US Nursing Home Finder: BISHOPS CORNER SKILLED NURSING & REHABILITATION WEST HARTFORD CT

General Information: BISHOPS CORNER SKILLED NURSING & REHABILITATION
Nursing home name	BISHOPS CORNER SKILLED NURSING & REHABILITATION
Address	2432 ALBANY AVE WEST HARTFORD, CT 06117
Phone number	(860) 236-3557
Located within a hospital	No
Type of ownership	For profit - Corporation
Owner operates multiple homes	Yes
Accept Medicare or Medicaid	Medicare and Medicaid
Continue Care Retirement Community	No
Resident and family councils	BOTH
Certified number of beds	130
Total number of residents	110
Perc of occupied beds	85
Sprinkler status	fully sprinklered
Last health survey date	09/08/2009
Fire survey date:	08/18/2009

Ratings Summary: BISHOPS CORNER SKILLED NURSING & REHABILITATION
Overall rating	2 out of 5 stars
Nursing Home Staffing	4 out of 5 stars
Registered Nurses only	3 out of 5 stars
Health Inspections	1 out of 5 stars
Quality Measures	4 out of 5 stars

Nursing Home Staffing Info: BISHOPS CORNER SKILLED NURSING & REHABILITATION
	National Average	BISHOPS CORNER SKILLED NURSING & REHABILITATION
Overall staff rating	Not Available.	4 out of 5 stars
Registered Nurses only rating	Not Available	3 out of 5 stars
Total Number of Residents	94.2	110
Total Number of Licensed Nurse Staff Hours per Resident per Day	1.4 hours	1.43 hours
Registered Nurses Hours per Residents per Day	0.6 hours	0.5 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day	0.8 hours	0.93 hours
Certified Nursing Assistants Hours per Residents per Day	0.6 hours	0.5 hours

Health Inpections: BISHOPS CORNER SKILLED NURSING & REHABILITATION
Inspection Results: 09/08/2009
Corrected	Category	Deficiency	Severity
10/18/2009	Administration Deficiencies	Set up or keep a group of people to review and ensure quality.	F
10/18/2009	Administration Deficiencies	Choose a doctor to be the medical director.	F
10/18/2009	Administration Deficiencies	Follow all laws and professional standards.	F
10/18/2009	Administration Deficiencies	Be administered in a way that leads to the highest possible level of well being for each resident.	F
10/18/2009	Environmental Deficiencies	Provide at least one room to use as a dining room and for activities, that is a good size, with good lighting, airflow and furniture.	D
10/18/2009	Environmental Deficiencies	Have a program to keep infection from spreading.	D
10/18/2009	Pharmacy Service Deficiencies	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	D
10/18/2009	Pharmacy Service Deficiencies	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.	D
10/18/2009	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
10/18/2009	Quality Care Deficiencies	Give the right treatment and services to residents who have mental or social problems adjusting.	D
10/18/2009	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	D
10/18/2009	Quality Care Deficiencies	Make sure that each resident gets help to keep vision and hearing.	D
10/18/2009	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	D
10/18/2009	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	D
10/18/2009	Resident Assessment Deficiencies	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.	D
10/18/2009	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
10/18/2009	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	E
10/18/2009	Environmental Deficiencies	Keep safe, clean and homelike surroundings.	D
10/18/2009	Quality Care Deficiencies	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	D
10/18/2009	Administration Deficiencies	Hire a qualified activities director.	F
10/18/2009	Quality Care Deficiencies	Provide activities to meet the needs of each resident.	F
10/18/2009	Resident Rights Deficiencies	Provide services to meet the needs and preferences of each resident.	F
10/18/2009	Resident Rights Deficiencies	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.	D
10/18/2009	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	D
10/18/2009	Mistreatment Deficiencies	Protect each resident from all abuse, physical punishment, and being separated from others.	D
10/18/2009	Resident Rights Deficiencies	Allow residents to easily see the results of the nursing home's most recent survey.	C
10/18/2009	Resident Rights Deficiencies	Keep each resident's personal and medical records private and confidential.	D
10/18/2009	Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.	D
Inspection Results: 07/03/2008
Corrected	Category	Deficiency	Severity
08/14/2008	Administration Deficiencies	Follow all laws and professional standards.	D
08/14/2008	Environmental Deficiencies	Make sure that a working call system is available in each resident's room or bathroom and bathing area.	D
08/14/2008	Environmental Deficiencies	Keep all essential equipment working safely.	C
08/14/2008	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
08/14/2008	Quality Care Deficiencies	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	D
08/14/2008	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	D
08/14/2008	Quality Care Deficiencies	Make sure that each resident gets help to keep vision and hearing.	D
08/14/2008	Quality Care Deficiencies	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	D
08/14/2008	Mistreatment Deficiencies	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.	D
08/14/2008	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	D
08/14/2008	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	D
08/14/2008	Resident Assessment Deficiencies	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.	D
08/14/2008	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	D
Inspection Results: 05/11/2007
Corrected	Category	Deficiency	Severity
06/22/2007	Resident Assessment Deficiencies	Make sure that doctors visit residents regularly, as required.	D
06/22/2007	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	D
06/22/2007	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
06/22/2007	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	D

