| General Information: COUNTRY VIEW MANOR | |
|---|---|
| Nursing home name | COUNTRY VIEW MANOR |
| Address | 2901 WEST CENTER STREET PROVO, UT 84601 |
| Phone number | (801) 373-5079 |
| Located within a hospital | No |
| Type of ownership | For 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 | 50 |
| Total number of residents | 34 |
| Perc of occupied beds | 68 |
| Sprinkler status | fully sprinklered |
| Last health survey date | 02/03/2010 |
| Fire survey date: | 02/10/2010 |
| Ratings Summary: COUNTRY VIEW MANOR | |
|---|---|
| Overall rating |
3 out of 5 stars |
| Nursing Home Staffing |
2 out of 5 stars |
| Registered Nurses only |
4 out of 5 stars |
| Health Inspections |
3 out of 5 stars |
| Quality Measures |
3 out of 5 stars |
| Nursing Home Staffing Info: COUNTRY VIEW MANOR | ||
|---|---|---|
| National Average | COUNTRY VIEW MANOR | |
| Overall staff rating | Not Available. |
2 out of 5 stars |
| Registered Nurses only rating | Not Available |
4 out of 5 stars |
| Total Number of Residents | 94.2 | 34 |
| Total Number of Licensed Nurse Staff Hours per Resident per Day | 1.4 hours | 1.1 hours |
| Registered Nurses Hours per Residents per Day | 0.6 hours | 0.72 hours |
| Licensed Practical or Vacation Nurses Hours per Resident per Day | 0.8 hours | 0.38 hours |
| Certified Nursing Assistants Hours per Residents per Day | 0.6 hours | 0.72 hours |
| Health Inpections: COUNTRY VIEW MANOR | |||
|---|---|---|---|
| Inspection Results: 02/03/2010 | |||
| Corrected | Category | Deficiency | Severity |
| 03/01/2010 | Administration Deficiencies | Keep accurate and appropriate medical records. | E |
| 03/01/2010 | Pharmacy Service Deficiencies | Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | D |
| 03/15/2010 | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | D |
| 03/01/2010 | 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 |
| 03/01/2010 | Environmental Deficiencies | Keep safe, clean and homelike surroundings. | B |
| 03/15/2010 | Quality Care Deficiencies | Provide activities to meet the needs of each resident. | E |
| 03/01/2010 | 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 |
| Inspection Results: 11/06/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 12/02/2008 | Pharmacy Service Deficiencies | 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | D |
| 12/02/2008 | Environmental Deficiencies | Provide bedrooms that don't allow residents to see each other when privacy is needed. | E |
| 12/02/2008 | Administration Deficiencies | Get proof that a nurse aide has the training and skills that the State requires. | B |
| 12/02/2008 | Resident Assessment Deficiencies | Keep assessments completed in the preceding 15 months in the resident's active record. | B |
| 12/02/2008 | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | E |
| 12/02/2008 | Resident Rights Deficiencies | Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. | B |
| Inspection Results: 08/16/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 10/01/2007 | Administration Deficiencies | Keep complete, dated lab records in the resident's file. | B |
| 10/01/2007 | Administration Deficiencies | Give or get lab tests to meet the needs of residents. | E |
| 10/01/2007 | Pharmacy Service Deficiencies | Properly mark drugs and other similar products. | D |
| 10/01/2007 | Nutrition and Dietary Deficiencies | Store, cook, and give out food in a safe and clean way. | B |
| 10/01/2007 | Pharmacy Service Deficiencies | 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | D |
| 10/01/2007 | 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. | B |
| Fire Safety Inpections: COUNTRY VIEW MANOR | |||
|---|---|---|---|
| Inspection Results: 02/10/2010 | |||
| Corrected | Category | Deficiency | Severity |
| 03/05/2010 | Electrical Deficiencies | properly installed electrical wiring and equipment. | D |
| 03/01/2010 | Miscellaneous Deficiencies | fire safety features required by current fire safety codes. | D |
| 04/01/2010 | Building Service Equipment Deficiencies | heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | C |
| 03/01/2010 | Smoking Regulations Deficiencies | posted "No-smoking" signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed. | D |
| 03/01/2010 | Automatic Sprinkler Systems Deficiencies | automatic sprinkler systems that have been maintained in working order. | D |
| 03/01/2010 | Hazardous Area Deficiencies | construction that can resist fire for one hour or an approved fire extinguishing system. | D |
| 03/01/2010 | Corridor Walls and Doors Deficiencies | corridor and hallway doors that block smoke. | D |
| 03/01/2010 | Building Construction Deficiencies | approved construction type or materials. | D |
| Inspection Results: 11/24/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 01/01/2009 | Electrical Deficiencies | properly installed electrical wiring and equipment. | D |
| 01/01/2009 | Hazardous Area Deficiencies | properly installed hallway dispensers for alcohol-based hand rub. | D |
| 01/01/2009 | Building Service Equipment Deficiencies | heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | B |
| 01/01/2009 | Illumination and Emergency Power Deficiencies | emergency lighting that can last at least 1 1/2 hours. | B |
| 01/01/2009 | Exits and Egress Deficiencies | exits that are accessible at all times. | D |
| Inspection Results: 08/27/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 10/27/2007 | Electrical Deficiencies | weekly inspections and monthly testing of generators. | D |
| 10/27/2007 | Medical Gases and Anesthetizing Areas Deficiencies | proper medical gas storage and administration areas. | B |
| 10/27/2007 | Building Service Equipment Deficiencies | heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | B |
| 10/27/2007 | Automatic Sprinkler Systems Deficiencies | automatic sprinkler systems that have been maintained in working order. | D |
| 10/27/2007 | Emergency Plans and Fire Drills Deficiencies | record of quarterly fire drills for each shift under varying conditions. | B |
| 10/27/2007 | Exits and Egress Deficiencies | exits that are accessible at all times. | D |
| Resident Complaints: COUNTRY VIEW MANOR | |||
|---|---|---|---|
| Date Complaint Substantiated: 10/01/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 11/16/2008 | Administration Deficiencies | Keep accurate and appropriate medical records. | B |
| 11/16/2008 | 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 |
| Date Complaint Substantiated: 04/08/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 05/15/2008 | 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 |
| Quality Measures: COUNTRY VIEW MANOR | ||
|---|---|---|
| Quality Measures | National Average | COUNTRY VIEW MANOR |
| Overall quality rating | Not Available |
3 out of 5 stars |
| Long-Stay Residents | ||
| Percent of long-stay residents who lose too much weight | 8% | 11% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 11% | 9% |
| Percent of high-risk long-stay residents who have pressure sores | 11% | 14% |
| Percent of low-risk long-stay residents who have pressure sores | 2% | Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.% |
| Percent of long-stay residents whose need for help with daily activities has increased | 14% | 2% |
| Percent of long-stay residents who were physically restrained | 3% | 0% |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 50% | 52% |
| Percent of long-stay residents who are more depressed or anxious | 14% | 27% |
| 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% | 26% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 5% | 3% |
| 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 were assessed and given pneumococcal vaccination | 89% | 90+% |
| Percent of long-stay residents given influenza vaccination during the flu season | 91% | 90+% |
| Short-Stay Residents | ||
| Percent of short-stay residents who have pressure sores | 13% | 4% |
| Percent of short-stay residents who have delirium | 2% | 4% |
| Percent of short-stay residents given influenza vaccination during the flu season | 83% | 78% |
| 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% | 48% |
| 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 |