PARAMOUNT HEALTH AND REHABILITATION UT DEFICIENCY REPORT

	Nursing Home Deficiency Report current as of November 25, 2009
Date	Deficiency	Scope	Level of Harm
06/09/2010	corridor and hallway doors that block smoke.	Isolated	Minimal harm or potential for actual harm
06/09/2010	construction that can resist fire for one hour or an approved fire extinguishing system.	Isolated	Minimal harm or potential for actual harm
06/09/2010	exits that are accessible at all times.	Isolated	Minimal harm or potential for actual harm
06/09/2010	proper backup exit lighting.	Isolated	Minimal harm or potential for actual harm
06/09/2010	emergency lighting that can last at least 1 1/2 hours.	Isolated	Minimal harm or potential for actual harm
06/09/2010	record of quarterly fire drills for each shift under varying conditions.	Pattern	Minimal harm or potential for actual harm
06/09/2010	restrictions on the use of highly flammable materials.	Isolated	Minimal harm or potential for actual harm
06/09/2010	weekly inspections and monthly testing of generators.	Isolated	Minimal harm or potential for actual harm
06/09/2010	properly installed electrical wiring and equipment.	Isolated	Minimal harm or potential for actual harm
06/03/2010	Provide care in a way that keeps or builds each resident's dignity and self respect.	Isolated	Minimal harm or potential for actual harm
06/03/2010	Provide services to meet the needs and preferences of each resident.	Pattern	Minimal harm or potential for actual harm
06/03/2010	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
06/03/2010	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
06/03/2010	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	Isolated	Minimal harm or potential for actual harm
06/03/2010	Keep accurate and appropriate medical records.	Pattern	Potential for minimal harm
03/17/2009	corridor and hallway doors that block smoke.	Isolated	Minimal harm or potential for actual harm
03/17/2009	emergency lighting that can last at least 1 1/2 hours.	Pattern	Potential for minimal harm
03/17/2009	record of quarterly fire drills for each shift under varying conditions.	Isolated	Minimal harm or potential for actual harm
03/17/2009	a fire alarm system that can be heard throughout the facility.	Isolated	Minimal harm or potential for actual harm
03/17/2009	automatic sprinkler systems that have been maintained in working order.	Isolated	Minimal harm or potential for actual harm
03/17/2009	properly protected cooking facilities.	Pattern	Potential for minimal harm
03/17/2009	proper medical gas storage and administration areas.	Isolated	Minimal harm or potential for actual harm
03/17/2009	fire safety features required by current fire safety codes.	Isolated	Minimal harm or potential for actual harm
03/17/2009	properly installed electrical wiring and equipment.	Isolated	Minimal harm or potential for actual harm
02/19/2009	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
02/19/2009	Provide needed housekeeping and maintenance.	Pattern	Minimal harm or potential for actual harm
02/19/2009	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.	Pattern	Potential for minimal harm
02/19/2009	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Minimal harm or potential for actual harm
02/19/2009	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	Pattern	Minimal harm or potential for actual harm
02/19/2009	Store, cook, and give out food in a safe and clean way.	Pattern	Minimal harm or potential for actual harm
02/19/2009	Give or get special rehabilitation if in the patient's plan of care.	Isolated	Minimal harm or potential for actual harm
02/19/2009	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Pattern	Potential for minimal harm
02/19/2009	Make sure there is a program to prevent/deal with mice, insects, or other pests.	Pattern	Minimal harm or potential for actual harm
02/19/2009	Get proof that a nurse aide has the training and skills that the State requires.	Pattern	Potential for minimal harm
02/19/2009	Keep accurate and appropriate medical records.	Pattern	Potential for minimal harm
02/19/2009	Train all employees on what to do in an emergency.	Pattern	Minimal harm or potential for actual harm
01/02/2008	corridor and hallway doors that block smoke.	Isolated	Minimal harm or potential for actual harm
01/02/2008	construction that can resist fire for one hour or an approved fire extinguishing system.	Isolated	Minimal harm or potential for actual harm
01/02/2008	properly working sprinkler alarm system.	Isolated	Minimal harm or potential for actual harm
01/02/2008	properly installed electrical wiring and equipment.	Isolated	Minimal harm or potential for actual harm
12/03/2007	Let the resident refuse treatment or refuse to take part in an experiment.	Isolated	Minimal harm or potential for actual harm
12/03/2007	Try to resolve each resident's complaints quickly.	Pattern	Minimal harm or potential for actual harm
12/03/2007	Protect each resident from all abuse, physical punishment, and being separated from others.	Isolated	Immediate jeopardy to resident health or safety
12/03/2007	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.	Isolated	Immediate jeopardy to resident health or safety
12/03/2007	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Isolated	Immediate jeopardy to resident health or safety
12/03/2007	Provide care for each resident in a way that keeps or builds the resident's quality of life.	Isolated	Minimal harm or potential for actual harm
12/03/2007	Provide care in a way that keeps or builds each resident's dignity and self respect.	Pattern	Minimal harm or potential for actual harm
12/03/2007	Keep safe, clean and homelike surroundings.	Isolated	Minimal harm or potential for actual harm
12/03/2007	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Pattern	Potential for minimal harm
12/03/2007	Assess the resident when the resident enters the nursing home, in a timely manner.	Isolated	Minimal harm or potential for actual harm
12/03/2007	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Actual harm
12/03/2007	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	Isolated	Actual harm
12/03/2007	Develop/implement required procedures for the administration of immunizations.	Pattern	Minimal harm or potential for actual harm
12/03/2007	Make sure that the attending doctor orders special diets.	Pattern	Minimal harm or potential for actual harm
12/03/2007	Store, cook, and give out food in a safe and clean way.	Pattern	Minimal harm or potential for actual harm
12/03/2007	Give or get special rehabilitation if in the patient's plan of care.	Pattern	Minimal harm or potential for actual harm
12/03/2007	Make sure there is a program to prevent/deal with mice, insects, or other pests.	Isolated	Minimal harm or potential for actual harm
12/03/2007	Be administered in a way that leads to the highest possible level of well being for each resident.	Isolated	Immediate jeopardy to resident health or safety
12/03/2007	Keep accurate and appropriate medical records.	Pattern	Minimal harm or potential for actual harm
12/03/2007	Set up or keep a group of people to review and ensure quality.	Isolated	Immediate jeopardy to resident health or safety

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