PRESTIGE CARE & REHAB CENTER OF ANCHORAGE AK DEFICIENCY REPORT

	Nursing Home Deficiency Report current as of November 25, 2009
Date	Deficiency	Scope	Level of Harm
09/03/2010	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Pattern	Minimal harm or potential for actual harm
09/03/2010	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
09/03/2010	Give professional services that follow each resident's written care plan.	Isolated	Minimal harm or potential for actual harm
09/03/2010	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm
09/03/2010	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
09/03/2010	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
09/03/2010	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
09/03/2010	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
09/03/2010	Have a program to keep infection from spreading.	Widespread	Minimal harm or potential for actual harm
09/03/2010	Train all employees on what to do in an emergency.	Widespread	Minimal harm or potential for actual harm
09/03/2010	Have an agreement with at least one hospital certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.	Widespread	Minimal harm or potential for actual harm
09/03/2010	Set up or keep a group of people to review and ensure quality.	Widespread	Minimal harm or potential for actual harm
09/02/2010	corridor and hallway doors that block smoke.	Pattern	Minimal harm or potential for actual harm
09/02/2010	proper stairway enclosures and vertical shafts.	Widespread	Minimal harm or potential for actual harm
09/02/2010	smoke barrier doors that can resist smoke for at least 20 minutes.	Pattern	Minimal harm or potential for actual harm
09/02/2010	construction that can resist fire for one hour or an approved fire extinguishing system.	Isolated	Minimal harm or potential for actual harm
09/02/2010	emergency lighting that can last at least 1 1/2 hours.	Widespread	Minimal harm or potential for actual harm
09/02/2010	record of quarterly fire drills for each shift under varying conditions.	Widespread	Minimal harm or potential for actual harm
09/02/2010	automatic sprinkler systems that have been maintained in working order.	Isolated	Minimal harm or potential for actual harm
09/02/2010	portable fire extinguishers.	Widespread	Minimal harm or potential for actual harm
09/02/2010	posted "No-smoking" signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed.	Pattern	Minimal harm or potential for actual harm
09/02/2010	exits that are free from obstructions and can be used at all times.	Pattern	Minimal harm or potential for actual harm
09/02/2010	proper medical gas storage and administration areas.	Pattern	Minimal harm or potential for actual harm
09/02/2010	properly installed electrical wiring and equipment.	Widespread	Minimal harm or potential for actual harm
11/05/2009	corridor and hallway doors that block smoke.	Pattern	Minimal harm or potential for actual harm
11/05/2009	proper stairway enclosures and vertical shafts.	Pattern	Minimal harm or potential for actual harm
11/05/2009	posted "No-smoking" signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed.	Pattern	Minimal harm or potential for actual harm
11/05/2009	exits that are free from obstructions and can be used at all times.	Widespread	Minimal harm or potential for actual harm
10/30/2009	Tell the resident completely about his or her health status.	Isolated	Minimal harm or potential for actual harm
10/30/2009	Provide proof that all residents' personal money which is deposited with the nursing home, is secure.	Pattern	Minimal harm or potential for actual harm
10/30/2009	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Isolated	Minimal harm or potential for actual harm
10/30/2009	Check and update (if needed) each resident's assessment every 3 months.	Pattern	Minimal harm or potential for actual harm
10/30/2009	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
10/30/2009	Give professional services that meet a professional standard of quality.	Widespread	Minimal harm or potential for actual harm
10/30/2009	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm
10/30/2009	Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.	Pattern	Minimal harm or potential for actual harm
10/30/2009	Make sure that residents are safe from serious medication errors.	Isolated	Minimal harm or potential for actual harm
10/30/2009	Provide food in a way that meets a resident's needs.	Isolated	Minimal harm or potential for actual harm
10/30/2009	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
10/30/2009	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	Pattern	Minimal harm or potential for actual harm
10/30/2009	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	Pattern	Minimal harm or potential for actual harm
