaccination during the flu season.
- This Provider
- 17.00%
- Concord
- 64.80%
- Contra Costa County
- 66.22%
- California
- 79.58%
- United States
- 86.01%
Long-Stay Residents Whose Need for Help With Daily Activities Has Increased
The percentage of long-stay residents whose need for help with daily activities has increased.
- This Provider
- 15.00%
- Concord
- 12.80%
- Contra Costa County
- 14.17%
- California
- 12.78%
- United States
- 16.08%
High-Risk Long-Stay Residents Who Have Pressure Sores
The percentage of high-risk long-stay residents who have pressure sores.
- This Provider
- 18.00%
- Concord
- 14.00%
- Contra Costa County
- 13.74%
- California
- 13.92%
- United States
- 12.83%
Long-Stay Residents Who Were Physically Restrained
The percentage of long-stay residents who were physically restrained.
- This Provider
- 10.00%
- Concord
- 10.40%
- Contra Costa County
- 14.15%
- California
- 12.57%
- United States
- 5.63%
Low-Risk Long-Stay Residents Who Lose Control of Their Bowels
The percentage of low-risk long-stay residents who lose control of their bowels or bladder.
- This Provider
- 49.00%
- Concord
- 59.40%
- Contra Costa County
- 64.94%
- California
- 56.56%
- United States
- 48.78%
Long-Stay Residents Who Spend Most of Their Time in Bed
The percentage of long-stay residents who spend most of their time in bed or in a chair.
- This Provider
- 8.00%
- Concord
- 4.80%
- Contra Costa County
- 4.92%
- California
- 5.32%
- United States
- 4.39%
Long-Stay Residents With a Urinary Tract Infection
The percentage of long-stay residents with a urinary tract infection.
- This Provider
- 9.00%
- Concord
- 8.80%
- Contra Costa County
- 7.54%
- California
- 7.38%
- United States
- 8.83%
Short-Stay Residents Given Influenza Vaccination
The percentage of short-stay residents given influenza vaccination during the flu season.
- This Provider
- 17.00%
- Concord
- 51.00%
- Contra Costa County
- 50.50%
- California
- 66.74%
- United States
- 72.85%
Short-Stay Residents With Delirium
The percentage of short-stay residents with delirium.
- This Provider
- 1.00%
- Concord
- 0.80%
- Contra Costa County
- 1.20%
- California
- 1.18%
- United States
- 2.12%
Short-Stay Residents With Pressure Sores
The percentage of short-stay residents with pressure sores.
- This Provider
- 17.00%
- Concord
- 18.40%
- Contra Costa County
- 19.28%
- California
- 23.27%
- United States
- 17.46%
Long-Stay Residents Given Pneumococcal Vaccination
The percentage of long-stay residents who were assessed and given pneumococcal vaccination.
- This Provider
- 22.00%
- Concord
- 57.00%
- Contra Costa County
- 61.07%
- California
- 71.88%
- United States
- 79.81%
Long-Stay Residents Who Have Moderate to Severe Pain
The percentage of long-stay residents who have moderate to severe pain.
- This Provider
- 8.00%
- Concord
- 12.80%
- Contra Costa County
- 5.60%
- California
- 4.62%
- United States
- 4.53%
Low-Risk Long-Stay Residents Who Have Pressure Sores
The percentage of low-risk long-stay residents who have pressure sores.
- This Provider
- 3.00%
- Concord
- 2.33%
- Contra Costa County
- 2.33%
- California
- 1.96%
- United States
- 2.33%
Long-Stay Residents Who are More Depressed or Anxious
The percentage of long-stay residents who are more depressed or anxious.
- This Provider
- 10.00%
- Concord
- 10.40%
- Contra Costa County
- 8.28%
- California
- 10.44%
- United States
- 14.45%
Long-Stay Residents Who Have Catheter Inserted and Left
The percentage of long-stay residents who have/had a catheter inserted and left in their bladder.
- This Provider
- 12.00%
- Concord
- 5.60%
- Contra Costa County
- 4.80%
- California
- 4.88%
- United States
- 5.89%
Long-Stay Residents Whose Ability to Move Around Their Room Got Worse
The percentage of long-stay residents whose ability to move about in and around their room got worse.
- This Provider
- 20.00%
- Concord
- 15.00%
- Contra Costa County
- 12.27%
- California
- 11.77%
- United States
- 13.04%
Long-Stay Residents Who Lose Too Much Weight
The percentage of long-stay residents who lose too much weight.
- This Provider
- 3.00%
- Concord
- 6.20%
- Contra Costa County
- 6.88%
- California
- 7.56%
- United States
- 9.09%
Short-Stay Residents Given Pneumococcal Vaccination
The percentage of short-stay residents who were assessed and given pneumococcal vaccination.
