State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report

APPENDIX B. Public Reporting



TABLE OF CONTENTS

WEB LINKS FOR PUBLIC REPORTING SYSTEMS
FLORIDA
Sample Facility Display
Nursing Home Guide Watch List
IOWA
Sample Facility Report Card
MARYLAND
Sample Performance Evaluation Guide
TEXAS
Overview of How Texas Quality Reporting System Evaluates Medicaid-Certified Facilities
NOTES


WEB LINKS FOR PUBLIC REPORTING SYSTEMS

These states have developed and maintain data on nursing home quality that are available to the public.

Florida's Nursing Home Guide
http://www.fdhc.state.fl.us/nhcguide/guide_intro.cfm

Iowa's Health Facility Report Cards
http://www.dia-hfd.state.ia.us/reportcards/about.asp

Maryland Nursing Home Performance Evaluation Guide
http://209.219.237.235/index.htm

Texas Long Term Care Quality Reporting System
http://facilityquality.dhs.state.tx.us/ltcqrs_public/nq1/jsp3/qrsHome1en.jsp?MORE=P&LANGCD=en


FLORIDA

Sample Facility Display1

FACILITY DISPLAY
LIFE CARE CENTER OF MELBOURNE
606 E. SHERIDAN ROAD, MELBOURNE

Voice: (321) 727-0984
Fax: (321) 727-3606
Web:

Overall Inspection X
Quality of Care
Quality of Life
Administration

Current Licensee: MELWOOD NURSING CENTER, LLC Components of Inspection
Licensee Since: 2001 Nutrition and Hydration X
Ownership Type: For-Profit
Affiliation: Life Care Centers of America Restraints and Abuse
Beds: 120 Total: 112 Semi-Private/8 Private
Lowest Daily Charge: $129 Pressure Ulcers
Payment Forms Accepted: Medicaid, Medicare, Insurance or HMO, VA, Worker's Compensation Decline
Dignity
Special Services: Respite Care, Alzheimer's Care, Pet Therapy, Dialysis Services, Tracheotomy Care, 24hr RN Onsite Coverage, HIV, Hospice Explanation of the Performance Measures (Stars)

Explanation of Inspection Scoring

Inspection Details for this Facility

Languages Spoken: Spanish, French, Italian, Sign Language

Glossary of Terms

Nursing Home Guide Watch List2

Florida Nursing Home Guide Watch List is published by the state Agency is published by the state Agency for Health Care Administration to assist consumers in evaluating the quality of nursing home care in Florida. This Watch List reflects facilities that met the criteria for a conditional status, on any day, between July 01, 2002 and September 30, 2002. A conditional status indicates that a facility did not meet, or correct upon follow-up, minimum standards at the time of an annual or complaint inspection. Immediate action is taken if a facility poses a threat to resident health or safety. If the deficiencies that resulted in conditional status have been corrected, the current status as of August 1, 2002 is noted. Facilities appealing the state's inspection results are also noted. This document is subject to change as appeals are processed. Please refer to the Agency for Health Care Administration web site for the latest revisions: www.fdhc.state.fl.us or www.floridahealthstat.com.

Based upon administrative proceedings or appeals, the following conditional licenses were rescinded and the facility was removed from a former Watch List:

North Florida
Facility Information Deficiencies
AZALEA TRACE, INC.
10100 HILLVIEW ROAD in PENSACOLA
County: ESCAMBIA     AO: 1
Number of Beds: 106
License Expires: Dec-31-2003
Owner: AZALEA TRACE, INC.
Facility corrected deficient practice and has a standard status as of Sep-10-2002. Beginning Aug-8-2002, survey inspectors determined that the nursing home did not:
Give residents proper treatment to prevent new pressure sores or heal existing pressure sores. (Class = II, Scope = Isolated, Cited on Aug-12-2002 and corrected on Sep-10-2002)

Make sure that residents with loss of bladder control receive treatment or service to prevent infections and help obtain normal bladder control. (Class = II, Scope = Isolated, Cited on Aug-12-2002 and corrected on Sep-10-2002)

Give each resident enough fluids to keep them healthy and prevent dehydration. (Class = II, Scope = Isolated, Cited on Aug-12-2002 and corrected on Sep-10-2002)

Number of times facility has appeared on the Watch List: 1
BAY SAINT GEORGE CARE CENTER
198 WEST HWY 98 in EASTPOINT
County: FRANKLIN     AO: 2
Number of Beds: 90
License Expires: Aug-24-2002
Owner: SENIOR CARE PROPERTIES, INC.
Deficiencies cited led to imposition of a Moratorium from Aug-23-2002 to Aug-24-2002.
Beginning Aug-22-2002, survey inspectors determined that the nursing home did not:
Make sure there is a program to prevent and handle mice, insects, or other pests. (Class = I, Scope = Widespread, Cited on Aug-22-2002 and not yet corrected)

Be administered in a way that leads to the highest possible level of well being for each resident. (Class = I, Scope = Widespread, Cited on Aug-22-2002 and not yet corrected)

Number of times facility has appeared on the Watch List: 10
BAY ST. JOSEPH CARE & REHABILITATION CENTER
220 NINTH STREET in PORT SAINT JOE
County: GULD     AO: 2
Number of Beds: 120
License Expires: Oct-31-2003
Owner: HCM LICENSE, LLC
Facility corrected deficient practice and has a standard status as of Nov-7-2002. Beginning Sep-5-2002, survey inspectors determined that the nursing home did not:
Provide 3 meals daily at regular times; serve breakfast within 14 hours after dinner; and offer a snack at bedtime each day. (Class = III, Scope = Pattern, Recited on Nov-08-2002 and corrected on Nov-08-2002)

Have a program to keep infection from spreading. (Class = III, Scope = Isolated, Recited on Sep-05-2002 and corrected on Nov-08-2002)

Number of times facility has appeared on the Watch List: 3
BAYSIDE MANOR
4343 LANGLEY AVENUE in PENSACOLA
County: ESCAMBIA     AO: 1
Number of Beds: 120
License Expires: Jul-31-2003
Owner: DELTA HEALTH GROUP, INC.
Appealed
Facility corrected deficient practice and has a standard status as of Aug-5-2002. Beginning Jul-3-2002, survey inspectors determined that the nursing home did not:
Make sure each resident is being watched and has assistive devices when needed, to prevent accidents. (Class = II, Scope = Isolated, Cited on Jul-03-2002 and corrected on Aug-05-2002)
Number of times facility has appeared on the Watch List: 6
CITRUS HEALTH AND REHABILITATION CENTER
701 MEDICAL COURT EAST in INVERNESS
County: CITRUS     AO: 3
Number of Beds: 111
License Expires: Apr-10-2004
Owner: PROVIDENT GROUP-CITRUS HEALTH AND REHABILITATION CENTER, LLC
Facility corrected deficient practice and has a standard status as of Jul-8-2002. Beginning May-24-2002, survey inspectors determined that the nursing home did not:
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. (Class = III, Scope = Pattern, Recited on May-24-2002 and corrected on Jul-08-2002)

Make sure each resident is being watched and has assistive devices when needed, to prevent accidents. (Class = II, Scope = Isolated, Cited on Apr-04-2002 and corrected on May-24-2002)

Number of times facility has appeared on the Watch List: 6
EMERALD SHORES HEALTH AND REHABILITATION
626 NORTH TYNDALL PARKWAY in CALLOWAY
County: BAY     AO: 2
Number of Beds: 77
License Expires: Nov-30-2003
Owner: EMERALD SHORES HEALTH CARE ASSOCIATES, LLC
Appealed
Facility corrected deficient practice and has a standard status as of Sep-20-2002. Beginning Jun-6-2002, survey inspectors determined that the nursing home did not:
Provide care in a way that keeps or builds each resident's dignity and self respect. (Class = III, Scope = Isolated, Recited on Jul-12-2002 and corrected on Sep-20-2002)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. (Class = II, Scope = Isolated, Cited on Jun-06-2002 and corrected on Sep-20-2002)

