| General Information: BAPTIST CONVALESCENT CENTER | |
|---|---|
| Nursing home name | BAPTIST CONVALESCENT CENTER |
| Address | 120 MAIN STREET NEWPORT, KY 41071 |
| Phone number | (859) 581-1938 |
| Located within a hospital | No |
| Type of ownership | Non profit - Corporation |
| Owner operates multiple homes | Yes |
| Accept Medicare or Medicaid | Medicare and Medicaid |
| Continue Care Retirement Community | No |
| Resident and family councils | RESIDENT |
| Certified number of beds | 167 |
| Total number of residents | 160 |
| Perc of occupied beds | 96 |
| Sprinkler status | fully sprinklered |
| Last health survey date | 02/20/2009 |
| Fire survey date: | 02/23/2009 |
| Ratings Summary: BAPTIST CONVALESCENT CENTER | |
|---|---|
| Overall rating |
3 out of 5 stars |
| Nursing Home Staffing |
2 out of 5 stars |
| Registered Nurses only |
1 out of 5 stars |
| Health Inspections |
2 out of 5 stars |
| Quality Measures |
5 out of 5 stars |
| Nursing Home Staffing Info: BAPTIST CONVALESCENT CENTER | ||
|---|---|---|
| National Average | BAPTIST CONVALESCENT CENTER | |
| Overall staff rating | Not Available. |
2 out of 5 stars |
| Registered Nurses only rating | Not Available |
1 out of 5 stars |
| Total Number of Residents | 94.2 | 160 |
| Total Number of Licensed Nurse Staff Hours per Resident per Day | 1.4 hours | 1.2 hours |
| Registered Nurses Hours per Residents per Day | 0.6 hours | 0.3 hours |
| Licensed Practical or Vacation Nurses Hours per Resident per Day | 0.8 hours | 0.9 hours |
| Certified Nursing Assistants Hours per Residents per Day | 0.6 hours | 0.3 hours |
| Health Inpections: BAPTIST CONVALESCENT CENTER | |||
|---|---|---|---|
| Inspection Results: 02/20/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 03/06/2009 | Environmental Deficiencies | Make sure that staff members wash their hands when needed. | D |
| Inspection Results: 09/18/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 10/09/2008 | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | D |
| 10/10/2008 | Nutrition and Dietary Deficiencies | Store, cook, and give out food in a safe and clean way. | E |
| 10/10/2008 | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | D |
| 10/03/2008 | Administration Deficiencies | Keep accurate and appropriate medical records. | D |
| 10/06/2008 | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | B |
| 10/08/2008 | Mistreatment Deficiencies | Keep each resident free from physical restraints, unless needed for medical treatment. | D |
| 10/10/2008 | 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 |
| Inspection Results: 04/24/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 05/30/2008 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable. | C |
| Fire Safety Inpections: BAPTIST CONVALESCENT CENTER | |||
|---|---|---|---|
| Inspection Results: 09/17/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 10/09/2008 | Laboratories Deficiencies | emergency showers. | C |
| 09/19/2008 | Smoke Compartmentation and Control Deficiencies | smoke barrier doors that can resist smoke for at least 20 minutes. | C |
| 09/19/2008 | Automatic Sprinkler Systems Deficiencies | an approved automatic sprinkler system connected to the fire alarm system. | B |
| Inspection Results: 04/22/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 04/23/2008 | Laboratories Deficiencies | emergency showers. | C |
| Resident Complaints: BAPTIST CONVALESCENT CENTER | |||
|---|---|---|---|
| Date Complaint Substantiated: 04/26/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 06/01/2007 | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | J |
| 06/01/2007 | Administration Deficiencies | Set up or keep a group of people to review and ensure quality. | J |
| 06/01/2007 | 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. | J |
| 06/01/2007 | Administration Deficiencies | Give or get lab tests to meet the needs of residents. | J |
| 06/01/2007 | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | J |
| 06/01/2007 | 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. | G |
| 06/01/2007 | Administration Deficiencies | Be administered in a way that leads to the highest possible level of well being for each resident. | J |
| 06/01/2007 | Quality Care Deficiencies | Make sure that each resident's nutritional needs were met. | G |
| 06/01/2007 | Pharmacy Service Deficiencies | Make sure that residents are safe from serious medication errors. | D |
| 06/01/2007 | Quality Care Deficiencies | Give each resident enough fluids to keep them healthy and prevent dehydration. | J |
| Date Complaint Substantiated: 03/16/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 06/01/2007 | Administration Deficiencies | Set up or keep a group of people to review and ensure quality. | K |
| 06/01/2007 | Quality Care Deficiencies | Make sure that each resident's nutritional needs were met. | K |
| 06/01/2007 | Quality Care Deficiencies | Have enough nurses to care for every resident in a way that maximizes the resident's well being. | K |
| 06/01/2007 | Quality Care Deficiencies | Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | K |
| 06/01/2007 | Administration Deficiencies | Be administered in a way that leads to the highest possible level of well being for each resident. | K |
| 06/01/2007 | Quality Care Deficiencies | Give each resident enough fluids to keep them healthy and prevent dehydration. | K |
| 06/01/2007 | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | J |
| 06/01/2007 | 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. | K |
| 06/01/2007 | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | K |
| 06/01/2007 | Administration Deficiencies | Choose a doctor to be the medical director. | K |
| 06/01/2007 | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | K |
| 06/01/2007 | Mistreatment Deficiencies | Protect residents from mistreatment, neglect, and/or theft of personal property. | K |
| 06/01/2007 | 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. | E |
| 06/01/2007 | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | K |
| 06/01/2007 | 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. | K |
| 06/01/2007 | Resident Assessment Deficiencies | Make a complete assessment that covers all questions for areas that are listed in official regulations. | K |
| 06/01/2007 | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | K |
| Date Complaint Substantiated: 12/02/2006 | |||
| Corrected | Category | Deficiency | Severity |
| 02/01/2007 | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | D |
| 02/01/2007 | 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 |
| 02/01/2007 | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | G |
| 02/01/2007 | Administration Deficiencies | Quickly tell the resident's doctor the results of lab tests. | D |
| 02/01/2007 | 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. | G |
| Quality Measures: BAPTIST CONVALESCENT CENTER | ||
|---|---|---|
| Quality Measures | National Average | BAPTIST CONVALESCENT CENTER |
| Overall quality rating | Not Available |
5 out of 5 stars |
| Long-Stay Residents | ||
| Percent of long-stay residents who lose too much weight | 8% | 10% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 11% | 6% |
| Percent of high-risk long-stay residents who have pressure sores | 11% | 6% |
| 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 have/had a catheter inserted and left in their bladder | 5% | 7% |
| Percent of long-stay residents whose need for help with daily activities has increased | 14% | 10% |
| Percent of long-stay residents who are more depressed or anxious | 14% | 22% |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | 89% | 90+% |
| Percent of long-stay residents who had a urinary tract infection | 9% | 16% |
| Percent of long-stay residents who have moderate to severe pain | 3% | 1% |
| Percent of low-risk long-stay residents who have pressure sores | 2% | 1% |
| Percent of long-stay residents given influenza vaccination during the flu season | 91% | 90+% |
| Percent of long-stay residents who were physically restrained | 3% | 3% |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 50% | 51% |
| Short-Stay Residents | ||
| Percent of short-stay residents who have pressure sores | 13% | 16% |
| Percent of short-stay residents who had moderate to severe pain | 19% | 1% |
| Percent of short-stay residents who have delirium | 2% | 0% |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | 83% | 82% |
| Percent of short-stay residents given influenza vaccination during the flu season | 83% | 79% |
| 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 |