- This Provider
- 26.00%
- Concord
- 58.40%
- Contra Costa County
- 57.04%
- California
- 65.03%
- United States
- 73.02%
Short-Stay Residents Who Had Moderate to Severe Pain
The percentage of short-stay residents who had moderate to severe pain.
- This Provider
- 34.00%
- Concord
- 38.80%
- Contra Costa County
- 27.75%
- California
- 25.14%
- United States
- 20.65%
Treatment Figures
Non-Swing Bed Patients
The number of non-swing bed patients treated by this provider that were covered by Medicare Part A in 2006. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.
- This Provider
- 176
- Concord Average
- 160
- Contra Costa County Average
- 115
- California Average
- 122
- United States Average
- 133
Non-Swing Bed Patient Discharges
The number of non-swing bed patient discharges made by this provider that were covered by Medicare Part A in 2006. A discharge is defined as a formal release from a hospital or skilled nursing facility. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.
- This Provider
- 157
- Concord Average
- 150
- Contra Costa County Average
- 107
- California Average
- 120
- United States Average
- 124
Non-Swing Bed Utilization Days
The number of days of non-swing bed care that are chargeable to Medicare Part A facility utilization by this provider in 2006. This measure includes full days, coinsurance days, and lifetime reserve days. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.
- This Provider
- 5,069
- Concord Average
- 4,594
- Contra Costa County Average
- 3,677
- California Average
- 3,893
- United States Average
- 4,470
Outpatients
The number of outpatients treated by this provider that were covered by Medicare Part B in 2006. An outpatient is defined as a patient treated in under 24 hours at a qualifying medical facility.
These figures may include data from other departments at this facility.
- This Provider
- 70
- Concord Average
- 62
- Contra Costa County Average
- 38
- California Average
- 298
- United States Average
- 301
Financials
Medicare Non-Swing Bed Payments
The total non-swing bed associated Medicare Part A payments made to this provider in 2006. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.
- This Provider
- $2,250,744
- Concord Average
- $2,161,657
- Contra Costa County Average
- $1,732,225
- California Average
- $1,431,478
- United States Average
- $1,318,701
Medicare Payments Per Non-Swing Bed Utilization Day
The average Medicare payments made to this provider per Medicare Part A covered non-swing bed utilization day in 2006. This measure includes full days, coinsurance days, and lifetime reserve days. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.
- This Provider
- $444
- Concord Average
- $471
- Contra Costa County Average
- $471
- California Average
- $368
- United States Average
- $295
Medicare Outpatient Payments
The total outpatient associated Medicare Part B payments made to this provider in 2006. An outpatient is defined as a patient treated in under 24 hours at a qualifying medical facility.
These figures may include data from other departments at this facility.
- This Provider
- $190,342
- Concord Average
- $92,213
- Contra Costa County Average
- $53,743
- California Average
- $260,456
- United States Average
- $266,523
Medicare Payments Per Non-Swing Bed Patient
The average Medicare payments made to this provider per Medicare Part A covered non-swing bed patient in 2006. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.
- This Provider
- $12,788
- Concord Average
- $13,477
- Contra Costa County Average
- $15,063
- California Average
- $11,749
- United States Average
- $9,943
Medicare Payments Per Non-Swing Bed Patient Discharge
The average Medicare payments made to this provider per Medicare Part A covered non-swing bed patient discharge in 2006. A discharge is defined as a formal release from a hospital or skilled nursing facility. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.
- This Provider
- $14,336
- Concord Average
- $14,373
- Contra Costa County Average
- $16,233
- California Average
- $11,932
- United States Average
- $10,652
Medicare Payments Per Outpatient
The average Medicare payments made to this provider per Medicare Part B covered outpatient in 2006. An outpatient is defined as a patient treated in under 24 hours at a qualifying medical facility.
These figures may include data from other departments at this facility.
- This Provider
- $2,719
- Concord Average
- $1,483
- Contra Costa County Average
- $1,409
- California Average
- $874
- United States Average
- $885
Deficiencies
07/17/2007 - Automatic Sprinkler Systems
- Type:
- Fire Safety
- Category:
- Automatic Sprinkler Systems
- Issue:
- automatic sprinkler systems that have been maintained in working order.
- Found Via:
- Survey
- Scope:
- Widespread
- Level of Harm:
- Potential for minimal harm
- Date Found:
- 07/17/2007
- Date Fixed:
- 08/22/2007
07/17/2007 - Corridor Walls and Doors
- Type:
- Fire Safety
- Category:
- Corridor Walls and Doors
- Issue:
- corridor and hallway doors that block smoke.