Make sure each resident is being watched and has assistive devices when needed, to prevent accidents. (Class = II, Scope = Isolated, Cited on Jun-06-2002 and corrected on Jul-12-2002)

Make sure that each resident's nutritional needs were met. (Class = II, Scope = Isolated, Cited on Jun-06-2002 and corrected on Jul-12-2002)

Make sure that residents are safe from serious medication errors. (Class = III, Scope = Isolated, Recited on Jul-12-2002 and corrected on Sep-20-2002)

Comply with physician orders for special diets. (Class = III, Scope = Isolated, Recited on Jul-12-2002 and corrected on Sep-20-2002)

Number of times facility has appeared on the Watch List: 5
EVERGREEN WOODS HEALTH & REHAB CENTER
7045 EVERGREEN WOODS TRAIL in SPRING HILL
County: HERNANDO     AO: 3
Number of Beds: 120
License Expires: Apr-30-2003
Owner: KINDRED NURSING CENTERS EAST, LLC
Facility corrected deficient practice and has a standard status as of Jul-29-2002. Beginning Jun-25-2002, survey inspectors determined that the nursing home did not:
Give professional services that meet a professional standard of quality. (Class = III, Scope = Isolated, Recited on Jun-25-2002 and corrected on Jul-29-2002)
Number of times facility has appeared on the Watch List: 4
GADSDEN NURSING HOME
1621 MARTIN LUTHER KING, JR. BLVD. in QUINCY
County: GADSDEN     AO: 2
Number of Beds: 60
License Expires: Feb-10-2003
Owner: GADSDEN HOME, INC.
Closed
Facility corrected deficient practice and has a standard status as of Aug-15-2002. Beginning Jul-10-2002, survey inspectors determined that the nursing home did not:
Make sure that the nursing home area is free of dangers that cause accidents. (Class = I, Scope = Pattern, Cited on Jul-10-2002 and corrected on Aug-15-2002)
Number of times facility has appeared on the Watch List: 1
HARTS HARBOR HEALTH CARE CENTER
11565 HARTS ROAD in JACKSONVILLE
County: DUVAL     AO: 4
Number of Beds: 180
License Expires: Nov-30-2003
Owner: PARADISE PINES HEALTH CARE ASSOCIATES, LLC
Appealed
Facility corrected deficient practice and has a standard status as of Aug-27-2002. Beginning Jun-28-2002, survey inspectors determined that the nursing home did not:
Give each resident care and services to obtain or keep the highest quality of life possible. (Class = III, Scope = Isolated, Recited on Jun-28-2002 and corrected on Aug-27-2002)

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. (Class = III, Scope = Pattern, Recited on Jun-28-2002 and corrected on Aug-27-2002)

Provide drugs and related services needed by each resident. (Class = III, Scope = Pattern, Recited on Jun-28-2002 and corrected on Aug-27-2002)

Give or obtain lab tests to meet the needs of residents. (Class = III, Scope = Isolated, Recited on Jun-28-2002 and corrected on Aug-27-2002)

Number of times facility has appeared on the Watch List: 7
LRMC NURSING CENTER
700 N. PALMETTO ST. in LEESBURG
County: LAKE     AO: 3
Number of Beds: 120
License Expires: Sep-30-2003
Owner: LEESBURG REGIONAL MEDICAL CENTER INC
Facility corrected deficient practice and has a standard status as of Jul-1-2002. Beginning Apr-17-2002, survey inspectors determined that the nursing home did not:
Give professional services that meet a professional standard of quality. (Class = II, Scope = Isolated, Cited on Apr-17-2002 and corrected on Jul-01-2002)
Number of times facility has appeared on the Watch List: 2
MARIANNA CONVALESCENT CENTER
4295 FIFTH AVENUE in MARIANNA
County: JACKSON     AO: 2
Number of Beds: 180
License Expires: May-31-2003
Owner: CITY OF MARIANNA
Appealed
Facility corrected deficient practice and has a standard status as of Jul-31-2002. Beginning Jun-27-2002, survey inspectors determined that the nursing home did not:
Keep each resident free from physical restraints, unless needed for medical treatment. (Class = II, Scope = Isolated, Cited on Jun-27-2002 and corrected on Jul-31-2002)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. (Class = II, Scope = Isolated, Cited on Jun-27-2002 and corrected on Jul-31-2002)

Give residents proper treatment to prevent new pressure sores or heal existing pressure sores. (Class = II, Scope = Isolated, Cited on Jun-27-2002 and corrected on Jul-31-2002)

Make sure that the nursing home area is free of dangers that cause accidents. (Class = I, Scope = Pattern, Cited on Jun-27-2002 and corrected on Jul-31-2002)

Make sure each resident is being watched and has assistive devices when needed, to prevent accidents. (Class = II, Scope = Isolated, Cited on Jun-27-2002 and corrected on Jul-31-2002)

Be administered in a way that leads to the highest possible level of well being for each resident. (Class = I, Scope = Pattern, Cited on Jun-27-2002 and corrected on Jul-31-2002)

