| General Information: ALEXANDRIA MANOR | |
|---|---|
| Nursing home name | ALEXANDRIA MANOR |
| Address | 55 TUNXIS AVE BLOOMFIELD, CT 06002 |
| Phone number | (860) 242-0703 |
| Located within a hospital | No |
| Type of ownership | For profit - Corporation |
| 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 | 120 |
| Total number of residents | 113 |
| Perc of occupied beds | 94 |
| Sprinkler status | fully sprinklered |
| Last health survey date | 12/09/2009 |
| Fire survey date: | 12/08/2009 |
| Ratings Summary: ALEXANDRIA MANOR | |
|---|---|
| Overall rating |
4 out of 5 stars |
| Nursing Home Staffing |
2 out of 5 stars |
| Registered Nurses only |
2 out of 5 stars |
| Health Inspections |
4 out of 5 stars |
| Quality Measures |
3 out of 5 stars |
| Nursing Home Staffing Info: ALEXANDRIA MANOR | ||
|---|---|---|
| National Average | ALEXANDRIA MANOR | |
| Overall staff rating | Not Available. |
2 out of 5 stars |
| Registered Nurses only rating | Not Available |
2 out of 5 stars |
| Total Number of Residents | 94.2 | 113 |
| Total Number of Licensed Nurse Staff Hours per Resident per Day | 1.4 hours | 1.19 hours |
| Registered Nurses Hours per Residents per Day | 0.6 hours | 0.34 hours |
| Licensed Practical or Vacation Nurses Hours per Resident per Day | 0.8 hours | 0.85 hours |
| Certified Nursing Assistants Hours per Residents per Day | 0.6 hours | 0.34 hours |
| Health Inpections: ALEXANDRIA MANOR | |||
|---|---|---|---|
| Inspection Results: 12/09/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 01/20/2010 | Nutrition and Dietary Deficiencies | Store, cook, and give out food in a safe and clean way. | C |
| 01/20/2010 | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | D |
| 01/20/2010 | 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 |
| Inspection Results: 10/21/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 12/02/2008 | Quality Care Deficiencies | Give or get dental care for each resident. | D |
| 12/02/2008 | Administration Deficiencies | Follow all laws and professional standards. | B |
| 12/02/2008 | Pharmacy Service Deficiencies | Properly mark drugs and other similar products. | D |
| 12/02/2008 | Administration Deficiencies | Keep accurate and appropriate medical records. | D |
| 12/02/2008 | 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 |
| 12/02/2008 | Mistreatment Deficiencies | Keep each resident free from physical restraints, unless needed for medical treatment. | D |
| 12/02/2008 | Resident Assessment Deficiencies | Make a complete assessment that covers all questions for areas that are listed in official regulations. | D |
| 12/02/2008 | Resident Assessment Deficiencies | Keep assessments completed in the preceding 15 months in the resident's active record. | B |
| Inspection Results: 10/02/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 11/13/2007 | Nutrition and Dietary Deficiencies | Store, cook, and give out food in a safe and clean way. | E |
| 11/13/2007 | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | D |
| Fire Safety Inpections: ALEXANDRIA MANOR | |||
|---|---|---|---|
| Inspection Results: 12/08/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 03/04/2010 | Automatic Sprinkler Systems Deficiencies | automatic sprinkler systems that have been maintained in working order. | E |
| 03/04/2010 | Fire Alarm Systems Deficiencies | properly maintained smoke detectors. | E |
| Inspection Results: 09/27/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 12/18/2007 | Automatic Sprinkler Systems Deficiencies | an approved automatic sprinkler system connected to the fire alarm system. | F |
| 12/18/2007 | Hazardous Area Deficiencies | construction that can resist fire for one hour or an approved fire extinguishing system. | E |
| 12/18/2007 | Corridor Walls and Doors Deficiencies | corridor and hallway doors that block smoke. | E |
| Resident Complaints: ALEXANDRIA MANOR | |||
|---|---|---|---|
| Date Complaint Substantiated: 06/11/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 07/23/2009 | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | D |
| Date Complaint Substantiated: 07/09/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 08/20/2007 | Administration Deficiencies | Keep accurate and appropriate medical records. | D |
| 08/20/2007 | Resident Assessment Deficiencies | Make sure that doctors visit residents regularly, as required. | D |
| 08/20/2007 | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | D |
| 08/20/2007 | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | D |
| Quality Measures: ALEXANDRIA MANOR | ||
|---|---|---|
| Quality Measures | National Average | ALEXANDRIA MANOR |
| Overall quality rating | Not Available |
3 out of 5 stars |
| Long-Stay Residents | ||
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 50% | 32% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 11% | 10% |
| Percent of long-stay residents who were physically restrained | 3% | 0% |
| Percent of long-stay residents who spend most of their time in bed or in a chair | 4% | 2% |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | 89% | 79% |
| Percent of long-stay residents who had a urinary tract infection | 9% | 5% |
| Percent of long-stay residents who have moderate to severe pain | 3% | 4% |
| Percent of long-stay residents given influenza vaccination during the flu season | 91% | 75% |
| Percent of low-risk long-stay residents who have pressure sores | 2% | 4% |
| Percent of long-stay residents whose need for help with daily activities has increased | 14% | 16% |
| Percent of long-stay residents who are more depressed or anxious | 14% | 16% |
| Percent of long-stay residents who lose too much weight | 8% | 13% |
| Percent of high-risk long-stay residents who have pressure sores | 11% | 15% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 5% | 3% |
| Short-Stay Residents | ||
| Percent of short-stay residents given influenza vaccination during the flu season | 83% | 64% |
| Percent of short-stay residents who had moderate to severe pain | 19% | 33% |
| Percent of short-stay residents who have pressure sores | 13% | 24% |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | 83% | 58% |
| Percent of short-stay residents who have delirium | 2% | 0% |
| 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 |