- Found Via:
- Survey
- Scope:
- Pattern
- Level of Harm:
- Potential for minimal harm
- Date Found:
- 07/17/2007
- Date Fixed:
- 08/22/2007
07/17/2007 - Vertical Openings
- Type:
- Fire Safety
- Category:
- Vertical Openings
- Issue:
- exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 07/17/2007
- Date Fixed:
- 08/22/2007
07/17/2007 - Smoke Compartmentation and Control
- Type:
- Fire Safety
- Category:
- Smoke Compartmentation and Control
- Issue:
- walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 07/17/2007
- Date Fixed:
- 08/22/2007
07/17/2007 - Hazardous Area
- Type:
- Fire Safety
- Category:
- Hazardous Area
- Issue:
- construction that can resist fire for one hour or an approved fire extinguishing system.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 07/17/2007
- Date Fixed:
- 08/22/2007
07/17/2007 - Automatic Sprinkler Systems
- Type:
- Fire Safety
- Category:
- Automatic Sprinkler Systems
- Issue:
- an approved automatic sprinkler system connected to the fire alarm system.
- Found Via:
- Survey
- Scope:
- Widespread
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 07/17/2007
- Date Fixed:
- 08/22/2007
07/17/2007 - Automatic Sprinkler Systems
- Type:
- Fire Safety
- Category:
- Automatic Sprinkler Systems
- Issue:
- properly working alarms on sprinkler valves.
- Found Via:
- Survey
- Scope:
- Widespread
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 07/17/2007
- Date Fixed:
- 08/22/2007
07/17/2007 - Building Service Equipment
- Type:
- Fire Safety
- Category:
- Building Service Equipment
- Issue:
- heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- Found Via:
- Survey
- Scope:
- Widespread
- Level of Harm:
- Potential for minimal harm
- Date Found:
- 07/17/2007
- Date Fixed:
- 08/22/2007
07/17/2007 - Furnishings and Decorations
- Type:
- Fire Safety
- Category:
- Furnishings and Decorations
- Issue:
- restrictions on the use of highly flammable materials.
- Found Via:
- Survey
- Scope:
- Pattern
- Level of Harm:
- Potential for minimal harm
- Date Found:
- 07/17/2007
- Date Fixed:
- 08/22/2007
07/17/2007 - Electrical
- Type:
- Fire Safety
- Category:
- Electrical
- Issue:
- weekly inspections and monthly testing of generators.
- Found Via:
- Survey
- Scope:
- Widespread
- Level of Harm:
- Potential for minimal harm
- Date Found:
- 07/17/2007
- Date Fixed:
- 08/22/2007
07/17/2007 - Electrical
- Type:
- Fire Safety
- Category:
- Electrical
- Issue:
- properly installed electrical wiring and equipment.
- Found Via:
- Survey
- Scope:
- Pattern
- Level of Harm:
- Potential for minimal harm
- Date Found:
- 07/17/2007
- Date Fixed:
- 08/22/2007
07/13/2007 - Nutrition and Dietary
- Type:
- Health
- Category:
- Nutrition and Dietary
- Issue:
- Offer other nutritional food to each resident who will not eat the food served.
- Found Via:
- Survey
- Scope:
- Pattern
- Level of Harm:
- Potential for minimal harm
- Date Found:
- 07/13/2007
- Date Fixed:
- 08/13/2007
07/13/2007 - Pharmacy Service
- Type:
- Health
- Category:
- Pharmacy Service
- Issue:
- 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.
- Found Via:
- Survey
- Scope:
- Pattern
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 07/13/2007
- Date Fixed:
- 08/13/2007
07/13/2007 - Environmental
- Type:
- Health
- Category:
- Environmental
- Issue:
- Make sure that the nursing home area is free of dangers that cause accidents.
- Found Via:
- Survey
- Scope:
- Pattern
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 07/13/2007
- Date Fixed:
- 08/13/2007
07/13/2007 - Quality Care
- Type:
- Health
- Category:
- Quality Care
- Issue:
- Give each resident care and services to get or keep the highest quality of life possible.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 07/13/2007
- Date Fixed:
- 08/13/2007
07/13/2007 - Environmental
- Type:
- Health
- Category:
- Environmental
- Issue:
- Keep temperature levels comfortable and safe.
- Found Via:
- Survey
- Scope:
- Pattern
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 07/13/2007
- Date Fixed:
- 08/13/2007
07/13/2007 - Resident Assessment
- Type:
- Health
- Category:
- Resident Assessment
- Issue:
- Make a complete assessment that covers all questions for areas that are listed in official regulations.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 07/13/2007
- Date Fixed:
- 08/13/2007
07/13/2007 - Resident Assessment
- Type:
- Health
- Category:
- Resident Assessment
- Issue:
- 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.
- Found Via:
- Survey
- Scope:
- Pattern
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 07/13/2007
- Date Fixed:
- 08/13/2007
07/13/2007 - Resident Assessment
- Type:
- Health
- Category:
- Resident Assessment
- Issue:
- Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.