Number of times facility has appeared on the Watch List: 3
OAKWOOD CENTER
301 S. BAY STREET in EUSTIS
County: LAKE     AO: 3
Number of Beds: 120
License Expires: Jan-31-2004
Owner: GENESIS ELDERCARE NATIONAL CENTERS INC
Appealed
Facility corrected deficient practice and has a standard status as of Aug-20-2002. Beginning Jul-1-2002, survey inspectors determined that the nursing home did not:
Protect residents from mistreatment, neglect, and/or theft of personal property. (Class = II, Scope = Isolated, Cited on Jul-01-2002 and corrected on Aug-20-2002)
Number of times facility has appeared on the Watch List: 3
OAKWOOD NURSING CENTER, INC.
2021 S.W. FIRST AVENUE in OCALA
County: MARION     AO: 3
Number of Beds: 133
License Expires: Mar-31-2004
Owner: OAKWOOD NURSING CENTER, INC.
Facility corrected deficient practice and has a standard status as of Aug-27-2002. Beginning May-23-2002, survey inspectors determined that the nursing home did not:
Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. (Class = II, Scope = Isolated, Cited on May-23-2002 and corrected on Aug-27-2002)
Number of times facility has appeared on the Watch List: 4
SHOAL CREEK REHABILITATION CENTER
500 SOUTH HOSPITAL DRIVE in CRESTVIEW
County: OKALOOSA     AO: 1
Number of Beds: 120
License Expires: Nov-30-2003
Owner: NORTH OKALOOSA HEALTH CARE ASSOCIATES, LLC
Appealed
Facility corrected deficient practice and has a standard status as of Jul-12-2002. Beginning Jun-12-2002, survey inspectors determined that the nursing home did not:
Give residents proper treatment to prevent new pressure sores or heal existing pressure sores. (Class = II, Scope = Isolated, Cited on Jun-12-2002 and corrected on Jul-17-2002)
Number of times facility has appeared on the Watch List: 4
SOUTHWOOD NURSING CENTER, INC.
40 ACME STREET in JACKSONVILLE
County: DUVAL     AO: 4
Number of Beds: 119
License Expires: Aug-15-2003
Owner: SOUTHWOOD NURSING CENTER, INC.
Facility corrected deficient practice and has a standard status as of Aug-27-2002. Beginning Jul-3-2002, survey inspectors determined that the nursing home did not:
Have sufficient nursing staff, on a 24-hour basis to provide nursing and related services to residents in order to maintain the highest practicable physical, mental, and psychosocial well-being of each resident. (Class = III, Scope = Pattern, Recited on Jul-26-2002 and corrected on Aug-27-2002)
Number of times facility has appeared on the Watch List: 2
SURREY PLACE CARE CENTER
110 S.E. LEE AVENUE in LIVE OAK
County: SUWANNEE     AO: 3
Number of Beds: 60
License Expires: Sep-30-2003
Owner: HQM AT LIVE OAK, INC.
Facility corrected deficient practice and has a standard status as of Oct-4-2002. Beginning Aug-21-2002, survey inspectors determined that the nursing home did not:
Cease accepting new residents due to non-compliance with state minimum-staffing requirements for 2 consecutive days. The facility was prohibited from accepting new admissions until the facility has achieved the minimum-staffing requirements for a period (Class = II, Scope = Isolated, Cited on Aug-21-2002 and corrected on Oct-04-2002)
Number of times facility has appeared on the Watch List: 1
TANDEM HEALTH CARE OF PENSACOLA
235 WEST AIRPORT BLVD in PENSACOLA
County: ESCAMBIA     AO: 1
Number of Beds: 120
License Expires: Dec-29-2003
Owner: TANDEM HEALTH CARE OF FLORIDA, INC.
Facility corrected deficient practice and has a standard status as of Nov-12-2002. Beginning Sep-24-2002, survey inspectors determined that the nursing home did not:
Assure that all physician orders are followed as prescribed, and if not followed, the reason is recorded in the resident's medical record during that shift. (Class = III, Scope = Isolated, Recited on Sep-24-2002 and corrected on Oct-24-2002)
Number of times facility has appeared on the Watch List: 8
VANDERBILT LIFE CENTER
2510 MICCOSUKEE ROAD in TALLAHASSEE
County: LEON     AO: 2
Number of Beds: 71
License Expires: Jul-31-2002
Owner: BMB HEALTH CARE, LLC
Deficiencies cited led to imposition of a Moratorium since Jun-24-2002.
Closed
Beginning Jun-20-2002, survey inspectors determined that the nursing home did not:
Keep each resident's personal and medical records private and confidential. (Class = III, Scope = Isolated, Recited on Jul-10-2002 and not yet corrected)

Provided enough notice before discharging or transferring a resident. (Class = III, Scope = Isolated, Recited on Jul-10-2002 and not yet corrected)

Protect each resident from all abuse, physical punishment, and/or being separated from others. (Class = I, Scope = Isolated, Cited on Jun-24-2002 and corrected on Jul-10-2002)

Protected residents from mistreatment, neglect, and/or theft of personal property. (Class = II, Scope = Isolated, Cited on Jun-24-2002 and not yet corrected)

Hire only people who have no legal history of abusing, neglecting or mistreating residents; and report and investigate any acts or reports of abuse, neglect or mistreatment of residents. (Class = III, Scope = Isolated, Recited on Jul-10-2002 and not yet corrected)

Make sure that each resident has the right to join in social, religious, and community activities. (Class = III, Scope = Pattern, Recited on Jul-10-2002 and not yet corrected)

Provide services to meet the needs and preferences of each resident. (Class = III, Scope = Isolated, Recited on Jul-10-2002 and not yet corrected)

Provide needed housekeeping and maintenance. (Class = III, Scope = Widespread, Recited on Jul-10-2002 and not yet corrected)

Obtain doctor orders for the resident's immediate care when admitted. (Class = III, Scope = Pattern, Recited on Jul-10-2002 and not yet corrected)

Develop a complete care plan within 7 days of each resident's admission; prepare the care plan together with the care team, including the primary nurse, doctor, resident or resident's family or representative; and check and update the care plan. (Class = III, Scope = Pattern, Recited on Jul-10-2002 and not yet corrected)

Give professional services that meet a professional standard of quality. (Class = III, Scope = Isolated, Recited on Jul-10-2002 and not yet corrected)

Provide a final summary of the resident's health status and a summary of the resident's stay, when the resident is ready to leave the nursing home. (Class = III, Scope = Isolated, Recited on Jul-10-2002 and not yet corrected)

Develop a plan with the resident and family for the resident's care after leaving the nursing home. (Class = III, Scope = Isolated, Recited on Jul-10-2002 and not yet corrected)

Screen residents when they are first admitted to send them to an area with special care for people with developmental disabilities or mental illness, when needed. (Class = III, Scope = Isolated, Recited on Jul-10-2002 and not yet corrected)

Give each resident care and services to obtain or keep the highest quality of life possible. (Class = III, Scope = Isolated, Recited on Jul-10-2002 and not yet corrected)

Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. (Class = III, Scope = Pattern, Recited on Jul-10-2002 and not yet corrected)

Make sure that residents who cannot care for themselves receive help with eating, drinking, grooming and hygiene. (Class = III, Scope = Pattern, Recited on Jul-10-2002 and not yet corrected)

Give each resident enough fluids to keep them healthy and prevent dehydration. (Class = III, Scope = Isolated, Recited on Jul-10-2002 and not yet corrected)

Have enough nursing staff to care for every resident in a way that maximizes the resident's well being. (Class = I, Scope = Isolated, Cited on Jun-24-2002 and not yet corrected)

Provide 3 meals daily at regular times; serve breakfast within 14 hours after dinner; and offer a snack at bedtime each day. (Class = III, Scope = Pattern, Recited on Jul-10-2002 and not yet corrected)

Number of times facility has appeared on the Watch List: 10
WASHINGTON COUNTY CONVALESCENT CENTER
879 USERY ROAD in CHIPLEY
County: WASHINGTON     AO: 2
Number of Beds: 180
License Expires: Dec-30-2003
Owner: WASHINGTON COUNTY CONVALENCENT CENTER OPERATIONS, LLC
Facility corrected deficient practice and has a standard status as of Aug-26-2002. Beginning Jun-11-2002, survey inspectors determined that the nursing home did not:
Appropriately maintain the main sprinkler control. (Class = III, Scope = Isolated, Recited on Jun-11-2002 and corrected on Aug-26-2002)

Assure fixed automatic fire extinguisher systems are installed in accordance with the terms of their listing. (Class = III, Scope = Isolated, Recited on Jun-11-2002 and corrected on Aug-26-2002)

Number of times facility has appeared on the Watch List: 3
WECARE NURSING CENTER
490 SOUTH OLD WIRE ROAD in WILDWOOD
County: SUMTER     AO: 3
Number of Beds: 210
License Expires: Nov-30-2003
Owner: WECARE OF WILDWOOD, LLC
Facility corrected deficient practice and has a standard status as of Jul-1-2002. Beginning May-10-2002, survey inspectors determined that the nursing home did not:
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. (Class = III, Scope = Pattern, Recited on May-10-2002 and corrected on Jul-01-2002)
Number of times facility has appeared on the Watch List: 6
Central Florida
Facility Information Deficiencies
CARROLLWOOD CARE CENTER
15002 HUTCHINSON ROAD in TAMPA
County: HILLSBOROUGH     AO: 6
Number of Beds: 120
License Expires: Apr-30-2003
Owner: KINDRED NURSING CENTERS EAST, LLC
Appealed
Facility corrected deficient practice and has a standard status as of Jul-8-2002. Beginning Jun-18-2002, survey inspectors determined that the nursing home did not:
Comply with program requirements between annual inspections; although it corrected these problems before the most recent inspection. (Class = I, Scope = Isolated, Cited on Jun-18-2002 and corrected on Jun-18-2002)
Number of times facility has appeared on the Watch List: 4
CLEARWATER CENTER
1270 TURNER STREET in CLEARWATER
County: PINELLAS     AO: 5
Number of Beds: 120
License Expires: Jan-31-2004
Owner: AGE INSTITUTE OF FLORIDA, INC.
Deficiencies cited led to imposition of a Moratorium from Jul-2-2002 to Jul-10-2002.
Appealed
Facility corrected deficient practice and has a standard status as of Jul-22-2002. Beginning Jun-29-2002, survey inspectors determined that the nursing home did not:
Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help. (Class = I, Scope = Widespread, Cited on Jun-29-2002 and corrected on Jul-10-2002)

