US Nursing Home Finder: ORMSBY POST ACUTE REHAB CARSON CITY NV

General Information: ORMSBY POST ACUTE REHAB
Nursing home name	ORMSBY POST ACUTE REHAB
Address	3050 N ORMSBY CARSON CITY, NV 89703
Phone number	(775) 841-4646
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	120
Total number of residents	102
Perc of occupied beds	85
Sprinkler status	fully sprinklered
Last health survey date	01/15/2010
Fire survey date:	01/12/2010

Ratings Summary: ORMSBY POST ACUTE REHAB
Overall rating	1 out of 5 stars
Nursing Home Staffing	1 out of 5 stars
Registered Nurses only	2 out of 5 stars
Health Inspections	1 out of 5 stars
Quality Measures	2 out of 5 stars

Nursing Home Staffing Info: ORMSBY POST ACUTE REHAB
	National Average	ORMSBY POST ACUTE REHAB
Overall staff rating	Not Available.	1 out of 5 stars
Registered Nurses only rating	Not Available	2 out of 5 stars
Total Number of Residents	94.2	102
Total Number of Licensed Nurse Staff Hours per Resident per Day	1.4 hours	1.18 hours
Registered Nurses Hours per Residents per Day	0.6 hours	0.58 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day	0.8 hours	0.6 hours
Certified Nursing Assistants Hours per Residents per Day	0.6 hours	0.58 hours

Health Inpections: ORMSBY POST ACUTE REHAB
Inspection Results: 01/15/2010
Corrected	Category	Deficiency	Severity
03/05/2010	Administration Deficiencies	Keep accurate and appropriate medical records.	C
03/05/2010	Administration Deficiencies	Choose a doctor to be the medical director.	F
03/05/2010	Environmental Deficiencies	Have a program to keep infection from spreading.	D
03/05/2010	Pharmacy Service Deficiencies	Properly mark drugs and other similar products.	F
03/05/2010	Pharmacy Service Deficiencies	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	E
03/05/2010	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	D
03/05/2010	Quality Care Deficiencies	Develop/implement required procedures for the administration of immunizations.	E
03/05/2010	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	D
03/05/2010	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	E
03/05/2010	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	D
03/05/2010	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	E
03/05/2010	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	C
03/05/2010	Resident Assessment Deficiencies	Check and update (if needed) each resident's assessment every 3 months.	D
03/05/2010	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	D
03/05/2010	Environmental Deficiencies	Provide clean bed and bath linens that are in good condition.	D
03/05/2010	Quality Care Deficiencies	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	D
03/05/2010	Administration Deficiencies	Hire a qualified activities director.	D
03/05/2010	Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.	E
03/05/2010	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	E
Inspection Results: 12/05/2008
Corrected	Category	Deficiency	Severity
01/14/2009	Quality Care Deficiencies	Develop/implement required procedures for the administration of immunizations.	B
01/14/2009	Environmental Deficiencies	Have a program to keep infection from spreading.	E
01/14/2009	Pharmacy Service Deficiencies	Properly mark drugs and other similar products.	E
01/14/2009	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	B
01/14/2009	Nutrition and Dietary Deficiencies	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	E
01/14/2009	Administration Deficiencies	Give or get lab tests to meet the needs of residents.	D
01/14/2009	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
01/14/2009	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	D
01/14/2009	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	D
01/14/2009	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
01/14/2009	Quality Care Deficiencies	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	E
01/14/2009	Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.	D
01/14/2009	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.	E
01/14/2009	Mistreatment Deficiencies	Keep each resident free from physical restraints, unless needed for medical treatment.	D
01/14/2009	Resident Rights Deficiencies	Help and prepare each resident for a safe and easy discharge and transfer from the nursing home.	D
01/14/2009	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
01/14/2009	Resident Rights Deficiencies	Let residents give themselves their drugs if they are able.	D
Inspection Results: 12/21/2007
Corrected	Category	Deficiency	Severity
02/06/2008	Environmental Deficiencies	Keep a resident apart from the others if the resident has an infection that can spread.	D
02/06/2008	Pharmacy Service Deficiencies	Properly mark drugs and other similar products.	D
02/06/2008	Nutrition and Dietary Deficiencies	1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day.	F
02/06/2008	Nutrition and Dietary Deficiencies	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	F
02/06/2008	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	D
04/30/2008	Quality Care Deficiencies	Give each resident enough fluids to keep them healthy and prevent dehydration.	G
02/06/2008	Quality Care Deficiencies	Make sure that each resident's nutritional needs were met.	D
02/06/2008	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
02/06/2008	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	D
02/06/2008	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	D
02/06/2008	Resident Rights Deficiencies	Provide services to meet the needs and preferences of each resident.	D
02/06/2008	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
02/06/2008	Mistreatment Deficiencies	Keep each resident free from physical restraints, unless needed for medical treatment.	D
02/06/2008	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