- Found Via:
- Survey
- Scope:
- Pattern
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 07/13/2007
- Date Fixed:
- 08/13/2007
07/13/2007 - Resident Rights
- Type:
- Health
- Category:
- Resident Rights
- Issue:
- Provide services to meet the needs and preferences of each resident.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 07/13/2007
- Date Fixed:
- 08/13/2007
07/13/2007 - Environmental
- Type:
- Health
- Category:
- Environmental
- Issue:
- Make sure that staff members wash their hands when needed.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 07/13/2007
- Date Fixed:
- 08/13/2007
07/13/2007 - Resident Rights
- Type:
- Health
- Category:
- Resident Rights
- Issue:
- Provide care in a way that keeps or builds each resident's dignity and self respect.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 07/13/2007
- Date Fixed:
- 08/13/2007
07/13/2007 - Resident Rights
- Type:
- Health
- Category:
- Resident Rights
- Issue:
- Have a private telephone available for use.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 07/13/2007
- Date Fixed:
- 08/13/2007
07/13/2007 - Pharmacy Service
- Type:
- Health
- Category:
- Pharmacy Service
- Issue:
- Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 07/13/2007
- Date Fixed:
- 08/13/2007
07/13/2007 - Resident Rights
- Type:
- Health
- Category:
- Resident Rights
- Issue:
- 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.
- Found Via:
- Survey
- Scope:
- Pattern
- Level of Harm:
- Potential for minimal harm
- Date Found:
- 07/13/2007
- Date Fixed:
- 08/13/2007
07/13/2007 - Resident Rights
- Type:
- Health
- Category:
- Resident Rights
- Issue:
- Keep each resident's personal and medical records private and confidential.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 07/13/2007
- Date Fixed:
- 08/13/2007
07/13/2007 - Pharmacy Service
- Type:
- Health
- Category:
- Pharmacy Service
- Issue:
- At least once a month, have a licensed pharmacist check the drugs that each resident takes.
- Found Via:
- Survey
- Scope:
- Pattern
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 07/13/2007
- Date Fixed:
- 08/13/2007
07/13/2007 - Administration
- Type:
- Health
- Category:
- Administration
- Issue:
- Train all employees on what to do in an emergency.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 07/13/2007
- Date Fixed:
- 08/13/2007
07/13/2007 - Quality Care
- Type:
- Health
- Category:
- Quality Care
- Issue:
- Give professional services that meet a professional standard of quality.
- Found Via:
- Survey
- Scope:
- Pattern
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 07/13/2007
- Date Fixed:
- 08/13/2007
07/13/2007 - Environmental
- Type:
- Health
- Category:
- Environmental
- Issue:
- Put firmly secured handrails on each side of hallways.
- Found Via:
- Survey
- Scope:
- Pattern
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 07/13/2007
- Date Fixed:
- 08/13/2007
07/13/2007 - Resident Assessment
- Type:
- Health
- Category:
- Resident Assessment
- Issue:
- Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 07/13/2007
- Date Fixed:
- 08/13/2007
06/25/2007 - Quality Care
- Type:
- Health
- Category:
- Quality Care
- Issue:
- Give each resident care and services to get or keep the highest quality of life possible.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 06/25/2007
- Date Fixed:
- 07/11/2007
06/14/2007 - Quality Care
- Type:
- Health
- Category:
- Quality Care
- Issue:
- Give each resident care and services to get or keep the highest quality of life possible.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 06/14/2007
- Date Fixed:
- 07/11/2007
06/13/2007 - Quality Care
- Type:
- Health
- Category:
- Quality Care
- Issue:
- Give each resident care and services to get or keep the highest quality of life possible.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 06/13/2007
- Date Fixed:
- 07/11/2007
06/13/2007 - Resident Assessment
- Type:
- Health
- Category:
- Resident Assessment
- Issue:
- Make a complete assessment that covers all questions for areas that are listed in official regulations.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 06/13/2007
- Date Fixed:
- 07/11/2007
06/13/2007 - Resident Assessment
- Type:
- Health
- Category:
- Resident Assessment
- Issue:
- Make sure that doctors visit residents regularly, as required.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 06/13/2007
- Date Fixed:
- 07/11/2007
06/13/2007 - Resident Assessment
- Type:
- Health
- Category:
- Resident Assessment
- Issue:
- Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 06/13/2007
- Date Fixed:
- 07/11/2007
06/13/2007 - Resident Assessment
- Type:
- Health
- Category:
- Resident Assessment
- Issue:
- Develop a plan with the resident and family for the resident's care after leaving the nursing home.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 06/13/2007
- Date Fixed:
- 07/11/2007
06/13/2007 - Resident Assessment
- Type:
- Health
- Category:
- Resident Assessment
- Issue:
- 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.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 06/13/2007
- Date Fixed:
- 07/11/2007
06/13/2007 - Administration
- Type:
- Health
- Category:
- Administration
- Issue:
- Keep accurate and appropriate medical records.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 06/13/2007
- Date Fixed:
- 07/11/2007