Protect residents from mistreatment, neglect, and/or theft of personal property. (Class = I, Scope = Isolated, Cited on Jun-29-2002 and corrected on Jul-10-2002)

Give professional services that meet a professional standard of quality. (Class = I, Scope = Widespread, Cited on Jun-29-2002 and corrected on Jul-10-2002)

Be administered in a way that leads to the highest possible level of well being for each resident. (Class = I, Scope = Widespread, Cited on Jun-29-2002 and corrected on Jul-10-2002)

Number of times facility has appeared on the Watch List: 3
HIGHLAND PINES REHAB & NURSING CENTER
1111 S. HIGHLAND AVENUE in CLEARWATER
County: PINELLAS     AO: 5
Number of Beds: 120
License Expires: Apr-30-2003
Owner: PERSONACARE OF CLEARWATER, INC.
Facility corrected deficient practice and has a standard status as of Aug-26-2002. Beginning Jul-18-2002, survey inspectors determined that the nursing home did not:
Cease accepting new residents due to non-compliance with state minimum-staffing requirements for 2 consecutive days. The facility was prohibited from accepting new admissions until the facility has achieved the minimum-staffing requirements for a period. (Class = II, Scope = Pattern, Cited on Jul-18-2002 and corrected on Aug-26-2002)
Number of times facility has appeared on the Watch List: 3
INTEGRATED HEALTH SERVICES OF FLORIDA AT AUBURNDALE
919 OLD WINTER HAVEN ROAD in AUBURNDALE
County: POLK     AO: 6
Number of Beds: 120
License Expires: Dec-31-2003
Owner: BRIOR HILL, INC.
Facility corrected deficient practice and has a standard status as of Jul-24-2002. Beginning Jun-11-2002, survey inspectors determined that the nursing home did not:
Make sure each resident is being watched and has assistive devices when needed, to prevent accidents. (Class = II, Scope = Isolated, Cited on Jun-11-2002 and corrected on Jul-24-2002)
Number of times facility has appeared on the Watch List: 6
INTEGRATED HEALTH SERVICES OF PINELLAS PARK
8701 49TH STREET NORTH in PINELLAS PARK
County: PINELLAS     AO: 5
Number of Beds: 120
License Expires: Aug-31-2003
Owner: PINELLAS PARK NURSING HOME, INC.
Facility corrected deficient practice and has a standard status as of Jul-3-2002. Beginning Jun-24-2002, survey inspectors determined that the nursing home did not:
Provide food in a way that meets a resident's needs. (Class = I, Scope = Isolated, Cited on Jun-24-2002 and corrected on Jul-03-2002)
Number of times facility has appeared on the Watch List: 2
ISLAND LAKE CENTER
155 LANDOVER PLACE in LONGWOOD
County: SEMINOLE     AO: 7
Number of Beds: 120
License Expires: Feb-29-2004
Owner: SEMINOLE MERIDIAN LIMITED PARTNERSHIP
Appealed
Facility corrected deficient practice and has a standard status as of Aug-27-2002. Beginning Jul-11-2002, survey inspectors determined that the nursing home did not:
Protect residents from mistreatment, neglect, and/or theft of personal property. (Class = II, Scope = Isolated, Cited on Jul-11-2002 and corrected on Aug-23-2002)

Make sure each resident is being watched and has assistive devices when needed, to prevent accidents. (Class = II, Scope = Isolated, Cited on Jul-11-2002 and corrected on Aug-23-2002)

Number of times facility has appeared on the Watch List: 1
LIFE CARE CENTER OF WINTER HAVEN
1510 CYPRESS GARDENS BOULEVARD in WINTER HAVEN
County: POLK     AO: 6
Number of Beds: 177
License Expires: Nov-2-2003
Owner: LIFE CARE CENTERS OF AMERICA, INC
Facility corrected deficient practice and has a standard status as of Jul-2-2002. Beginning May-24-2002, survey inspectors determined that the nursing home did not:
Make sure that each resident's nutritional needs were met. (Class = II, Scope = Isolated, Cited on May-24-2002 and corrected on Jul-02-2002)
Number of times facility has appeared on the Watch List: 5
MARINER HEALTH OF MELBOURNE
251 FLORIDA AVENUE in MELBOURNE
County: BREVARD     AO: 7
Number of Beds: 120
License Expires: May-12-2003
Owner: MHC/CSI FLORIDA, INC.
Facility corrected deficient practice and has a standard status as of Aug-6-2002. Beginning May-16-2002, survey inspectors determined that the nursing home did not:
Give each resident enough fluid to keep them healthy and prevent dehydration. (Class = II, Scope = Isolated, Cited on May-16-2002 and corrected on Jul-02-2002)

Make sure that residents who take drugs are not given too many doses or for too long; make sure that the use of drugs is carefully watched; and stop or change drugs that cause unwanted effects. (Class = III, Scope = Isolated, Recited on Jul-02-2002 and corrected on Aug-06-2002)

Provide drugs and related services needed by each resident. (Class = III, Scope = Pattern, Recited on Jul-02-2002 and corrected on Aug-06-2002)

Number of times facility has appeared on the Watch List: 6
MARINER HEALTH OF TITUSVILLE
2225 KNOX MCRAE DRIVE in TITUSVILLE
County: BREVARD     AO: 7
Number of Beds: 120
License Expires: Oct-31-2003
Owner: MARINER HEALTH PROPERTIES IV, LTD
Appealed
Facility corrected deficient practice and has a standard status as of Dec-16-2002. Beginning Sep-27-2002, survey inspectors determined that the nursing home did not:
Immediately tell the resident, the doctor, and a family member if: the resident is injured, there is a major change in the resident's physical or mental health, or a need to alter treatment significantly, or the resident must be transferred or discharged. (Class = I, Scope = Pattern, Cited on Sep-27-2002 and corrected on Nov-13-2002)

Give professional services that meet a professional standard of quality. (Class = I, Scope = Pattern, Cited on Sep-27-2002 and corrected on Nov-13-2002)

Give each resident care and services to obtain or keep the highest quality of life possible. (Class = I, Scope = Pattern, Cited on Sep-27-2002 and corrected on Nov-13-2002)

Give residents proper treatment to prevent new pressure sores or heal existing pressure sores. (Class = II, Scope = Isolated, Cited on Sep-27-2002 and corrected on Nov-13-2002)

Make sure that residents who take drugs are not given too many doses or for too long; make sure that the use of drugs is carefully watched; and stop or change drugs that cause unwanted effects. (Class = III, Scope = Isolated, Recited on Nov-14-2002 and corrected on Dec-16-2002)

Have enough nursing staff to care for every resident in a way that maximizes the resident's well being. (Class = I, Scope = Pattern, Cited on Sep-27-2002 and corrected on Nov-13-2002)

Properly mark drugs and other similar products. (Class = III, Scope = Isolated, Recited on Nov-14-2002 and corrected on Dec-16-2002)

Keep drugs and other similar products locked safely and properly stored. (Class = III, Scope = Pattern, Recited on Nov-14-2002 and corrected on Dec-16-2002)