10/30/2009	Have a program to keep infection from spreading.	Widespread	Minimal harm or potential for actual harm
10/30/2009	Keep all essential equipment working safely.	Widespread	Minimal harm or potential for actual harm
10/30/2009	Keep accurate and appropriate medical records.	Isolated	Minimal harm or potential for actual harm
10/30/2009	Set up or keep a group of people to review and ensure quality.	Widespread	Minimal harm or potential for actual harm
12/12/2008	Tell the resident completely about his or her health status.	Isolated	Minimal harm or potential for actual harm
12/12/2008	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.	Pattern	Minimal harm or potential for actual harm
12/12/2008	Keep each resident's personal and medical records private and confidential.	Isolated	Minimal harm or potential for actual harm
12/12/2008	Try to resolve each resident's complaints quickly.	Pattern	Minimal harm or potential for actual harm
12/12/2008	1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.	Pattern	Minimal harm or potential for actual harm
12/12/2008	Give professional services that meet a professional standard of quality.	Pattern	Minimal harm or potential for actual harm
12/12/2008	Give each resident care and services to get or keep the highest quality of life possible.	Pattern	Actual harm
12/12/2008	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Isolated	Actual harm
12/12/2008	Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.	Pattern	Minimal harm or potential for actual harm
12/12/2008	Give each resident enough fluids to keep them healthy and prevent dehydration.	Isolated	Actual harm
12/12/2008	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
12/12/2008	Hire a qualified dietician.	Widespread	Minimal harm or potential for actual harm
12/12/2008	Make sure that residents are well nourished.	Widespread	Minimal harm or potential for actual harm
12/12/2008	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	Widespread	Minimal harm or potential for actual harm
12/12/2008	Provide food in a way that meets a resident's needs.	Widespread	Minimal harm or potential for actual harm
12/12/2008	Make sure that the attending doctor orders special diets.	Widespread	Minimal harm or potential for actual harm
12/12/2008	Store, cook, and give out food in a safe and clean way.	Widespread	Immediate jeopardy to resident health or safety
12/12/2008	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	Pattern	Minimal harm or potential for actual harm
12/12/2008	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	Isolated	Minimal harm or potential for actual harm
12/12/2008	Have a program to keep infection from spreading.	Widespread	Minimal harm or potential for actual harm
12/12/2008	Be administered in a way that leads to the highest possible level of well being for each resident.	Pattern	Actual harm
12/12/2008	Set up or keep a group of people to review and ensure quality.	Widespread	Minimal harm or potential for actual harm
12/12/2008	signs that state that exit doors are to be kept closed.	Widespread	Minimal harm or potential for actual harm
12/12/2008	smoke barrier doors that can resist smoke for at least 20 minutes.	Isolated	Minimal harm or potential for actual harm
12/12/2008	construction that can resist fire for one hour or an approved fire extinguishing system.	Pattern	Minimal harm or potential for actual harm
12/12/2008	exits that are accessible at all times.	Pattern	Minimal harm or potential for actual harm
12/12/2008	emergency lighting that can last at least 1 1/2 hours.	Isolated	Minimal harm or potential for actual harm
12/12/2008	automatic sprinkler systems that have been maintained in working order.	Pattern	Minimal harm or potential for actual harm
12/12/2008	portable fire extinguishers.	Pattern	Minimal harm or potential for actual harm
12/12/2008	posted "No-smoking" signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed.	Pattern	Minimal harm or potential for actual harm
12/12/2008	heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Isolated	Minimal harm or potential for actual harm
12/12/2008	exits that are free from obstructions and can be used at all times.	Pattern	Minimal harm or potential for actual harm
12/12/2008	proper medical gas storage and administration areas.	Pattern	Minimal harm or potential for actual harm
12/12/2008	no-smoking signs where oxygen is used.	Pattern	Minimal harm or potential for actual harm
12/12/2008	properly installed electrical wiring and equipment.	Widespread	Minimal harm or potential for actual harm

Have you or someone you know become a victim of nursing home abuse or neglect? If so, contact one of our experienced nursing home lawyers today. Help End Nursing Home Abuse

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