General Information: DAMAS HOSPITAL SNF
Nursing home name DAMAS HOSPITAL SNF
Address2213 PONCE BY PASS
PONCE, PR 00717
Phone number (787) 840-8686
Located within a hospital No
Type of ownership Non profit - Corporation
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare
Continue Care Retirement CommunityNo
Resident and family councils None
Certified number of beds 24
Total number of residents 12
Perc of occupied beds 50
Sprinkler status No
Number of Facility Reported Incidents0
Number of Substantiated Complaints0
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: DAMAS HOSPITAL SNF
Overall rating 5
5
Nursing Home Staffing 5
5
Registered Nurses only 5
5
Health Inspections 3
3
Quality Measures 5
5
Nursing Home Staffing Info: DAMAS HOSPITAL SNF
National AveragePuerto Rico AverageDAMAS HOSPITAL SNF
Overall staff rating NA NA 5
5
Registered Nurses only rating NANA 5
5
Total Number of Residents NA NA 12
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.51 hours 8.1 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 4.51 hours 8.1 hours
Registered Nurses Hours per Residents per Day 0.81 hours 2.56 hours 5.24 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 1.95 hours 2.86 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 0.0 hours 0.0 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.39 hours 0.95 hours
Health Survey: DAMAS HOSPITAL SNF
Heath Survey Summary on 2013-01-30
Total Number of Health Deficiencies 10
Scope and Severity of most Severe Health Deficiency Isolated/Actual harm
Heath Survey Summary on 2012-02-29
Total Number of Health Deficiencies 14
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Heath Survey Summary on 2011-01-19
Total Number of Health Deficiencies 6
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Health Survey Details: DAMAS HOSPITAL SNF
Inspection Results: 01/30/2013
Corrected Deficiency Scope and Severity
03/07/2013 Maintain comfortable and safe temperature levels. Isolated/Minimal harm or potential for actual harm
03/07/2013 Ensure services provided by the nursing facility meet professional standards of quality. Widespread /Minimal harm or potential for actual harm
03/07/2013 Encode each residents assessment data and transmit these data to the State within 7 days of assessment. Widespread /Minimal harm or potential for actual harm
03/07/2013 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Actual harm
03/07/2013 Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. Widespread /Minimal harm or potential for actual harm
03/07/2013 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
03/07/2013 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Widespread /Minimal harm or potential for actual harm
03/07/2013 At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated/Minimal harm or potential for actual harm
03/07/2013 Have a program that investigates, controls and keeps infection from spreading. Widespread /Minimal harm or potential for actual harm
03/07/2013 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread /Minimal harm or potential for actual harm
Inspection Results: 02/29/2012
Corrected Deficiency Scope and Severity
04/17/2012 Ensure services provided by the nursing facility meet professional standards of quality. Widespread /Minimal harm or potential for actual harm
04/17/2012 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
04/17/2012 Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated/Minimal harm or potential for actual harm
04/17/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern/Minimal harm or potential for actual harm
04/17/2012 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated/Minimal harm or potential for actual harm
04/17/2012 Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Isolated/Minimal harm or potential for actual harm
04/17/2012 Allow residents to self-administer drugs if determined safe. Isolated/Minimal harm or potential for actual harm
04/17/2012 Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. Widespread /Minimal harm or potential for actual harm
04/17/2012 Give residents a notice of rights, rules, services and charges. Widespread /Minimal harm or potential for actual harm
04/17/2012 Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. Isolated/Minimal harm or potential for actual harm
04/17/2012 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
04/17/2012 Have a program that investigates, controls and keeps infection from spreading. Widespread /Minimal harm or potential for actual harm
04/17/2012 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread /Minimal harm or potential for actual harm
04/17/2012 At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Widespread /Minimal harm or potential for actual harm
Inspection Results: 01/19/2011
Corrected Deficiency Scope and Severity
03/07/2011 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
03/07/2011 Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated/Minimal harm or potential for actual harm
03/07/2011 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Widespread /Minimal harm or potential for actual harm
03/07/2011 Have a program that investigates, controls and keeps infection from spreading. Widespread /Minimal harm or potential for actual harm
03/07/2011 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread /Minimal harm or potential for actual harm
03/07/2011 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: DAMAS HOSPITAL SNF
Fire Safety Survey Summary on 2013-01-30
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-02-29
Total Number of Fire SafetyDeficiencies 1
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-01-19
Total Number of Fire SafetyDeficiencies 4
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey: DAMAS HOSPITAL SNF
Fire Safety Survey Results: 01/30/2013
Corrected Deficiency Severity
03/07/2013 Walls that prevent smoke from passing through and would resist fire for at least one hour. Widespread /Minimal harm or potential for actual harm
03/07/2013 Weekly inspections and monthly testing of generators. Widespread /Minimal harm or potential for actual harm
03/07/2013 Other fire safety features required by fire safety codes. Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Results: 02/29/2012
Corrected Deficiency Severity
04/17/2012 Other fire safety features required by fire safety codes. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 01/19/2011
Corrected Deficiency Severity
03/07/2011 Emergency lighting that can last at least 1 1/2 hours. Widespread /Minimal harm or potential for actual harm
03/07/2011 Record of quarterly fire drills for each shift under varying conditions. Widespread /Minimal harm or potential for actual harm
03/07/2011 A fire alarm system that can be heard throughout the facility. Widespread/Potential for minimal harm
03/07/2011 Other fire safety features required by fire safety codes. Widespread /Minimal harm or potential for actual harm

Resident Complaints: DAMAS HOSPITAL SNF
Not available

Quality Measures: DAMAS HOSPITAL SNF
Quality Measures National Average Puerto Rico Average DAMAS HOSPITAL SNF
Overall quality rating NA NA 5
5
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% % %
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% % %
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% % %
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% % %
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% % %
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% % %
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% % %
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% % %
Percent of Long Stay Residents Who Were Physically Restrained 1.4% % %
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% % %
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% % %
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% % %
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% % %
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 28.6% 7.9%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 0.1% 0.5%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 81.4% 99.6%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 81.0% 99.7%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 1.1% 1.9%

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