06/01/2007 - Quality Care
- Type:
- Health
- Category:
- Quality Care
- Issue:
- Provide social services for related medical problems to help each resident achieve the highest possible quality of life.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 06/01/2007
- Date Fixed:
- 07/17/2007
05/04/2007 - Quality Care
- Type:
- Health
- Category:
- Quality Care
- Issue:
- Give each resident care and services to get or keep the highest quality of life possible.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 05/04/2007
05/02/2007 - Resident Assessment
- Type:
- Health
- Category:
- Resident Assessment
- Issue:
- Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 05/02/2007
- Date Fixed:
- 06/07/2007
05/02/2007 - Quality Care
- Type:
- Health
- Category:
- Quality Care
- Issue:
- Give each resident a special diet to help when there is a nutritional problem.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 05/02/2007
- Date Fixed:
- 06/07/2007
05/02/2007 - Resident Assessment
- Type:
- Health
- Category:
- Resident Assessment
- Issue:
- 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.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 05/02/2007
- Date Fixed:
- 06/07/2007
05/02/2007 - Resident Rights
- Type:
- Health
- Category:
- Resident Rights
- Issue:
- Provide services to meet the needs and preferences of each resident.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 05/02/2007
- Date Fixed:
- 06/07/2007
04/30/2007 - Environmental
- Type:
- Health
- Category:
- Environmental
- Issue:
- Make sure that the nursing home area is free of dangers that cause accidents.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 04/30/2007
- Date Fixed:
- 06/07/2007
02/14/2007 - Quality Care
- Type:
- Health
- Category:
- Quality Care
- Issue:
- Give each resident care and services to get or keep the highest quality of life possible.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 02/14/2007
- Date Fixed:
- 03/07/2007
02/08/2007 - Administration
- Type:
- Health
- Category:
- Administration
- Issue:
- Keep accurate and appropriate medical records.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 02/08/2007
- Date Fixed:
- 04/14/2007
02/08/2007 - Environmental
- Type:
- Health
- Category:
- Environmental
- Issue:
- Make sure that the nursing home area is free of dangers that cause accidents.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 02/08/2007
- Date Fixed:
- 04/14/2007
01/17/2007 - Quality Care
- Type:
- Health
- Category:
- Quality Care
- Issue:
- Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 01/17/2007
- Date Fixed:
- 03/07/2007
01/17/2007 - Administration
- Type:
- Health
- Category:
- Administration
- Issue:
- Keep accurate and appropriate medical records.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 01/17/2007
- Date Fixed:
- 03/07/2007
01/11/2007 - Nutrition and Dietary
- Type:
- Health
- Category:
- Nutrition and Dietary
- Issue:
- Store, cook, and give out food in a safe and clean way.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 01/11/2007
- Date Fixed:
- 02/11/2007
01/11/2007 - Environmental
- Type:
- Health
- Category:
- Environmental
- Issue:
- Provide clean bed and bath linens that are in good condition.
- Found Via:
- Complaint
- Scope:
- Pattern
- Level of Harm:
- Potential for minimal harm
- Date Found:
- 01/11/2007
- Date Fixed:
- 02/11/2007
01/11/2007 - Quality Care
- Type:
- Health
- Category:
- Quality Care
- Issue:
- Give each resident care and services to get or keep the highest quality of life possible.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 01/11/2007
- Date Fixed:
- 02/11/2007
01/11/2007 - Environmental
- Type:
- Health
- Category:
- Environmental
- Issue:
- Keep temperature levels comfortable and safe.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 01/11/2007
- Date Fixed:
- 02/11/2007
01/11/2007 - Resident Rights
- Type:
- Health
- Category:
- Resident Rights
- Issue:
- Tell the resident completely about his or her health status.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 01/11/2007
- Date Fixed:
- 02/11/2007
01/04/2007 - Resident Rights
- Type:
- Health
- Category:
- Resident Rights
- Issue:
- Tell the resident or the resident's representative in writing how long the nursing home will hold the resident's bed when the resident temporarily leaves the facility.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 01/04/2007
- Date Fixed:
- 01/31/2007
01/04/2007 - Resident Rights
- Type:
- Health
- Category:
- Resident Rights
- Issue:
- Provide enough notice before discharging or transferring a resident.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 01/04/2007
- Date Fixed:
- 01/31/2007
11/22/2006 - Resident Assessment
- Type:
- Health
- Category:
- Resident Assessment
- Issue:
- Develop a plan with the resident and family for the resident's care after leaving the nursing home.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 11/22/2006
- Date Fixed:
- 12/21/2006
11/22/2006 - Resident Rights
- Type:
- Health
- Category:
- Resident Rights
- Issue:
- Provide enough notice before discharging or transferring a resident.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 11/22/2006
- Date Fixed:
- 12/21/2006
11/07/2006 - Administration
- Type:
- Health
- Category:
- Administration
- Issue:
