KATHERINE HEALTHCARE CA DEFICIENCY REPORT

	Nursing Home Deficiency Report current as of November 25, 2009
Date	Deficiency	Scope	Level of Harm
06/03/2010	approved construction type or materials.	Pattern	Minimal harm or potential for actual harm
06/03/2010	corridor and hallway doors that block smoke.	Pattern	Minimal harm or potential for actual harm
06/03/2010	properly located and lighted "Exit" signs.	Isolated	Minimal harm or potential for actual harm
06/03/2010	record of quarterly fire drills for each shift under varying conditions.	Pattern	Minimal harm or potential for actual harm
06/03/2010	properly maintained smoke detectors.	Pattern	Minimal harm or potential for actual harm
06/03/2010	automatic sprinkler systems that have been maintained in working order.	Isolated	Minimal harm or potential for actual harm
06/03/2010	portable fire extinguishers.	Isolated	Minimal harm or potential for actual harm
06/03/2010	weekly inspections and monthly testing of generators.	Pattern	Minimal harm or potential for actual harm
06/03/2010	properly installed electrical wiring and equipment.	Pattern	Minimal harm or potential for actual harm
05/28/2010	Allow residents to easily see the results of the nursing home's most recent survey.	Pattern	Potential for minimal harm
05/28/2010	Let residents give themselves their drugs if they are able.	Isolated	Minimal harm or potential for actual harm
05/28/2010	Keep safe, clean and homelike surroundings.	Isolated	Minimal harm or potential for actual harm
05/28/2010	Check and update (if needed) each resident's assessment every 3 months.	Isolated	Minimal harm or potential for actual harm
05/28/2010	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Pattern	Minimal harm or potential for actual harm
05/28/2010	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
05/28/2010	Give professional services that follow each resident's written care plan.	Isolated	Minimal harm or potential for actual harm
05/28/2010	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm
05/28/2010	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Minimal harm or potential for actual harm
05/28/2010	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Isolated	Minimal harm or potential for actual harm
05/28/2010	Make sure that residents are safe from serious medication errors.	Isolated	Minimal harm or potential for actual harm
05/28/2010	Develop/implement required procedures for the administration of immunizations.	Isolated	Minimal harm or potential for actual harm
05/28/2010	Make sure that residents are well nourished.	Isolated	Minimal harm or potential for actual harm
05/28/2010	Make sure that the attending doctor orders special diets.	Isolated	Minimal harm or potential for actual harm
05/28/2010	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
05/28/2010	Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.	Isolated	Minimal harm or potential for actual harm
05/28/2010	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
05/28/2010	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	Isolated	Minimal harm or potential for actual harm
05/28/2010	Properly mark drugs and other similar products.	Isolated	Minimal harm or potential for actual harm
05/28/2010	Have a program to keep infection from spreading.	Isolated	Minimal harm or potential for actual harm
05/28/2010	Provide rooms that are big enough for each resident.	Pattern	Potential for minimal harm
05/28/2010	Put firmly secured handrails on each side of hallways.	Isolated	Minimal harm or potential for actual harm
05/28/2010	Give or get lab tests to meet the needs of residents.	Isolated	Minimal harm or potential for actual harm
05/28/2010	Keep complete, dated lab records in the resident's file.	Isolated	Minimal harm or potential for actual harm
05/28/2010	Keep accurate and appropriate medical records.	Isolated	Minimal harm or potential for actual harm
06/25/2009	an approved automatic sprinkler system connected to the fire alarm system.	Pattern	Minimal harm or potential for actual harm
06/25/2009	approved construction type or materials.	Pattern	Minimal harm or potential for actual harm
06/25/2009	corridor and hallway doors that block smoke.	Isolated	Minimal harm or potential for actual harm
06/25/2009	record of quarterly fire drills for each shift under varying conditions.	Widespread	Minimal harm or potential for actual harm
06/25/2009	restrictions on the use of portable space heaters.	Isolated	Minimal harm or potential for actual harm
06/25/2009	proper medical gas storage and administration areas.	Isolated	Minimal harm or potential for actual harm
06/25/2009	weekly inspections and monthly testing of generators.	Pattern	Minimal harm or potential for actual harm
06/25/2009	properly installed electrical wiring and equipment.	Pattern	Minimal harm or potential for actual harm
06/22/2009	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
06/22/2009	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
06/22/2009	Provide care in a way that keeps or builds each resident's dignity and self respect.	Isolated	Minimal harm or potential for actual harm
06/22/2009	Provide needed housekeeping and maintenance.	Pattern	Minimal harm or potential for actual harm
06/22/2009	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Isolated	Minimal harm or potential for actual harm