Be administered in a way that leads to the highest possible level of well being for each resident. (Class = I, Scope = Pattern, Cited on Sep-27-2002 and corrected on Nov-13-2002)

Prohibit fraudulent alteration, defacing, or falsification of any medical record or releases medical records for the purposes of solicitation or marketing the sale of goods or services. (Class = II, Scope = Isolated, Cited on Sep-27-2002 and corrected on Nov-13-2002)

Number of times facility has appeared on the Watch List: 3
OAKS AT AVON
1010 US 27 NORTH in AVON PARK
County: HIGHLANDS     AO: 6
Number of Beds: 104
License Expires: Apr-30-2003
Owner: KINDRED NURSING CENTERS EAST, LLC
Appealed
Facility corrected deficient practice and has a standard status as of Aug-26-2002. Beginning Jul-12-2002, survey inspectors determined that the nursing home did not:
Give each resident fluids to keep them healthy and prevent dehydration. (Class = II, Scope = Widespread, Cited on Jul-12-2002 and corrected on Aug-26-2002)

Have a detailed, written plan for disasters and emergencies. (Class = II, Scope = Widespread, Cited on Jul-12-2002 and corrected on Aug-26-2002)

Number of times facility has appeared on the Watch List: 6
PALM GARDEN OF SUN CITY
3850 UPPER CREEK ROAD in SUN CITY CENTER
County: HILLSBOROUGH     AO: 6
Number of Beds: 120
License Expires: Jun-28-2003
Owner: SA-PG-SUN CITY CENTER, LLC
Facility corrected deficient practice and has a standard status as of Aug-20-2002. Beginning Jul-12-2002, survey inspectors determined that the nursing home did not:
Give residents proper treatment to prevent new pressure sores or heal existing pressure sores. (Class = II, Scope = Isolated, Cited on Jul-12-2002 and corrected on Aug-20-2002)
Number of times facility has appeared on the Watch List: 3
PARKS HEALTHCARE AND REHABILITATION CENTER
9311 S. ORANGE BLOSSOM TRAIL in ORLANDO
County: ORANGE     AO: 7
Number of Beds: 120
License Expires: Feb-29-2004
Owner: IHS AT CENTRAL PARK VILLAGE INC.
Appealed
Facility corrected deficient practice and has a standard status as of Oct-1-2002. Beginning Aug-29-2002, survey inspectors determined that the nursing home did not:
Give residents proper treatment to prevent new pressure sores or heal existing pressure sores. (Class = II, Scope = Isolated, Cited on Aug-29-2002 and corrected on Sep-20-2002)
Number of times facility has appeared on the Watch List: 11
PLANTATION GARDENS REHAB & NURSING CENTER
1091 KELTON AVENUE in OCOEE
County: ORANGE     AO: 7
Number of Beds: 120
License Expires: May-31-2003
Owner: AMERICAN MEDICAL ASSOCIATES, INC.
Appealed
Facility corrected deficient practice and has a standard status as of Aug-1-2002. Beginning Jun-14-2002, survey inspectors determined that the nursing home did not:
Cease accepting new residents due to non-compliance with state minimum-staffing requirements for 2 consecutive days. The facility was prohibited from accepting new admissions until the facility has achieved the minimum- staffing requirements for a period. (Class = II, Scope = Widespread, Cited on Jun-14-2002 and corrected on Aug-01-2002)
Number of times facility has appeared on the Watch List: 13
WESTMINSTER TOWERS
70 WEST LUCERNE CIRCLE in ORLANDO
County: ORANGE     AO: 7
Number of Beds: 120
License Expires: Feb-29-2004
Owner: PRESBYTERIAN RETIREMENT COMMUNITIES INC
Appealed
Facility corrected deficient practice and has a standard status as of Aug-8-2002. Beginning Jun-20-2002, survey inspectors determined that the nursing home did not:
Give each resident care and services to obtain or keep the highest quality of life possible. (Class = II, Scope = Isolated, Cited on Jun-21-2002 and corrected on Aug-08-2002)
Number of times facility has appeared on the Watch List: 4
WUESTHOFF PROGRESSIVE CARE CENTER
8050 SPYGLASS HILL ROAD in VIERA
County: BREVARD     AO: 7
Number of Beds: 114
License Expires: Dec-31-2003
Owner: WUESTOFF PROGRESSIVE CARE CENTER, INC.
Facility corrected deficient practice and has a standard status as of Sep-11-2002. Beginning Jul-23-2002, survey inspectors determined that the nursing home did not:
Give each resident care and services to obtain or keep the highest quality of life possible. (Class = II, Scope = Isolated, Cited on Jul-23-2002 and corrected on Sep-12-2002)
Number of times facility has appeared on the Watch List: 2
South Florida
Facility Information Deficiencies
ABBIEJEAN RUSSELL CARE CENTER
700 S. 29TH STREET in FORT PIERCE
County: ST. LUCIE     AO: 9
Number of Beds: 79
License Expires: Jul-31-2003
Owner: ST. LUCIE COUNTY WELFARE ASSOCIATION INC.
Facility corrected deficient practice and has a standard status as of Oct-1-2002. Beginning Apr-18-2002, survey inspectors determined that the nursing home did not:
Protect residents from mistreatment, neglect, and/or theft of personal property. (Class = II, Scope = Isolated, Cited on Jun-12-2002 and corrected on Sep-10-2002)

Make sure all assessments are accurate, coordinated by a Registered Nurse, done by the right professional, and are signed by the person completing them. (Class = III, Scope = Isolated, Recited on Sep-10-2002 and corrected on Oct-01-2002)

Give professional services that meet a professional standard of quality. (Class = III, Scope = Isolated, Recited on Sep-10-2002 and corrected on Oct-01-2002)

Give residents proper treatment to prevent new pressure sores or heal existing pressure sores. (Class = II, Scope = Isolated, Cited on Apr-18-2002 and corrected on Jun-12-2002)

Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. (Class = III, Scope = Isolated, Recited on Sep-10-2002 and corrected on Oct-01-2002)

Have a program to keep infection from spreading. (Class = III, Scope = Isolated, Recited on Sep-10-2002 and corrected on Oct-01-2002)

Keep accurate and appropriate medical records. (Class = III, Scope = Isolated, Recited on Sep-10-2002 and corrected on Oct-01-2002)

Number of times facility has appeared on the Watch List: 3
ALEXANDER NININGER STATE VETERANS' NURSING HOME
8401 W. CYPRESS DR. in PEMBROKE PINES
County: BROWARD     AO: 10
Number of Beds: 120
License Expires: Jun-10-2003
Owner: FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Facility corrected deficient practice and has a standard status as of Jul-11-2002. Beginning Mar-25-2002, survey inspectors determined that the nursing home did not:
Give each resident care and services to obtain or keep the highest quality of life possible. (Class = II, Scope = Isolated, Cited on May-14-2002 and corrected on Jul-11-2002)

Make sure each resident is being watched and has assistive devices when needed, to prevent accidents. (Class = II, Scope = Pattern, Cited on Mar-27-2002 and corrected on May-14-2002)