- Keep accurate and appropriate medical records.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 11/07/2006
- Date Fixed:
- 12/07/2006
11/07/2006 - Quality Care
- Type:
- Health
- Category:
- Quality Care
- Issue:
- Give each resident care and services to get or keep the highest quality of life possible.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 11/07/2006
- Date Fixed:
- 12/07/2006
11/07/2006 - Resident Rights
- Type:
- Health
- Category:
- Resident Rights
- Issue:
- Provide care in a way that keeps or builds each resident's dignity and self respect.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 11/07/2006
- Date Fixed:
- 12/07/2006
08/31/2006 - Quality Care
- Type:
- Health
- Category:
- Quality Care
- Issue:
- Give each resident care and services to get or keep the highest quality of life possible.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 08/31/2006
- Date Fixed:
- 10/05/2006
08/29/2006 - Resident Rights
- Type:
- Health
- Category:
- Resident Rights
- Issue:
- Let the resident or the resident's representative look at all records.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 08/29/2006
- Date Fixed:
- 10/05/2006
08/29/2006 - Resident Rights
- Type:
- Health
- Category:
- Resident Rights
- Issue:
- Help and prepare each resident for a safe and easy discharge and transfer from the nursing home.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 08/29/2006
- Date Fixed:
- 10/05/2006
08/29/2006 - Nutrition and Dietary
- Type:
- Health
- Category:
- Nutrition and Dietary
- Issue:
- Store, cook, and give out food in a safe and clean way.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 08/29/2006
- Date Fixed:
- 10/05/2006
08/04/2006 - Quality Care
- Type:
- Health
- Category:
- Quality Care
- Issue:
- Give each resident care and services to get or keep the highest quality of life possible.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 08/04/2006
- Date Fixed:
- 08/25/2006
07/19/2006 - Resident Rights
- Type:
- Health
- Category:
- Resident Rights
- Issue:
- Tell the resident completely about his or her health status.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 07/19/2006
- Date Fixed:
- 09/15/2006
07/08/2006 - Administration
- Type:
- Health
- Category:
- Administration
- Issue:
- Keep accurate and appropriate medical records.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 07/08/2006
- Date Fixed:
- 09/15/2006
06/01/2006 - Administration
- Type:
- Health
- Category:
- Administration
- Issue:
- Keep accurate and appropriate medical records.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 06/01/2006
- Date Fixed:
- 07/07/2006
06/01/2006 - Environmental
- Type:
- Health
- Category:
- Environmental
- Issue:
- Make sure that the nursing home area is safe, easy to use, clean and comfortable.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 06/01/2006
- Date Fixed:
- 07/07/2006
06/01/2006 - Quality Care
- Type:
- Health
- Category:
- Quality Care
- Issue:
- Give each resident care and services to get or keep the highest quality of life possible.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 06/01/2006
- Date Fixed:
- 07/07/2006
06/01/2006 - Resident Rights
- Type:
- Health
- Category:
- Resident Rights
- Issue:
- Provide services to meet the needs and preferences of each resident.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 06/01/2006
- Date Fixed:
- 07/07/2006
04/24/2006 - Quality Care
- Type:
- Health
- Category:
- Quality Care
- Issue:
- Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 04/24/2006
- Date Fixed:
- 05/17/2006
04/21/2006 - Quality Care
- Type:
- Health
- Category:
- Quality Care
- Issue:
- Give each resident care and services to get or keep the highest quality of life possible.
- Found Via:
- Complaint
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 04/21/2006
- Date Fixed:
- 05/17/2006
04/14/2006 - Environmental
- Type:
- Health
- Category:
- Environmental
- Issue:
- Provide needed housekeeping and maintenance.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 04/14/2006
- Date Fixed:
- 05/14/2006
04/14/2006 - Environmental
- Type:
- Health
- Category:
- Environmental
- Issue:
- Keep a resident apart from the others if the resident has an infection that can spread.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 04/14/2006
- Date Fixed:
- 05/14/2006
04/14/2006 - Pharmacy Service
- Type:
- Health
- Category:
- Pharmacy Service
- Issue:
- Properly mark drugs and other similar products.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 04/14/2006
- Date Fixed:
- 05/14/2006
04/14/2006 - Pharmacy Service
- Type:
- Health
- Category:
- Pharmacy Service
- Issue:
- At least once a month, have a licensed pharmacist check the drugs that each resident takes.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 04/14/2006
- Date Fixed:
- 05/14/2006
04/14/2006 - Pharmacy Service
- Type:
- Health
- Category:
- Pharmacy Service
- Issue:
- Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 04/14/2006
- Date Fixed:
- 05/14/2006
04/14/2006 - Nutrition and Dietary
- Type:
- Health
- Category:
- Nutrition and Dietary
- Issue:
- Store, cook, and give out food in a safe and clean way.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 04/14/2006
- Date Fixed:
- 05/14/2006
04/14/2006 - Environmental
- Type:
- Health
- Category:
- Environmental
- Issue:
- Keep safe, clean and homelike surroundings.
