| General Information: AUTUMN LEAVES NURSING HOME | |
|---|---|
| Nursing home name | AUTUMN LEAVES NURSING HOME |
| Address | 570 NORTH SOLOMON STREET GREENVILLE, MS 38703 |
| Phone number | (662) 335-5863 |
| 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 | 60 |
| Total number of residents | 50 |
| Perc of occupied beds | 83 |
| Sprinkler status | fully sprinklered |
| Last health survey date | 09/11/2009 |
| Fire survey date: | 09/09/2009 |
| Ratings Summary: AUTUMN LEAVES NURSING HOME | |
|---|---|
| Overall rating |
1 out of 5 stars |
| Nursing Home Staffing |
1 out of 5 stars |
| Registered Nurses only |
1 out of 5 stars |
| Health Inspections |
3 out of 5 stars |
| Quality Measures |
1 out of 5 stars |
| Nursing Home Staffing Info: AUTUMN LEAVES NURSING HOME | ||
|---|---|---|
| National Average | AUTUMN LEAVES NURSING HOME | |
| Overall staff rating | Not Available. |
1 out of 5 stars |
| Registered Nurses only rating | Not Available |
1 out of 5 stars |
| Total Number of Residents | 94.2 | 50 |
| Total Number of Licensed Nurse Staff Hours per Resident per Day | 1.4 hours | 1.22 hours |
| Registered Nurses Hours per Residents per Day | 0.6 hours | 0.35 hours |
| Licensed Practical or Vacation Nurses Hours per Resident per Day | 0.8 hours | 0.87 hours |
| Certified Nursing Assistants Hours per Residents per Day | 0.6 hours | 0.35 hours |
| Health Inpections: AUTUMN LEAVES NURSING HOME | |||
|---|---|---|---|
| Inspection Results: 09/11/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 10/21/2009 | Administration Deficiencies | Hire nurse aides who have shown that they are skilled and care for residents safely on-the-job. | D |
| 10/21/2009 | Environmental Deficiencies | Make sure that staff members wash their hands when needed. | D |
| 10/21/2009 | Environmental Deficiencies | Have a program to keep infection from spreading. | D |
| 10/21/2009 | Pharmacy Service Deficiencies | Properly mark drugs and other similar products. | D |
| 10/21/2009 | Pharmacy Service Deficiencies | Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | D |
| 10/21/2009 | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | D |
| 10/21/2009 | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | D |
| 10/21/2009 | 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 |
| 10/21/2009 | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | D |
| Inspection Results: 07/31/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 09/05/2008 | Administration Deficiencies | Get services outside the nursing home that meet professional standards. | D |
| 09/05/2008 | 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. | D |
| Inspection Results: 08/10/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 09/21/2007 | Pharmacy Service Deficiencies | Properly mark drugs and other similar products. | D |
| 09/21/2007 | Environmental Deficiencies | Make sure there is a program to prevent/deal with mice, insects, or other pests. | F |
| 09/21/2007 | Environmental Deficiencies | Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection. | D |
| 09/21/2007 | Administration Deficiencies | Keep accurate and appropriate medical records. | D |
| 09/21/2007 | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | D |
| 09/21/2007 | 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 |
| 09/21/2007 | Resident Assessment Deficiencies | Make a complete assessment that covers all questions for areas that are listed in official regulations. | D |
| 09/21/2007 | Mistreatment Deficiencies | Keep each resident free from physical restraints, unless needed for medical treatment. | D |
| 09/21/2007 | Resident Rights Deficiencies | Honor all of the resident's rights as a resident of the nursing home and as a citizen or resident of the United States. | C |
| Fire Safety Inpections: AUTUMN LEAVES NURSING HOME | |||
|---|---|---|---|
| Inspection Results: 09/09/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 10/21/2009 | Smoke Compartmentation and Control Deficiencies | proper construction of ducts through walls designed to prevent smoke passage. | F |
| 10/21/2009 | Automatic Sprinkler Systems Deficiencies | automatic sprinkler systems that have been maintained in working order. | C |
| Inspection Results: 07/28/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 09/05/2008 | Fire Alarm Systems Deficiencies | an approved installation, maintenance and testing program for fire alarm systems. | C |
| 09/05/2008 | Hazardous Area Deficiencies | construction that can resist fire for one hour or an approved fire extinguishing system. | C |
| Inspection Results: 08/09/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 09/21/2007 | Electrical Deficiencies | a separate and independent backup electrical power source. | F |
| 09/21/2007 | Building Service Equipment Deficiencies | properly protected cooking facilities. | B |
| Resident Complaints: AUTUMN LEAVES NURSING HOME | |||
|---|---|---|---|
| Date Complaint Substantiated: 02/21/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 03/27/2008 | Environmental Deficiencies | Have a program to keep infection from spreading. | D |
| Date Complaint Substantiated: 01/30/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 03/14/2008 | Administration Deficiencies | Keep accurate and appropriate medical records. | D |
| 03/14/2008 | Pharmacy Service Deficiencies | Make sure that residents are safe from serious medication errors. | D |
| 03/14/2008 | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | D |
| Quality Measures: AUTUMN LEAVES NURSING HOME | ||
|---|---|---|
| Quality Measures | National Average | AUTUMN LEAVES NURSING HOME |
| Overall quality rating | Not Available |
1 out of 5 stars |
| Long-Stay Residents | ||
| Percent of long-stay residents who had a urinary tract infection | 9% | 7% |
| Percent of long-stay residents who have moderate to severe pain | 3% | 2% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 11% | 12% |
| Percent of long-stay residents whose need for help with daily activities has increased | 14% | 23% |
| Percent of long-stay residents who are more depressed or anxious | 14% | 12% |
| Percent of low-risk long-stay residents who have pressure sores | 2% | 5% |
| Percent of long-stay residents who lose too much weight | 8% | 9% |
| Percent of long-stay residents who spend most of their time in bed or in a chair | 4% | 11% |
| Percent of long-stay residents given influenza vaccination during the flu season | 91% | 90+% |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 50% | 57% |
| Percent of long-stay residents who were physically restrained | 3% | 13% |
| Percent of high-risk long-stay residents who have pressure sores | 11% | 35% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 5% | 2% |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | 89% | 90+% |
| Short-Stay Residents | ||
| Percent of short-stay residents who have pressure sores | 13% | 31% |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | 83% | 86% |
| Percent of short-stay residents who had moderate to severe pain | 19% | 9% |
| Percent of short-stay residents who have delirium | 2% | 19% |
| Percent of short-stay residents given influenza vaccination during the flu season | 83% | 89% |
| 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 |