Number of times facility has appeared on the Watch List: 3
ARCH PLAZA NURSING AND REHAB CENTER
12505 N.E. 16TH AVENUE in NORTH MIAMI
County: DADE     AO: 11
Number of Beds: 98
License Expires: Dec-31-2003
Owner: ARCH PLAZA, INC.
Facility corrected deficient practice and has a standard status as of Sep-16-2002. Beginning Jul-15-2002, survey inspectors determined that the nursing home did not:
Make sure each resident is being watched and has assistive devices when needed, to prevent accidents. (Class = II, Scope = Isolated, Cited on Jul-15-2002 and corrected on Sep-16-2002)
Number of times facility has appeared on the Watch List: 11
BENEVA LAKES HEALTHCARE AND REHABILITATION CENTER
741 S. BENEVA ROAD in SARASOTA
County: SARASOTA     AO: 8
Number of Beds: 120
License Expires: Feb-29-2004
Owner: F.L.C. BENEVA NURSING PAVILION, INC.
Facility corrected deficient practice and has a standard status as of Sep-27-2002. Beginning Jul-25-2002, survey inspectors determined that the nursing home did not:
Protect each resident from abuse, physical punishment, and/or being separated from others. (Class = II, Scope = Isolated, Cited on Jul-25-2002 and corrected on Aug-25-2002)

Protect residents from mistreatment, neglect, and/or theft of personal property. (Class = II, Scope = Isolated, Cited on Jul-25-2002 and corrected on Aug-25-2002)

Give professional services that meet a professional standard of quality. (Class = III, Scope = Isolated, Recited on Aug-25-2002 and corrected on Sep-27-2002)

Keep drugs and other similar products locked safely and properly stored. (Class = III, Scope = Isolated, Recited on Aug-25-2002 and corrected on Sep-27-2002)

Number of times facility has appeared on the Watch List: 2
BOULEVARD MANOR NURSING CENTER
2839 S. SEACREST DRIVE in BOYNTON BEACH
County: PALM BEACH     AO: 9
Number of Beds: 167
License Expires: May-12-2003
Owner: MHC/LCA FLORIDA, INC.
Facility corrected deficient practice and has a standard status as of Sep-5-2002. Beginning May-30-2002, survey inspectors determined that the nursing home did not:
Give residents proper treatment to prevent new pressure sores or healing existing pressure sores. (Class = II, Scope = Isolated, Cited on May-30-2002 and corrected on Jul-11-2002)

Make sure that the nursing home area is free of dangers that cause accidents. (Class = I, Scope = Pattern, Cited on May-30-2002 and corrected on Jul-11-2002)

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. (Class = III, Scope = Pattern, Recited on Jul-11-2002 and corrected on Sep-05-2002)

Number of times facility has appeared on the Watch List: 5
CHATEAU AT MOORINGS PARK, THE
130 MOORINGS PARK DRIVE in NAPLES
County: COLLIER     AO: 8
Number of Beds: 106
License Expires: Sep-30-2003
Owner: MOORINGS, INC., THE
Appealed
Facility corrected deficient practice and has a standard status as of Aug-21-2002. Beginning Jul-18-2002, survey inspectors determined that the nursing home did not:
Make sure each resident is being watched and has assistive devices when needed, to prevent accidents. (Class = II, Scope = Isolated, Cited on Jul-18-2002 and corrected on Aug-21-2002)
Number of times facility has appeared on the Watch List: 3
COLONNADE MEDICAL CENTER
3370 N.W. 47TH TERRACE in LAUDERDALE LAKES
County: BROWARD     AO: 10
Number of Beds: 120
License Expires: Jul-31-2001
Owner: GOLD COAST HEALTH CENTER, INC.
Facility corrected deficient practice and has a standard status as of Jul-12-2002. Beginning Mar-14-2002, survey inspectors determined that the nursing home did not:
Provide needed housekeeping and maintenance. (Class = III, Scope = Pattern, Recited on May-23-2002 and corrected on Jun-26-2002)

Make sure that each resident's nutritional needs were met. (Class = II, Scope = Isolated, Cited on Mar-14-2002 and corrected on May-23-2002)

Ensure exit corridors closed properly. (Class = III, Scope = Isolated, Recited on Apr-26-2002 and corrected on Jul-12-2002)

Maintain clear and unobstructed exit corridors. (Class = III, Scope = Isolated, Recited on Apr-26-2002 and corrected on Jul-12-2002)

Maintain emergency lighting as required. (Class = III, Scope = Widespread, Recited on Apr-26-2002 and corrected on Jul-12-2002)

Assure all required smoke detectors are approved, maintained, inspected, and tested in accordance with the manufacturer's specifications. (Class = III, Scope = Widespread, Recited on Apr-26-2002 and corrected on Jul-12-2002)

Comply with specific requirements for the installation of air conditioning and ventilating systems. (Class = III, Scope = Widespread, Recited on Apr-26-2002 and corrected on Jul-12-2002)

Number of times facility has appeared on the Watch List: 12
CROSS POINTE CARE CENTER
440 PHIPPEN-WAITERS ROAD in DANIA
County: BROWARD     AO: 10
Number of Beds: 88
License Expires: Dec-30-2003
Owner: QUALITY CONSULTING, LLC
Facility corrected deficient practice and has a standard status as of Oct-25-2002. Beginning Jun-27-2002, survey inspectors determined that the nursing home did not:
Protect residents from mistreatment, neglect, and/or theft of personal property. (Class = II, Scope = Isolated, Cited on Jun-27-2002 and corrected on Aug-20-2002)
Number of times facility has appeared on the Watch List: 6
CYPRESS COMMUNITY CARE CENTER
7173 CYPRESS DRIVE S.W. in FORT MYERS
County: LEE      AO: 8
Number of Beds: 120
License Expires: Nov-30-2003
Owner: CYPRESS MANOR HEALTH CARE ASSOCIATES, LLC
Appealed
Facility corrected deficient practice and has a standard status as of Jul-23-2002. Beginning Apr-25-2002, survey inspectors determined that the nursing home did not:
Help and prepare each resident for a safe and easy discharge and transfer from the nursing home. (Class = II, Scope = Isolated, Cited on May-30-2002 and corrected on Jul-23-2002)

Give each resident care and services to obtain or keep the highest quality of life possible. (Class = II, Scope = Isolated, Cited on Jun-28-2002 and corrected on Jul-23-2002)

Make sure each resident is being watched and has assistive devices when needed, to prevent accidents. (Class = II, Scope = Isolated, Cited on Apr-25-2002 and corrected on Jun-04-2002)

Make sure that residents who take drugs are not given too many doses or for too long; make sure that the use of drugs is carefully watched; and stop or change drugs that cause unwanted effects. (Class = III, Scope = Isolated, Recited on Jun-04-2002 and corrected on Jul-23-2002)

Report to the agency any adverse incident as required. (Class = III, Scope = Isolated, Recited on Jun-04-2002 and corrected on Jul-24-2002)

Initiate an investigation and notify the agency within required timeframes. (Class = III, Scope = Isolated, Recited on Jun-04-2002 and corrected on Jul-24-2002)

Complete the investigation and submit an adverse incident report to the agency for each adverse incident within 15 calendar days after its occurrence. (Class = III, Scope = Isolated, Recited on Jun-04-2002 and corrected on Jul-24-2002)

Number of times facility has appeared on the Watch List: 4
DESOTO HEALTH & REHAB, L.L.C.
1002 N. BREVARD AVENUE in ARCADIA
County: DESOTO     AO: 8
Number of Beds: 118
License Expires: Sep-30-2003
Owner: DESOTO HEALTH & REHAB, L.L.C.
Facility corrected deficient practice and has a standard status as of Oct-18-2002. Beginning Sep-12-2002, survey inspectors determined that the nursing home did not:
Give each resident care and services to obtain or keep the highest quality of life possible. (Class = II, Scope = Isolated, Cited on Sep-17-2002 and corrected on Oct-17-2002)
Number of times facility has appeared on the Watch List: 16
ENGLEWOOD HEALTHCARE AND REHABILITATION CENTER
1111 DRURY LANE in ENGLEWOOD
County: CHARLOTTE     AO: 8
Number of Beds: 120
License Expires: Nov-30-2003
Owner: ENGLEWOOD HEALTH CARE ASSOCIATES, LLC
Appealed
Facility corrected deficient practice and has a standard status as of Aug-26-2002. Beginning Jul-26-2002, survey inspectors determined that the nursing home did not:
Let residents give themselves their drugs if they are able. (Class = III, Scope = Isolated, Recited on Aug-05-2002 and corrected on Aug-26-2002)