- Found Via:
- Survey
- Scope:
- Pattern
- Level of Harm:
- Potential for minimal harm
- Date Found:
- 04/14/2006
- Date Fixed:
- 05/14/2006
04/14/2006 - Resident Assessment
- Type:
- Health
- Category:
- Resident Assessment
- Issue:
- Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 04/14/2006
- Date Fixed:
- 05/14/2006
04/14/2006 - Quality Care
- Type:
- Health
- Category:
- Quality Care
- Issue:
- Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Actual harm
- Date Found:
- 04/14/2006
- Date Fixed:
- 05/14/2006
04/14/2006 - Environmental
- Type:
- Health
- Category:
- Environmental
- Issue:
- Make sure that the nursing home area is free of dangers that cause accidents.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 04/14/2006
- Date Fixed:
- 05/14/2006
04/14/2006 - Quality Care
- Type:
- Health
- Category:
- Quality Care
- Issue:
- Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 04/14/2006
- Date Fixed:
- 05/14/2006
04/14/2006 - Pharmacy Service
- Type:
- Health
- Category:
- Pharmacy Service
- Issue:
- Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 04/14/2006
- Date Fixed:
- 05/14/2006
04/14/2006 - Pharmacy Service
- Type:
- Health
- Category:
- Pharmacy Service
- Issue:
- Make sure that residents are safe from serious medication errors.
- Found Via:
- Survey
- Scope:
- Pattern
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 04/14/2006
- Date Fixed:
- 05/14/2006
04/14/2006 - Nutrition and Dietary
- Type:
- Health
- Category:
- Nutrition and Dietary
- Issue:
- Make sure that the attending doctor orders special diets.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 04/14/2006
- Date Fixed:
- 05/14/2006
04/12/2006 - Building Contruction
- Type:
- Fire Safety
- Category:
- Building Contruction
- Issue:
- approved construction type or materials.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 04/12/2006
- Date Fixed:
- 05/22/2006
04/12/2006 - Corridor Walls and Doors
- Type:
- Fire Safety
- Category:
- Corridor Walls and Doors
- Issue:
- corridor and hallway doors that block smoke.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 04/12/2006
- Date Fixed:
- 05/22/2006
04/12/2006 - Emergency Plans and Fire Drills
- Type:
- Fire Safety
- Category:
- Emergency Plans and Fire Drills
- Issue:
- record of quarterly fire drills for each shift under varying conditions.
- Found Via:
- Survey
- Scope:
- Widespread
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 04/12/2006
- Date Fixed:
- 05/22/2006
04/12/2006 - Smoking Regulations
- Type:
- Fire Safety
- Category:
- Smoking Regulations
- Issue:
- posted "No-smoking" signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 04/12/2006
- Date Fixed:
- 05/22/2006
04/12/2006 - Furnishings and Decorations
- Type:
- Fire Safety
- Category:
- Furnishings and Decorations
- Issue:
- exits that are free from obstructions and can be used at all times.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 04/12/2006
- Date Fixed:
- 05/22/2006
04/12/2006 - Electrical
- Type:
- Fire Safety
- Category:
- Electrical
- Issue:
- properly installed electrical wiring and equipment.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 04/12/2006
- Date Fixed:
- 05/22/2006
03/30/2005 - Exits and Egress
- Type:
- Fire Safety
- Category:
- Exits and Egress
- Issue:
- exits that are accessible at all times.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 03/30/2005
- Date Fixed:
- 04/19/2005
03/30/2005 - Fire Alarm Systems
- Type:
- Fire Safety
- Category:
- Fire Alarm Systems
- Issue:
- properly maintained smoke detectors.
- Found Via:
- Survey
- Scope:
- Widespread
- Level of Harm:
- Potential for minimal harm
- Date Found:
- 03/30/2005
- Date Fixed:
- 04/14/2005
03/30/2005 - Automatic Sprinkler Systems
- Type:
- Fire Safety
- Category:
- Automatic Sprinkler Systems
- Issue:
- properly working sprinkler alarm system.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 03/30/2005
- Date Fixed:
- 04/11/2005
03/30/2005 - Furnishings and Decorations
- Type:
- Fire Safety
- Category:
- Furnishings and Decorations
- Issue:
- exits that are free from obstructions and can be used at all times.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 03/30/2005
- Date Fixed:
- 04/11/2005
03/25/2005 - Resident Rights
- Type:
- Health
- Category:
- Resident Rights
- Issue:
- Provide care in a way that keeps or builds each resident's dignity and self respect.
- Found Via:
- Survey
- Scope:
- Pattern
- Level of Harm:
- Potential for minimal harm
- Date Found:
- 03/25/2005
- Date Fixed:
- 05/09/2005
03/25/2005 - Quality Care
- Type:
- Health
- Category:
- Quality Care
- Issue:
- Provide social services for related medical problems to help each resident achieve the highest possible quality of life.
