| General Information: SOUTH PENINSULA HOSPITAL LTC | |
|---|---|
| Nursing home name | SOUTH PENINSULA HOSPITAL LTC |
| Address | 4300 BARTLETT STREET HOMER, AK 99603 |
| Phone number | (907) 235-0231 |
| Located within a hospital | Yes |
| Type of ownership | Government - County |
| Owner operates multiple homes | No |
| Accept Medicare or Medicaid | Medicare and Medicaid |
| Continue Care Retirement Community | No |
| Resident and family councils | RESIDENT |
| Certified number of beds | 25 |
| Total number of residents | 24 |
| Perc of occupied beds | 96 |
| Sprinkler status | fully sprinklered |
| Last health survey date | 09/11/2009 |
| Fire survey date: | 10/27/2009 |
| Ratings Summary: SOUTH PENINSULA HOSPITAL LTC | |
|---|---|
| Overall rating |
5 out of 5 stars |
| Nursing Home Staffing |
5 out of 5 stars |
| Registered Nurses only |
5 out of 5 stars |
| Health Inspections |
4 out of 5 stars |
| Quality Measures |
2 out of 5 stars |
| Nursing Home Staffing Info: SOUTH PENINSULA HOSPITAL LTC | ||
|---|---|---|
| National Average | SOUTH PENINSULA HOSPITAL LTC | |
| Overall staff rating | Not Available. |
5 out of 5 stars |
| Registered Nurses only rating | Not Available |
5 out of 5 stars |
| Total Number of Residents | 94.2 | 24 |
| Total Number of Licensed Nurse Staff Hours per Resident per Day | 1.4 hours | 3.42 hours |
| Registered Nurses Hours per Residents per Day | 0.6 hours | 2.93 hours |
| Licensed Practical or Vacation Nurses Hours per Resident per Day | 0.8 hours | 0.49 hours |
| Certified Nursing Assistants Hours per Residents per Day | 0.6 hours | 2.93 hours |
| Health Inpections: SOUTH PENINSULA HOSPITAL LTC | |||
|---|---|---|---|
| Inspection Results: 09/11/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 10/26/2009 | Nutrition and Dietary Deficiencies | Store, cook, and give out food in a safe and clean way. | F |
| 10/26/2009 | Nutrition and Dietary Deficiencies | Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | F |
| 10/26/2009 | Quality Care Deficiencies | Provide activities to meet the needs of each resident. | D |
| Inspection Results: 10/16/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 11/30/2008 | Nutrition and Dietary Deficiencies | Store, cook, and give out food in a safe and clean way. | F |
| 11/30/2008 | Environmental Deficiencies | Make sure that staff members wash their hands when needed. | E |
| 11/30/2008 | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | E |
| Inspection Results: 07/26/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 09/09/2007 | Environmental Deficiencies | Keep all essential equipment working safely. | F |
| 09/09/2007 | Pharmacy Service Deficiencies | Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | D |
| 08/07/2007 | Resident Assessment Deficiencies | Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | D |
| 08/10/2007 | Nutrition and Dietary Deficiencies | Store, cook, and give out food in a safe and clean way. | E |
| Fire Safety Inpections: SOUTH PENINSULA HOSPITAL LTC | |||
|---|---|---|---|
| Inspection Results: 10/27/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 12/02/2009 | Building Service Equipment Deficiencies | properly protected cooking facilities. | D |
| Inspection Results: 10/15/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 11/29/2008 | Furnishings and Decorations Deficiencies | exits that are free from obstructions and can be used at all times. | F |
| 10/16/2008 | Electrical Deficiencies | properly installed electrical wiring and equipment. | F |
| 10/28/2008 | Hazardous Area Deficiencies | properly installed hallway dispensers for alcohol-based hand rub. | D |
| 11/29/2008 | Building Service Equipment Deficiencies | properly protected cooking facilities. | F |
| 10/15/2008 | Automatic Sprinkler Systems Deficiencies | automatic sprinkler systems that have been maintained in working order. | D |
| 10/28/2008 | Smoke Compartmentation and Control Deficiencies | smoke barrier doors that can resist smoke for at least 20 minutes. | F |
| Inspection Results: 07/25/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 08/31/2007 | Electrical Deficiencies | weekly inspections and monthly testing of generators. | F |
| 08/04/2007 | Electrical Deficiencies | properly installed electrical wiring and equipment. | E |
