General Information: THE MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE
Nursing home name THE MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE
AddressCALLE COSME REPARTO SAN LUCAS SECTOR CANEJAS
RIO PIEDRAS, PR 00926
Phone number (787) 708-0138
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare
Continue Care Retirement CommunityNo
Resident and family councils NONE
Certified number of beds 42
Total number of residents 29
Perc of occupied beds 69
Sprinkler status No
Last health survey date 03/15/2012
Fire survey date: 03/15/2012
Ratings Summary: THE MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE
Overall rating 3
3
Nursing Home Staffing 4
4
Registered Nurses only 5
5
Health Inspections 2
2
Quality Measures 3
3
Nursing Home Staffing Info: THE MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE
National AverageTHE MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE
Overall staff rating Not Available. 4
4
Registered Nurses only rating Not Available 5
5
Total Number of Residents 88.1 29.00
Total Number of Licensed Nurse Staff Hours per Resident per Day 29.8 hours 4.16 hours
Registered Nurses Hours per Residents per Day 29.0 hours 2.13 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 29.0 hours 2.03 hours
Certified Nursing Assistants Hours per Residents per Day 29.0 hours 2.13 hours
Health Inpections: THE MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE
Inspection Results: 03/15/2012
CorrectedCategoryDeficiencySeverity
05/01/2012Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. C
05/01/2012Administration DeficienciesChoose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. G
05/01/2012Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. D
05/01/2012Environmental DeficienciesBe designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. F
05/01/2012Pharmacy Service DeficienciesMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. F
05/01/2012Pharmacy Service DeficienciesProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. E
05/01/2012Nutrition and Dietary DeficienciesStore, cook, and serve food in a safe and clean way. F
05/01/2012Quality Care DeficienciesDevelop policies and procedures for influenza and pneumococcal immunizations. E
05/01/2012Pharmacy Service DeficienciesKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. E
05/01/2012Environmental DeficienciesEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. C
05/01/2012Quality Care DeficienciesEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. D
05/01/2012Quality Care DeficienciesProvide necessary care and services to maintain or improve the highest well being of each resident. G
05/01/2012Quality Care DeficienciesEnsure services provided by the nursing facility meet professional standards of quality. G
05/01/2012Resident Assessment DeficienciesDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E
05/01/2012Environmental DeficienciesMaintain comfortable and safe temperature levels. E
05/01/2012Quality Care DeficienciesProvide activities to meet the interests and needs of each resident. C
05/01/2012Resident Rights DeficienciesProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. G
05/01/2012Mistreatment DeficienciesDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. C
05/01/2012Resident Rights DeficienciesAllow residents to self-administer drugs if determined safe. E
05/01/2012Resident Rights DeficienciesAllow residents to easily view the results of the nursing home's most recent inspection. C
05/01/2012Resident Rights DeficienciesKeep residents' personal and medical records private and confidential. E
05/01/2012Resident Rights DeficienciesGive residents a notice of rights, rules, services and charges. C
Inspection Results: 02/17/2011
CorrectedCategoryDeficiencySeverity
04/05/2011Quality Care DeficienciesProvide necessary care and services to maintain or improve the highest well being of each resident. G
04/05/2011Administration DeficienciesChoose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. G
04/05/2011Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F
04/05/2011Environmental DeficienciesBe designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. F
04/05/2011Environmental DeficienciesHave a program that investigates, controls and keeps infection from spreading. F
04/05/2011Nutrition and Dietary DeficienciesStore, cook, and serve food in a safe and clean way. F
04/05/2011Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. F
04/05/2011Quality Care DeficienciesEnsure services provided by the nursing facility meet professional standards of quality. F
04/05/2011Environmental DeficienciesMaintain comfortable and safe temperature levels. C
04/05/2011Resident Rights DeficienciesProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. D
04/05/2011Mistreatment DeficienciesDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. D
04/05/2011Mistreatment DeficienciesProtect each resident from mistreatment, neglect and misappropriation of personal property. G
04/05/2011Resident Rights DeficienciesKeep residents' personal and medical records private and confidential. F
04/05/2011Resident Rights DeficienciesHonor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. C
Inspection Results: 03/11/2010
CorrectedCategoryDeficiencySeverity
04/27/2010Environmental DeficienciesBe designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. F
04/27/2010Administration DeficienciesChoose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. G
04/27/2010Administration DeficienciesBe licensed under State and local laws. F
04/27/2010Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F
04/27/2010Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. F
04/27/2010Environmental DeficienciesHave a program that investigates, controls and keeps infection from spreading. F
04/27/2010Pharmacy Service DeficienciesMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. F
04/27/2010Pharmacy Service DeficienciesAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. E
04/27/2010Pharmacy Service DeficienciesProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. F
04/27/2010Nutrition and Dietary DeficienciesStore, cook, and serve food in a safe and clean way. F
04/27/2010Quality Care DeficienciesProvide necessary care and services to maintain or improve the highest well being of each resident. G
04/27/2010Quality Care DeficienciesEnsure services provided by the nursing facility meet professional standards of quality. F
04/27/2010Resident Assessment DeficienciesDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F
04/27/2010Resident Assessment DeficienciesConduct initial and periodic assessments of each resident's functional capacity. F
04/27/2010Environmental DeficienciesMaintain comfortable sound levels. D
04/27/2010Environmental DeficienciesMaintain comfortable and safe temperature levels. D
04/27/2010Quality Care DeficienciesProvide activities to meet the interests and needs of each resident. C
04/27/2010Mistreatment DeficienciesDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. C
04/27/2010Mistreatment DeficienciesProtect each resident from mistreatment, neglect and misappropriation of personal property. D
04/27/2010Resident Rights DeficienciesKeep residents' personal and medical records private and confidential. E
04/27/2010Resident Rights DeficienciesLet residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. E
04/27/2010Resident Rights DeficienciesHonor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. F

