Nursing Homes by State
BRITTHAVEN OF WILKESBORO NC
BRITTHAVEN OF WILKESBORO NC DEFICIENCY REPORT
|Nursing Home Deficiency Report current as of November 25, 2009|
|Date||Deficiency||Scope||Level of Harm|
|12/07/2010||approved construction type or materials.||Isolated||Minimal harm or potential for actual harm|
|12/07/2010||corridor and hallway doors that block smoke.||Isolated||Minimal harm or potential for actual harm|
|01/21/2010||approved construction type or materials.||Isolated||Minimal harm or potential for actual harm|
|01/21/2010||corridor and hallway doors that block smoke.||Isolated||Minimal harm or potential for actual harm|
|01/21/2010||walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.||Pattern||Minimal harm or potential for actual harm|
|01/21/2010||construction that can resist fire for one hour or an approved fire extinguishing system.||Pattern||Minimal harm or potential for actual harm|
|12/17/2009||Make a complete assessment that covers all questions for areas that are listed in official regulations.||Pattern||Potential for minimal harm|
|12/17/2009||Give professional services that meet a professional standard of quality.||Isolated||Minimal harm or potential for actual harm|
|12/17/2009||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||Minimal harm or potential for actual harm|
|12/17/2009||Make sure that residents are safe from serious medication errors.||Isolated||Minimal harm or potential for actual harm|
|12/17/2009||Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.||Isolated||Minimal harm or potential for actual harm|
|12/17/2009||Properly mark drugs and other similar products.||Isolated||Minimal harm or potential for actual harm|
|12/18/2008||approved construction type or materials.||Isolated||Minimal harm or potential for actual harm|
|12/18/2008||exits that are accessible at all times.||Isolated||Minimal harm or potential for actual harm|
|12/18/2008||exits that are free from obstructions and can be used at all times.||Isolated||Minimal harm or potential for actual harm|
|11/20/2008||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.||Pattern||Potential for minimal harm|
|11/20/2008||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|
|11/20/2008||Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.||Pattern||Potential for minimal harm|
|11/20/2008||Store, cook, and give out food in a safe and clean way.||Pattern||Minimal harm or potential for actual harm|
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Where does this data come from?
The data on this website describes nursing home characteristics, quality measures, inspection results, and nursing staff information.
The data come from 2 sources:
Centers for Medicare & Medicaid Services (CMS) have an Online Survey, Certification, and Reporting (OSCAR) database - Includes the nursing home characteristics and health deficiencies issued during the three most recent state inspections and recent complaint investigations.
The survey inspection results are collected by the state survey agencies, who perform onsite visits to nursing homes . The inspections occur at least once during a 15-month period, or any time in between as a result of a complaint received by the state. The inspections ensure that the nursing home residents receive quality care and services in a safe and comfortable environment in accordance with rules established by CMS. Complaints may be reported and inspected during the year (outside of the 9-15 month survey cycle). Inspections about a complaint that result in the citation of a health deficiency are reported to CMS and included in this website. Sometimes the inspection finds a problem that the nursing home identified and corrected before the inspection occurred. The fact and the nature of these prior problems (deficiencies) may be included in this website.
The information on the nursing homes' characteristics derived from OSCAR are prepared by each nursing home at the beginning of the regular State inspection. This information is reported by the nursing homes themselves. It is reviewed by nursing home inspectors, but not formally audited to ensure data accuracy. In addition, this information changes frequently as residents are discharged and admitted, or resident conditions change.
National database known as the Minimum Data Set (MDS) Repository
The data for the quality measures come from the MDS Repository. The MDS is collected on regular intervals for every resident in a Medicare or Medicaid certified nursing home. Information is collected on the resident's health, physical functioning, mental status, and general well-being. These data are used by the nursing home to access the needs and develop a plan of care unique to each resident.
Regulations require that a MDS assessment be performed at admission, quarterly, annually, and whenever the resident experiences a significant change in status. For residents in a Medicare Part A stay, the MDS is also used to determine the Medicare reimbursement rate. These assessments are performed on the 5th, 14th, 30th, 60th and 90th day of admission.
All of this data is reported by the nursing homes themselves. It is reviewed by nursing home inspectors, but not formally audited to ensure that it is accurate. Every attempt is made to assure the accuracy and timeliness of this information. However, this information changes frequently as residents are discharged and admitted, or resident conditions change. We advise interpreting this information cautiously and supplementing it with information from the Ombudsman's office, the State Survey Agency, or other sources.
Some MDS items used to calculate the quality measures consider the resident's condition during previous days prior to the assessment date. The following table provides these "observation" or "look back" time frames.
Signs of Nursing Home Abuse:
- Unexplained injuries or bruises
- Over or under medication
- Visible cuts, bruises, or welts
- Rapid weight loss or weight gain
- Dehydration, malnutrition, and bedsores
- Unsanitary living conditions
- Broken bones
- Sudden death