Fire Safety Inpections: BISHOPS CORNER SKILLED NURSING & REHABILITATION
Inspection Results: 08/18/2009
Corrected	Category	Deficiency	Severity
10/16/2009	Miscellaneous Deficiencies	fire safety features required by current fire safety codes.	F
10/16/2009	Building Service Equipment Deficiencies	properly protected cooking facilities.	D
10/16/2009	Building Service Equipment Deficiencies	heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	D
10/16/2009	Exits and Egress Deficiencies	exits that are accessible at all times.	F
10/16/2009	Exits and Egress Deficiencies	exit stairways and towers that are smoke proof.	D
10/16/2009	Hazardous Area Deficiencies	construction that can resist fire for one hour or an approved fire extinguishing system.	D
Inspection Results: 06/18/2008
Corrected	Category	Deficiency	Severity
09/16/2008	Illumination and Emergency Power Deficiencies	emergency lighting that can last at least 1 1/2 hours.	E
09/16/2008	Miscellaneous Deficiencies	fire safety features required by current fire safety codes.	F
09/16/2008	Building Service Equipment Deficiencies	properly constructed linen or trash chutes.	D
09/16/2008	Fire Alarm Systems Deficiencies	properly maintained smoke detectors.	D
09/16/2008	Emergency Plans and Fire Drills Deficiencies	record of quarterly fire drills for each shift under varying conditions.	D
09/16/2008	Electrical Deficiencies	weekly inspections and monthly testing of generators.	F
09/16/2008	Smoke Compartmentation and Control Deficiencies	walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.	F
09/16/2008	Vertical Openings Deficiencies	proper stairway enclosures and vertical shafts.	F
09/16/2008	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	D
Inspection Results: 06/26/2007
Corrected	Category	Deficiency	Severity
09/25/2007	Miscellaneous Deficiencies	fire safety features required by current fire safety codes.	F
09/25/2007	Building Service Equipment Deficiencies	properly constructed linen or trash chutes.	D
09/25/2007	Building Service Equipment Deficiencies	properly protected cooking facilities.	D
09/25/2007	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	F
09/25/2007	Fire Alarm Systems Deficiencies	properly maintained smoke detectors.	F
09/25/2007	Illumination and Emergency Power Deficiencies	emergency lighting that can last at least 1 1/2 hours.	F
09/25/2007	Hazardous Area Deficiencies	construction that can resist fire for one hour or an approved fire extinguishing system.	E
09/25/2007	Smoke Compartmentation and Control Deficiencies	walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.	F
09/25/2007	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	F

Resident Complaints: BISHOPS CORNER SKILLED NURSING & REHABILITATION
Date Complaint Substantiated: 04/22/2009
Corrected	Category	Deficiency	Severity
06/03/2009	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	D
06/03/2009	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	D
Date Complaint Substantiated: 02/14/2008
Corrected	Category	Deficiency	Severity
03/27/2008	Administration Deficiencies	Keep accurate and appropriate medical records.	D
03/27/2008	Environmental Deficiencies	Make sure that a working call system is available in each resident's room or bathroom and bathing area.	E
03/27/2008	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	D

Quality Measures: BISHOPS CORNER SKILLED NURSING & REHABILITATION
Quality Measures	National Average	BISHOPS CORNER SKILLED NURSING & REHABILITATION
Overall quality rating	Not Available	4 out of 5 stars
Long-Stay Residents
Percent of long-stay residents whose ability to move about in and around their room got worse	11%	9%
Percent of long-stay residents who spend most of their time in bed or in a chair	4%	5%
Percent of long-stay residents who had a urinary tract infection	9%	6%
Percent of high-risk long-stay residents who have pressure sores	11%	19%
Percent of long-stay residents who are more depressed or anxious	14%	6%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	5%	6%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	50%	36%
Percent of long-stay residents whose need for help with daily activities has increased	14%	8%
Percent of long-stay residents given influenza vaccination during the flu season	91%	81%
Percent of long-stay residents who were assessed and given pneumococcal vaccination	89%	64%
Percent of long-stay residents who lose too much weight	8%	5%
Percent of long-stay residents who were physically restrained	3%	1%
Percent of low-risk long-stay residents who have pressure sores	2%	1%
Percent of long-stay residents who have moderate to severe pain	3%	2%
Short-Stay Residents
Percent of short-stay residents who have delirium	2%	0%
Percent of short-stay residents who had moderate to severe pain	19%	16%
Percent of short-stay residents who have pressure sores	13%	14%
Percent of short-stay residents who were assessed and given pneumococcal vaccination	83%	16%
Percent of short-stay residents given influenza vaccination during the flu season	83%	52%

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

US Nursing Home Finder™: BISHOPS CORNER SKILLED NURSING & REHABILITATION WEST HARTFORD CT