General Information: COUNTRY VIEW MANOR
Nursing home name COUNTRY VIEW MANOR
Address2901 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 homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
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
3 out of 5 stars
Nursing Home Staffing 2 out of 5 stars
2 out of 5 stars
Registered Nurses only 4 out of 5 stars
4 out of 5 stars
Health Inspections 3 out of 5 stars
3 out of 5 stars
Quality Measures 3 out of 5 stars
3 out of 5 stars
Nursing Home Staffing Info: COUNTRY VIEW MANOR
National AverageCOUNTRY VIEW MANOR
Overall staff rating Not Available. 2 out of 5 stars
2 out of 5 stars
Registered Nurses only rating Not Available 4 out of 5 stars
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
CorrectedCategoryDeficiencySeverity
03/01/2010Administration Deficiencies Keep accurate and appropriate medical records. E
03/01/2010Pharmacy Service Deficiencies Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. D
03/15/2010Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. D
03/01/2010Resident 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
03/01/2010Environmental Deficiencies Keep safe, clean and homelike surroundings. B
03/15/2010Quality Care Deficiencies Provide activities to meet the needs of each resident. E
03/01/2010Mistreatment 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
CorrectedCategoryDeficiencySeverity
12/02/2008Pharmacy 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
12/02/2008Environmental Deficiencies Provide bedrooms that don't allow residents to see each other when privacy is needed. E
12/02/2008Administration Deficiencies Get proof that a nurse aide has the training and skills that the State requires. B
12/02/2008Resident Assessment Deficiencies Keep assessments completed in the preceding 15 months in the resident's active record. B
12/02/2008Resident Rights Deficiencies Provide care in a way that keeps or builds each resident's dignity and self respect. E
12/02/2008Resident 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
CorrectedCategoryDeficiencySeverity
10/01/2007Administration Deficiencies Keep complete, dated lab records in the resident's file. B
10/01/2007Administration Deficiencies Give or get lab tests to meet the needs of residents. E
10/01/2007Pharmacy Service Deficiencies Properly mark drugs and other similar products. D
10/01/2007Nutrition and Dietary Deficiencies Store, cook, and give out food in a safe and clean way. B
10/01/2007Pharmacy 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
10/01/2007Resident 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
CorrectedCategoryDeficiencySeverity
03/05/2010Electrical Deficiencies properly installed electrical wiring and equipment. D
03/01/2010Miscellaneous Deficiencies fire safety features required by current fire safety codes. D
04/01/2010Building Service Equipment Deficiencies heating and ventilation systems that have been properly installed according to the manufacturer's instructions. C
03/01/2010Smoking Regulations Deficiencies posted "No-smoking" signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed. D
03/01/2010Automatic Sprinkler Systems Deficiencies automatic sprinkler systems that have been maintained in working order. D
03/01/2010Hazardous Area Deficiencies construction that can resist fire for one hour or an approved fire extinguishing system. D
03/01/2010Corridor Walls and Doors Deficiencies corridor and hallway doors that block smoke. D
03/01/2010Building Construction Deficiencies approved construction type or materials. D
Inspection Results: 11/24/2008
CorrectedCategoryDeficiencySeverity
01/01/2009Electrical Deficiencies properly installed electrical wiring and equipment. D
01/01/2009Hazardous Area Deficiencies properly installed hallway dispensers for alcohol-based hand rub. D
01/01/2009Building Service Equipment Deficiencies heating and ventilation systems that have been properly installed according to the manufacturer's instructions. B
01/01/2009Illumination and Emergency Power Deficiencies emergency lighting that can last at least 1 1/2 hours. B
01/01/2009Exits and Egress Deficiencies exits that are accessible at all times. D
Inspection Results: 08/27/2007
CorrectedCategoryDeficiencySeverity
10/27/2007Electrical Deficiencies weekly inspections and monthly testing of generators. D
10/27/2007Medical Gases and Anesthetizing Areas Deficiencies proper medical gas storage and administration areas. B
10/27/2007Building Service Equipment Deficiencies heating and ventilation systems that have been properly installed according to the manufacturer's instructions. B
10/27/2007Automatic Sprinkler Systems Deficiencies automatic sprinkler systems that have been maintained in working order. D
10/27/2007Emergency Plans and Fire Drills Deficiencies record of quarterly fire drills for each shift under varying conditions. B
10/27/2007Exits and Egress Deficiencies exits that are accessible at all times. D

Resident Complaints: COUNTRY VIEW MANOR
Date Complaint Substantiated: 10/01/2008
CorrectedCategoryDeficiencySeverity
11/16/2008Administration Deficiencies Keep accurate and appropriate medical records. B
11/16/2008Resident 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
CorrectedCategoryDeficiencySeverity
05/15/2008Mistreatment 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 MeasuresNational AverageCOUNTRY VIEW MANOR
Overall quality rating Not Available 3 out of 5 stars
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.
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
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