General Information: DERBY GREEN NURSING HOME
Nursing home name DERBY GREEN NURSING HOME
Address2853 US ROUTE 5
DERBY, VT 05829
Phone number (802) 766-2201
Located within a hospital No
Type of ownership Non profit - Corporation
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils RESIDENT
Certified number of beds 23
Total number of residents 23
Perc of occupied beds 100
Sprinkler status fully sprinklered
Last health survey date 04/15/2009
Fire survey date: 04/21/2009
Ratings Summary: DERBY GREEN NURSING HOME
Overall rating 5 out of 5 stars
5 out of 5 stars
Nursing Home Staffing 4 out of 5 stars
4 out of 5 stars
Registered Nurses only 5 out of 5 stars
5 out of 5 stars
Health Inspections 5 out of 5 stars
5 out of 5 stars
Quality Measures 5 out of 5 stars
5 out of 5 stars
Nursing Home Staffing Info: DERBY GREEN NURSING HOME
National AverageDERBY GREEN NURSING HOME
Overall staff rating Not Available. 4 out of 5 stars
4 out of 5 stars
Registered Nurses only rating Not Available 5 out of 5 stars
5 out of 5 stars
Total Number of Residents 94.2 23
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.4 hours 1.32 hours
Registered Nurses Hours per Residents per Day 0.6 hours 0.8 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.8 hours 0.52 hours
Certified Nursing Assistants Hours per Residents per Day 0.6 hours 0.8 hours
Health Inpections: DERBY GREEN NURSING HOME
Inspection Results: 04/15/2009
CorrectedCategoryDeficiencySeverity
04/15/2009Administration Deficiencies Keep accurate and appropriate medical records. C
04/15/2009Pharmacy Service Deficiencies Properly mark drugs and other similar products. D
04/27/2009Resident Assessment Deficiencies Make sure that doctors visit residents regularly, as required. D
04/24/2009Quality Care Deficiencies Give professional services that follow each resident's written care plan. D
04/27/2009Mistreatment Deficiencies Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. B
04/24/2009Quality Care Deficiencies Give professional services that meet a professional standard of quality. D
Inspection Results: 01/24/2007
CorrectedCategoryDeficiencySeverity
02/21/2007Environmental Deficiencies Make sure that staff members wash their hands when needed. D
07/02/2007Quality Care Deficiencies Use a registered nurse at least 8 hours a day, 7 days a week. C
01/24/2007Resident 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. D

Fire Safety Inpections: DERBY GREEN NURSING HOME
Inspection Results: 01/23/2007
CorrectedCategoryDeficiencySeverity
03/27/2007Electrical Deficiencies properly installed electrical wiring and equipment. D
03/27/2007Exits and Egress Deficiencies exit stairways and towers that are smoke proof. B

Resident Complaints: DERBY GREEN NURSING HOME
Not available

Quality Measures: DERBY GREEN NURSING HOME
Quality MeasuresNational AverageDERBY GREEN NURSING HOME
Overall quality rating Not Available 5 out of 5 stars
5 out of 5 stars
Long-Stay Residents
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 who spend most of their time in bed or in a chair 4% 1%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder 5% 0%
Percent of low-risk long-stay residents who lose control of their bowels or bladder 50% 39%
Percent of long-stay residents who were physically restrained 3% 0%
Percent of long-stay residents whose need for help with daily activities has increased 14% 12%
Percent of long-stay residents who had a urinary tract infection 9% 4%
Percent of long-stay residents whose ability to move about in and around their room got worse 11% 14%
Percent of high-risk long-stay residents who have pressure sores 11% 12%
Percent of long-stay residents who have moderate to severe pain 3% 0%
Percent of long-stay residents who are more depressed or anxious 14% 32%
Percent of long-stay residents who lose too much weight 8% 13%
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 were assessed and given pneumococcal vaccination 83% Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.%
Percent of short-stay residents given influenza vaccination during the flu season 83% Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.%
Percent of short-stay residents who had moderate to severe pain 19% Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.%
Percent of short-stay residents who have delirium 2% Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.%
Percent of short-stay residents who have pressure sores 13% Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.%
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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