| 08/10/2007 | Hazardous Area Deficiencies | properly installed hallway dispensers for alcohol-based hand rub. | E |
| 07/30/2007 | Miscellaneous Deficiencies | fire safety features required by current fire safety codes. | E |
| 08/24/2007 | Medical Gases and Anesthetizing Areas Deficiencies | proper medical gas storage and administration areas. | F |
| 08/09/2007 | Furnishings and Decorations Deficiencies | exits that are free from obstructions and can be used at all times. | F |
| 08/16/2007 | Smoking Regulations Deficiencies | posted "No-smoking" signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed. | E |
| 08/08/2007 | Automatic Sprinkler Systems Deficiencies | portable fire extinguishers. | F |
| 08/08/2007 | Fire Alarm Systems Deficiencies | an approved installation, maintenance and testing program for fire alarm systems. | F |
| 08/31/2007 | Emergency Plans and Fire Drills Deficiencies | record of quarterly fire drills for each shift under varying conditions. | F |
| 07/25/2007 | Vertical Openings Deficiencies | exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors. | F |
| 08/31/2007 | Corridor Walls and Doors Deficiencies | corridor and hallway doors that block smoke. | E |
| 08/07/2007 | Building Construction Deficiencies | a two-hour-resistant firewall in common walls. | E |
| Resident Complaints: SOUTH PENINSULA HOSPITAL LTC | |||
|---|---|---|---|
| Date Complaint Substantiated: 01/27/2010 | |||
| Corrected | Category | Deficiency | Severity |
| 02/19/2010 | Exits and Egress Deficiencies | exits that are accessible at all times. | E |
| Quality Measures: SOUTH PENINSULA HOSPITAL LTC | ||
|---|---|---|
| Quality Measures | National Average | SOUTH PENINSULA HOSPITAL LTC |
| Overall quality rating | Not Available |
2 out of 5 stars |
| Long-Stay Residents | ||
| Percent of low-risk long-stay residents who have pressure sores | 2% | Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 11% | 7% |
| Percent of long-stay residents whose need for help with daily activities has increased | 14% | 17% |
| Percent of long-stay residents who are more depressed or anxious | 14% | 10% |
| Percent of long-stay residents who lose too much weight | 8% | 7% |
| Percent of high-risk long-stay residents who have pressure sores | 11% | 25% |
| Percent of long-stay residents who spend most of their time in bed or in a chair | 4% | 8% |
| Percent of long-stay residents who have moderate to severe pain | 3% | 6% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 5% | 9% |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | 89% | 90+% |
| Percent of long-stay residents given influenza vaccination during the flu season | 91% | 90+% |
| Percent of long-stay residents who had a urinary tract infection | 9% | 8% |
| Percent of long-stay residents who were physically restrained | 3% | 0% |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 50% | 90+% |
| Short-Stay Residents | ||
| Percent of short-stay residents given influenza vaccination during the flu season | 83% | Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.% |
| Percent of short-stay residents who had moderate to severe pain | 19% | Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.% |
| Percent of short-stay residents who have delirium | 2% | Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.% |
| Percent of short-stay residents who have pressure sores | 13% | Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.% |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | 83% | Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.% |
| Severity Codes Explanation. Note: The higher the letter, the higher the severity. | |
|---|---|
| A | Isolated /Potential for minimal harm |
| B | Pattern /Potential for minimal harm |
| C | Widespread /Potential for minimal harm |
| D | Isolated /Minimal harm or potential for actual harm |
| E | Pattern /Minimal harm or potential for actual harm |
| F | Widespread /Minimal harm or potential for actual harm |
| G | Isolated /Actual harm |
| H | Pattern /Actual harm |
| I | Widespread /Actual harm |
| J | Isolated /Immediate jeopardy to resident health or safety |
| K | Pattern /Immediate jeopardy to resident health or safety |
| L | Widespread /Immediate jeopardy to resident health or safety |