Protected residents from mistreatment, neglect, and/or theft of personal property. (Class = I, Scope = Isolated, Cited on Jul-26-2002 and corrected on Aug-05-2002)

Obtain doctor orders for the resident's immediate care when admitted. (Class = III, Scope = Isolated, Recited on Aug-05-2002 and corrected on Aug-26-2002)

Give professional services that meet a professional standard of quality. (Class = III, Scope = Isolated, Recited on Aug-05-2002 and corrected on Aug-26-2002)

Keep drugs and other similar products locked safely and properly stored. (Class = III, Scope = Isolated, Recited on Aug-05-2002 and corrected on Aug-26-2002)

Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection. (Class = III, Scope = Widespread, Recited on Aug-05-2002 and corrected on Aug-26-2002)

Number of times facility has appeared on the Watch List: 6
EVANS HEALTH CARE
3735 EVANS AVENUE in FORT MYERS
County: LEE     AO: 8
Number of Beds: 120
License Expires: Nov-30-2003
Owner: EVANS HEALTH CARE ASSOCIATES, LLC
Appealed
Facility corrected deficient practice and has a standard status as of Jul-30-2002. Beginning Jun-20-2002, survey inspectors determined that the nursing home did not:
Give each resident care and services to obtain or keep the highest quality of life possible. (Class = II, Scope = Isolated, Cited on Jun-25-2002 and corrected on Jul-23-2002)

Make sure each resident is being watched and has assistive devices when needed, to prevent accidents. (Class = II, Scope = Isolated, Cited on Jun-25-2002 and corrected on Jul-23-2002)

Give each resident enough fluid to keep them healthy and prevent dehydration. (Class = II, Scope = Isolated, Cited on Jun-25-2002 and corrected on Jul-23-2002)

Number of times facility has appeared on the Watch List: 5
HALLANDALE REHABILITATION CENTER
2400 E. HALLANDALE BEACH BLVD. in HALLANDALE
County: BROWARD     AO: 10
Number of Beds: 141
License Expires: Dec-31-2002
Owner: GJS HOLDINGS, INC.
Facility corrected deficient practice and has a standard status as of Jul-25-2002. Beginning Apr-3-2002, survey inspectors determined that the nursing home did not:
Ensure doors in exit corridors close properly. (Class = III, Scope = Isolated, Recited on Apr-03-2002 and corrected on May-23-2002)

Assure that the emergency generator is permanently installed, maintained, and tested. (Class = III, Scope = Widespread, Recited on May-23-2002 and corrected on Jul-25-2002)

Fulfill requirements of the Disaster Plan. (Class = III, Scope = Widespread, Recited on Apr-03-2002 and corrected on May 23-2002)

Ensure all staff are familiar with emergency procedures. (Class = III, Scope = Widespread, Recited on Apr-03-2002 and corrected on May-23-2002)

Maintain portable fire extinguishers as required. (Class = III, Scope = Isolated, Recited on Apr-03-2002 and corrected on May-23-2002)

Assure fixed automatic fire extinguisher systems are installed in accordance with the terms of their listing. (Class = III, Scope = Isolated, Recited on Apr-03-2002 and corrected on May-23-2002)

Ensure proper equipment is installed in air conditioner handler rooms. (Class = III, Scope = Isolated, Recited on Apr-03-2002 and corrected on Jul-25-2002)

Number of times facility has appeared on the Watch List: 12
INTEGRATED HEALTH SERVICES OF FLORIDA AT LAKE WORTH
1201 12TH AVENUE SOUTH in LAKE WORTH
County: PALM BEACH     AO: 9
Number of Beds: 120
License Expires: Sep-30-2003
Owner: ARBOR LIVING CENTERS OF FLORIDA, INC.
Facility corrected deficient practice and has a standard status as of Aug-02-2002. Beginning May-1-2002, survey inspectors determined that the nursing home did not:
Protect each resident from all abuse, physical punishment, and/or being separated from others. (Class = II, Scope = Isolated, Cited on May-01-2002 and corrected on Jun-04-2002)

Give each resident care and services to obtain or keep the highest quality of life possible. (Class = II, Scope = Isolated, Cited on May-01-2002 and corrected on Jun-04-2002)

Make sure each resident is being watched and has assistive devices when needed, to prevent accidents. (Class = II, Scope = Isolated, Cited on May-01-2002 and corrected on Jun-04-2002)

Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. (Class = II, Scope = Isolated, Cited on May-01-2002 and corrected on Jun-04-2002)

Quickly tell the resident's doctor the results of lab tests. (Class = II, Scope = Isolated, Cited on May-01-2002 and corrected on Jun-04-2002)

Number of times facility has appeared on the Watch List: 7
JOHN KNOX VILLAGE HEALTH CENTER-POMPANO BEACH
661 S.W. 6TH STREET in POMPANO BEACH
County: BROWARD     AO: 10
Number of Beds: 177
License Expires: Sep-30-2003
Owner: JOHN KNOX VILLAGE-FLORIDA, INC
Facility corrected deficient practice and has a standard status as of Oct-20-2002. Beginning Aug-12-2002, survey inspectors determined that the nursing home did not:
Comply with physician orders for special diets. (Class = III, Scope = Isolated, Recited on Aug-12-2002 and corrected on Oct-11-2002)
Number of times facility has appeared on the Watch List: 1
LODGE AT CYPRESS COVE, THE
10500 CYPRESS COVE DRIVE in FORT MYERS
County: LEE     AO: 8
Number of Beds: 64
License Expires: Nov-11-2003
Owner: CYPRESS COVE AT HEALTHPARK FLORIDA, INC.
Appealed
Facility corrected deficient practice and has a standard status as of Aug-29-2002. Beginning Jul-25-2002, survey inspectors determined that the nursing home did not:
Protect residents from mistreatment, neglect, and/or theft of personal property. (Class = II, Scope = Isolated, Cited on Jul-25-2002 and corrected on Aug-29-2002)

Give professional services that meet a professional standard of quality. (Class = II, Scope = Isolated, Cited on Jul-25-2002 and corrected on Aug-29-2002)

Give residents proper treatment to prevent new pressure sores or heal existing pressure sores. (Class = II, Scope = Isolated, Cited on Jul-25-2002 and corrected on Aug-29-2002)

Make sure each resident is being watched and has assistive devices when needed, to prevent accidents. (Class = II, Scope = Isolated, Cited on Jul-25-2002 and corrected on Aug-29-2002)

Make sure that each resident's nutritional needs were met. (Class = II, Scope = Isolated, Cited on Jul-25-2002 and corrected on Aug-29-2002)

Give each resident a special diet to help when there is a nutritional problem. (Class = II, Scope = Isolated, Cited on Jul-25-2002 and corrected on Aug-29-2002)