Fire Safety Inpections: ORMSBY POST ACUTE REHAB
Inspection Results: 01/12/2010
Corrected	Category	Deficiency	Severity
03/09/2010	Electrical Deficiencies	weekly inspections and monthly testing of generators.	D
Inspection Results: 12/02/2008
Corrected	Category	Deficiency	Severity
01/14/2009	Illumination and Emergency Power Deficiencies	emergency lighting that can last at least 1 1/2 hours.	D
01/14/2009	Smoke Compartmentation and Control Deficiencies	smoke barrier doors that can resist smoke for at least 20 minutes.	D
Inspection Results: 12/19/2007
Corrected	Category	Deficiency	Severity
02/06/2008	Exits and Egress Deficiencies	corridors or aisles that are unobstructed and are at least 8 feet in width.	D

Resident Complaints: ORMSBY POST ACUTE REHAB
Date Complaint Substantiated: 09/19/2008
Corrected	Category	Deficiency	Severity
10/31/2008	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
Date Complaint Substantiated: 06/20/2008
Corrected	Category	Deficiency	Severity
07/25/2008	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	D
Date Complaint Substantiated: 05/01/2008
Corrected	Category	Deficiency	Severity
06/15/2008	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	D
Date Complaint Substantiated: 02/20/2008
Corrected	Category	Deficiency	Severity
03/13/2008	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
Date Complaint Substantiated: 08/02/2007
Corrected	Category	Deficiency	Severity
09/20/2007	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
Date Complaint Substantiated: 01/05/2007
Corrected	Category	Deficiency	Severity
03/01/2007	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	D
03/01/2007	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.	D
Date Complaint Substantiated: 12/12/2006
Corrected	Category	Deficiency	Severity
12/27/2006	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	D

Quality Measures: ORMSBY POST ACUTE REHAB
Quality Measures	National Average	ORMSBY POST ACUTE REHAB
Overall quality rating	Not Available	2 out of 5 stars
Long-Stay Residents
Percent of long-stay residents whose need for help with daily activities has increased	14%	19%
Percent of long-stay residents who were assessed and given pneumococcal vaccination	89%	90+%
Percent of long-stay residents who were physically restrained	3%	0%
Percent of long-stay residents whose ability to move about in and around their room got worse	11%	19%
Percent of low-risk long-stay residents who have pressure sores	2%	3%
Percent of long-stay residents who lose too much weight	8%	5%
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%	56%
Percent of high-risk long-stay residents who have pressure sores	11%	4%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	5%	4%
Percent of long-stay residents who had a urinary tract infection	9%	14%
Percent of long-stay residents who spend most of their time in bed or in a chair	4%	1%
Percent of long-stay residents who have moderate to severe pain	3%	12%
Percent of long-stay residents who are more depressed or anxious	14%	11%
Short-Stay Residents
Percent of short-stay residents given influenza vaccination during the flu season	83%	71%
Percent of short-stay residents who were assessed and given pneumococcal vaccination	83%	90+%
Percent of short-stay residents who had moderate to severe pain	19%	40%
Percent of short-stay residents who have delirium	2%	3%
Percent of short-stay residents who have pressure sores	13%	10%

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™: ORMSBY POST ACUTE REHAB CARSON CITY NV