Fire Safety Inpections: THE MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE
Inspection Results: 03/15/2012
CorrectedCategoryDeficiencySeverity
05/01/2012Electrical DeficienciesWeekly inspections and monthly testing of generators. F
05/01/2012Miscellaneous DeficienciesOther fire safety features required by fire safety codes. F
Inspection Results: 02/17/2011
CorrectedCategoryDeficiencySeverity
04/05/2011Emergency Plans and Fire Drills DeficienciesRecord of quarterly fire drills for each shift under varying conditions. F
04/05/2011Miscellaneous DeficienciesOther fire safety features required by fire safety codes. F
04/05/2011Automatic Sprinkler Systems DeficienciesPortable fire extinguishers. F
04/05/2011Automatic Sprinkler Systems DeficienciesAutomatic sprinkler systems that have been maintained in working order. F
04/05/2011Electrical DeficienciesProperly installed electrical wiring and equipment. F
04/05/2011Illumination and Emergency Power DeficienciesEmergency lighting that can last at least 1 1/2 hours. F
04/05/2011Emergency Plans and Fire Drills DeficienciesA written emergency evacuation plan. F
Inspection Results: 03/11/2010
CorrectedCategoryDeficiencySeverity
04/27/2010Miscellaneous DeficienciesOther fire safety features required by fire safety codes. F
04/27/2010Fire Alarm Systems DeficienciesA fire alarm system that can be heard throughout the facility. F
04/27/2010Emergency Plans and Fire Drills DeficienciesRecord of quarterly fire drills for each shift under varying conditions. F
04/27/2010Corridor Walls and Doors DeficienciesCorridor and hallway doors that block smoke. F

Resident Complaints: THE MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE
Date Complaint Substantiated: 02/17/2011
CorrectedCategoryDeficiencySeverity
04/05/2011Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly F
04/05/2011Mistreatment DeficienciesProtect each resident from mistreatment G

Quality Measures: THE MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE
Quality MeasuresNational AverageTHE MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE
Overall quality rating Not Available 3
3
Long-Stay Residents
Percent of long-stay residents who received an antipsychotic medication. 31% 0%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine. 99% 77.299999999999997%
Percent of long-stay residents who lose too much weight. 16% 199%
Percent of long-stay residents experiencing one or more falls with major injury. 12% 0%
Percent of long-stay residents who self-report moderate to severe pain. 22% 199%
Percent of long-stay residents who were physically restrained. 11% 0%
Percent of long-stay high-risk residents with pressure ulcers. 19% 199%
Percent of long-stay residents whose need for help with daily activities has increased. 27% 199%
Percent of long-stay residents with a urinary tract infection. 16% 199%
Percent of long-stay low-risk residents who lose control of their bowels or bladder 62% 199%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine. 97% 79%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder. 13% 199%
Percent of long-stay residents who have depressive symptoms. 16% 0%
Short-Stay Residents
Percent of short-stay residents who self-report moderate to severe pain. 36% 73.599999999999994%
Percent of short-stay residents with Pressure ulcers that are new or worsened. 11% 0%
Percent of short-stay residents who newly received an antipsychotic medication. 27% 0%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine. 92% 73.599999999999994%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine. 87% 73.799999999999997%
Severity Codes Explanation. Note: The higher the letter, the higher the severity.
AIsolated /Potential for minimal harm
BPattern /Potential for minimal harm
CWidespread /Potential for minimal harm
DIsolated /Minimal harm or potential for actual harm
EPattern /Minimal harm or potential for actual harm
FWidespread /Minimal harm or potential for actual harm
GIsolated /Actual harm
HPattern /Actual harm
IWidespread /Actual harm
JIsolated /Immediate jeopardy to resident health or safety
KPattern /Immediate jeopardy to resident health or safety
LWidespread /Immediate jeopardy to resident health or safety

User reviews on THE MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE

THE MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE has 1 user reviews:
On Monday Jun 24 2013 12:17 AM Dinilia Fuentes wrote:

I am very concerned with the care my father received. He was discharged after 10 of supposidly
getting therapy. The condition that he was discharged under was actually worst than when he went in.
Not shaved and with a really bad genital rash due to using depends, obviously he was not changed
often enough, meaning no one cared that he had the rash. My father spend 30 in San Pablo hospital
with 18 days in intensive care and not one bed sore; guess what he can home with a bed sore after
spending 10 days in this facility. The social worker said he was not cooperative; however he was
still kept for the 10 days, for what the money the facity would get from his insurance. I would not
recommend this facility to any one. One more thing my father is 90 years old which meant that they
did not care enough about their elderly patients. Very dissapointed, as I was told by the social
worker at the hospital that this facility is considered among one of the best in Puerto Rico. I
think No



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