- Found Via:
- Survey
- Scope:
- Pattern
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 03/25/2005
- Date Fixed:
- 05/09/2005
03/25/2005 - Environmental
- Type:
- Health
- Category:
- Environmental
- Issue:
- Provide needed housekeeping and maintenance.
- Found Via:
- Survey
- Scope:
- Pattern
- Level of Harm:
- Potential for minimal harm
- Date Found:
- 03/25/2005
- Date Fixed:
- 05/09/2005
03/25/2005 - Resident Assessment
- Type:
- Health
- Category:
- Resident Assessment
- Issue:
- 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.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 03/25/2005
- Date Fixed:
- 05/09/2005
03/25/2005 - Resident Assessment
- Type:
- Health
- Category:
- Resident Assessment
- Issue:
- Keep assessments completed in the preceding 15 months in the resident's active record.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 03/25/2005
- Date Fixed:
- 05/09/2005
03/25/2005 - Quality Care
- Type:
- Health
- Category:
- Quality Care
- Issue:
- Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 03/25/2005
- Date Fixed:
- 05/09/2005
03/25/2005 - Environmental
- Type:
- Health
- Category:
- Environmental
- Issue:
- Make sure that the nursing home area is free of dangers that cause accidents.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 03/25/2005
- Date Fixed:
- 05/09/2005
03/25/2005 - Pharmacy Service
- Type:
- Health
- Category:
- Pharmacy Service
- Issue:
- 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.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 03/25/2005
- Date Fixed:
- 05/09/2005
03/25/2005 - Environmental
- Type:
- Health
- Category:
- Environmental
- Issue:
- Have a program to keep infection from spreading.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 03/25/2005
- Date Fixed:
- 05/09/2005
03/25/2005 - Nutrition and Dietary
- Type:
- Health
- Category:
- Nutrition and Dietary
- Issue:
- 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day.
- Found Via:
- Survey
- Scope:
- Pattern
- Level of Harm:
- Potential for minimal harm
- Date Found:
- 03/25/2005
- Date Fixed:
- 05/09/2005
03/25/2005 - Pharmacy Service
- Type:
- Health
- Category:
- Pharmacy Service
- Issue:
- Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.
- Found Via:
- Survey
- Scope:
- Pattern
- Level of Harm:
- Potential for minimal harm
- Date Found:
- 03/25/2005
- Date Fixed:
- 05/09/2005
03/25/2005 - Environmental
- Type:
- Health
- Category:
- Environmental
- Issue:
- Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 03/25/2005
- Date Fixed:
- 05/09/2005
03/25/2005 - Administration
- Type:
- Health
- Category:
- Administration
- Issue:
- Have a detailed, written plan for disasters and emergencies.
- Found Via:
- Survey
- Scope:
- Isolated
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 03/25/2005
- Date Fixed:
- 05/09/2005
03/25/2005 - Quality Care
- Type:
- Health
- Category:
- Quality Care
- Issue:
- Give each resident care and services to get or keep the highest quality of life possible.
- Found Via:
- Survey
- Scope:
- Pattern
- Level of Harm:
- Minimal harm or potential for actual harm
- Date Found:
- 03/25/2005
- Date Fixed:
- 05/09/2005
03/25/2005 - Resident Rights
- Type:
- Health
- Category:
- Resident Rights
- Issue:
- Allow residents to easily see the results of the nursing home's most recent survey.
- Found Via:
- Survey
- Scope:
- Pattern
- Level of Harm:
- Potential for minimal harm
- Date Found:
- 03/25/2005
- Date Fixed:
- 05/09/2005
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CiteHealth is not associated with Windsor Manor Rehabilitation Center. We do not endorse, sponsor, or take financial incentives from this provider.
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Nearby Doctors
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Concord at a Glance
People
Concord had a total population of 121,780 in 2000, of which 30,843 were children under the age of 18 and 13,066 were seniors 65 and older. The median age was 35.1.
- Total Population:
- 121,780
- Males:
- 60,147 (49.4%)
- Female:
- 61,633 (50.6%)
- Median Age:
- 35.1
- Children (0-17):
- 30,843 (25.3%)
- Adults (18-64):
- 77,871 (63.9%)
- Seniors (65+):
- 13,066 (10.7%)
Health
The average number of disabilities per resident is 0.31, which does not include institutionalized individuals.
- Disabilities:
- 0.31 (Per Capita)
- Dialysis Centers:
- 1
- Doctors:
- 553
- Home Agencies:
- 2
- Hospitals:
- 1
- Nursing Homes:
- 5
- Medical Suppliers:
- 25
- Rehab Centers:
- 10
Wealth
The median family income in 1999 was $62,093 while the median household income was $55,597. Roughly 7.51% of the population live in poverty.
- Family Income:
- $62,093
- Household Income:
- $55,597
- In Poverty:
- 7.51%
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