06/22/2009	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
06/22/2009	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
06/22/2009	Give professional services that follow each resident's written care plan.	Isolated	Minimal harm or potential for actual harm
06/22/2009	Develop a plan with the resident and family for the resident's care after leaving the nursing home.	Isolated	Minimal harm or potential for actual harm
06/22/2009	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Minimal harm or potential for actual harm
06/22/2009	Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.	Isolated	Minimal harm or potential for actual harm
06/22/2009	Make sure that residents are well nourished.	Pattern	Potential for minimal harm
06/22/2009	Offer other nutritional food to each resident who will not eat the food served.	Isolated	Minimal harm or potential for actual harm
06/22/2009	Store, cook, and give out food in a safe and clean way.	Isolated	Minimal harm or potential for actual harm
06/22/2009	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
06/22/2009	Have a program to keep infection from spreading.	Isolated	Minimal harm or potential for actual harm
06/22/2009	Keep all essential equipment working safely.	Isolated	Minimal harm or potential for actual harm
06/22/2009	Provide rooms that are big enough for each resident.	Pattern	Potential for minimal harm
06/22/2009	Choose a doctor to be the medical director.	Widespread	Potential for minimal harm
06/22/2009	Keep complete, dated lab records in the resident's file.	Isolated	Minimal harm or potential for actual harm
06/22/2009	Keep accurate and appropriate medical records.	Pattern	Potential for minimal harm
08/20/2008	approved construction type or materials.	Isolated	Minimal harm or potential for actual harm
08/20/2008	smoke barrier doors that can resist smoke for at least 20 minutes.	Isolated	Minimal harm or potential for actual harm
08/20/2008	properly located and lighted "Exit" signs.	Widespread	Minimal harm or potential for actual harm
08/20/2008	record of quarterly fire drills for each shift under varying conditions.	Pattern	Minimal harm or potential for actual harm
08/20/2008	properly maintained smoke detectors.	Widespread	Potential for minimal harm
08/20/2008	restrictions on the use of portable space heaters.	Pattern	Minimal harm or potential for actual harm
08/20/2008	proper medical gas storage and administration areas.	Pattern	Minimal harm or potential for actual harm
08/07/2008	Give or get x-rays and other tests to meet the needs of residents.	Isolated	Minimal harm or potential for actual harm
08/07/2008	Keep accurate and appropriate medical records.	Pattern	Potential for minimal harm
08/07/2008	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Isolated	Minimal harm or potential for actual harm
08/07/2008	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
08/07/2008	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
08/07/2008	Give professional services that meet a professional standard of quality.	Isolated	Immediate jeopardy to resident health or safety
08/07/2008	Give professional services that follow each resident's written care plan.	Isolated	Minimal harm or potential for actual harm
08/07/2008	Keep assessments completed in the preceding 15 months in the resident's active record.	Pattern	Potential for minimal harm
08/07/2008	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Actual harm
08/07/2008	Make sure that each resident's nutritional needs were met.	Isolated	Actual harm
08/07/2008	Give each resident enough fluids to keep them healthy and prevent dehydration.	Isolated	Actual harm
08/07/2008	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
08/07/2008	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Isolated	Minimal harm or potential for actual harm
08/07/2008	Hire a qualified dietician.	Isolated	Minimal harm or potential for actual harm
08/07/2008	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	Pattern	Minimal harm or potential for actual harm
08/07/2008	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
08/07/2008	Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.	Isolated	Minimal harm or potential for actual harm
08/07/2008	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	Isolated	Minimal harm or potential for actual harm
08/07/2008	Properly mark drugs and other similar products.	Isolated	Minimal harm or potential for actual harm
08/07/2008	Have a program to keep infection from spreading.	Isolated	Minimal harm or potential for actual harm
08/07/2008	Provide rooms that are big enough for each resident.	Pattern	Potential for minimal harm
08/07/2008	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Pattern	Potential for minimal harm
08/07/2008	Be administered in a way that leads to the highest possible level of well being for each resident.	Isolated	Minimal harm or potential for actual harm
08/07/2008	Give or get lab tests to meet the needs of residents.	Isolated	Minimal harm or potential for actual harm
08/07/2008	Keep complete, dated lab records in the resident's file.	Isolated	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:

1. 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.

2. 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
• Infections
• Broken bones
• Sudden death