Number of times facility has appeared on the Watch List: 3
MANORCARE HEALTH SERVICES
6931 W. SUNRISE BLVD. in PLANTATION
County: BROWARD     AO: 10
Number of Beds: 120
License Expires: Jul-31-2003
Owner: MANOR CARE OF PLANTATION, INC.
Facility corrected deficient practice and has a standard status as of Aug-13-2002. Beginning Jul-02-2002, survey inspectors determined that the nursing home did not:
Give professional services that meet a professional standard of quality. (Class = II, Scope = Isolated, Recited on Jul-02-2002 and corrected on Aug-13-2002)
Number of times facility has appeared on the Watch List: 3
MARINER HEALTH CARE OF PALM CITY
2505 SW MARTIN HIGHWAY in PALM CITY
County: MARTIN     AO: 9
Number of Beds: 120
License Expires: Sep-30-2003
Owner: MARINER HEALTH CARE OF PALM CITY, INC.
Facility corrected deficient practice and has a standard status as of Sep-26-2002. Beginning Aug-22-2002, survey inspectors determined that the nursing home did not:
Provide needed housekeeping and maintenance. (Class = III, Scope = Pattern, Recited on Aug-22-2002 and corrected on Sep-26-2002)

Give professional services that follow each resident's written care plan. (Class = III, Scope = Isolated, Recited on Aug-22-2002 and corrected on Sep-26-2002)

Number of times facility has appeared on the Watch List: 7
MIAMI GARDENS CARE CENTRE
190 NE 191ST STREET in MIAMI
County: DADE     AO: 11
Number of Beds: 120
License Expires: Jan-31-2004
Owner: MIAMI GARDENS CARE CENTRE, INC.
Facility corrected deficient practice and has a standard status as of Sep-24-2002. Beginning Aug-1-2002, survey inspectors determined that the nursing home did not:
Protect residents from mistreatment, neglect, and/or theft of personal property. (Class = II, Scope = Isolated, Cited on Aug-01-2002 and corrected on Sep-24-2002)
Number of times facility has appeared on the Watch List: 5
NURSING CENTER AT MERCY
3671 S MIAMI AVENUE in MIAMI
County: DADE     AO: 11
Number of Beds: 120
License Expires: Oct-31-2003
Owner: EGREMONT HEALTHCARE ASSOCIATED
Appealed
Facility corrected deficient practice and has a standard status as of Jul-17-2002. Beginning May-17-2002, survey inspectors determined that the nursing home did not:
Give each resident care and services to obtain or keep the highest quality of life possible. (Class = II, Scope = Isolated, Cited on May-17-2002 and corrected on Jul-17-2002)
Number of times facility has appeared on the Watch List: 2
OCEANSIDE EXTENDED CARE CENTER
550 9TH STREET in MIAMI BEACH
County: DADE     AO: 11
Number of Beds: 196
License Expires: Dec-31-2002
Owner: A.D.M.E. INVESTMENT PARTNERS, LTD.
Facility corrected deficient practice and has a standard status as of Oct-4-2002. Beginning Sep-12-2002, survey inspectors determined that the nursing home did not:
Keep accurate and appropriate medical records. (Class = III, Scope = Isolated, Recited on Sep-12-2002 and corrected on Oct-04-2002)

Assure that all physician orders are followed as prescribed, and if not followed, the reason is recorded in the resident's medical record during that shift. (Class = III, Scope = Isolated, Recited on Sep-12-2002 and corrected on Oct-04-2002)

Number of times facility has appeared on the Watch List: 7
PALM BEACH COUNTY HOME
1200 45TH STREET in WEST PALM BEACH
County: PALM BEACH     AO: 9
Number of Beds: 198
License Expires: Sep-30-2003
Owner: PALM BEACH COUNTY HEALTH CARE DISTRICT
Appealed
Facility corrected deficient practice and has a standard status as of Oct-17-2002. Beginning Aug-29-2002, survey inspectors determined that the nursing home did not:
Protect each resident from all abuse, physical punishment, and/or being separated from others. (Class = III, Scope = Isolated, Recited on Aug-29-2002 and corrected on Oct-17-2002)
Number of times facility has appeared on the Watch List: 3
PALM BEACH SHORES NURSING AND REHAB CENTER
1101 54TH STREET in WEST PALM BEACH
County: PALM BEACH     AO: 9
Number of Beds: 191
License Expires: Mar-20-2004
Owner: DOS OF PALM BEACH, LTD
Facility corrected deficient practice and has a standard status as of Oct-24-2002. Beginning Sep-11-2002, survey inspectors determined that the nursing home did not:
Protect each resident from all abuse, physical punishment, and/or being separated from others. (Class = II, Scope = Isolated, Cited on Sep-11-2002 and corrected on Oct-24-2002)

Make sure that each resident's nutritional needs were met. (Class = II, Scope = Isolated, Cited on Sep-11-2002 and corrected on Oct-24-2002)

Number of times facility has appeared on the Watch List: 5
PALM GARDEN OF NORTH MIAMI
21251 E DIXIE HIGHWAY in NORTH MIAMI BEACH
County: DADE     AO: 11
Number of Beds: 120
License Expires: Jun-28-2003
Owner: SA-PG-NORTH MIAMI, LLC
Facility corrected deficient practice and has a standard status as of Sep-11-2002. Beginning Jul-3-2002, survey inspectors determined that the nursing home did not:
Keep each resident free from physical restraints, unless needed for medical treatment. (Class = II, Scope = Isolated, Cited on Jul-03-2002 and corrected on Sep-11-2002)

Protect each resident from all abuse, physical punishment, and/or being separated from others. (Class = II, Scope = Isolated, Cited on Jul-03-2002 and corrected on Aug-12-2002)

Provide care in a way that keeps or builds each resident's dignity and self respect. (Class = III, Scope = Isolated, Recited on Aug-12-2002 and corrected on Sep-11-2002)

Number of times facility has appeared on the Watch List: 5
PALM GARDEN OF VERO BEACH
1755 37TH STREET in VERO BEACH
County: INDIAN RIVER     AO: 9
Number of Beds: 180
License Expires: Jun-28-2003
Owner: SA-PG-VERO BEACH, LLC
Facility corrected deficient practice and has a standard status as of Aug-25-2002. Beginning Jul-25-2002, survey inspectors determined that the nursing home did not:
Protect residents from mistreatment, neglect, and/or theft of personal property. (Class = II, Scope = Isolated, Cited on Jun-06-2002 and corrected on Jul-25-2002)

Give professional services that meet a professional standard of quality. (Class = III, Scope = Isolated, Recited on Jul-25-2002 and corrected on Aug-25-2002)

Number of times facility has appeared on the Watch List: 4
PERDUE MEDICAL CENTER
19590 OLD CULTER ROAD in MIAMI
County: DADE     AO: 11
Number of Beds: 163
License Expires: May-31-2003
Owner: METRO DADE CO. PUBLIC HEALTH TRUST
Appealed
Facility corrected deficient practice and has a standard status as of Sep-9-2002. Beginning Aug-7-2002, survey inspectors determined that the nursing home did not:
Protect residents from mistreatment, neglect, and/or theft of personal property. (Class = II, Scope = Isolated, Cited on Aug-07-2002 and corrected on Sep-09-2002)
Number of times facility has appeared on the Watch List: 3
RENOVA HEALTH CENTER
750 BAYBERRY DRIVE in LAKE PARK
County: PALM BEACH     AO: 9
Number of Beds: 85
License Expires: Aug-19-2003
Owner: RENOP, LLC
Facility corrected deficient practice and has a standard status as of Oct-25-2002. Beginning Sep-19-2002, survey inspectors determined that the nursing home did not:
Give each resident care and services to obtain or keep the highest quality of life possible. (Class = II, Scope = Isolated, Cited on Sep-19-2002 and corrected on Oct-25-2002)
Number of times facility has appeared on the Watch List: 5
RIDGE TERRACE HEALTH CARE CENTER
2180 HYPOLUXO ROAD in LANTANA
County: PALM BEACH     AO: 9
Number of Beds: 120
License Expires: Nov-29-2003
Owner: RIDGE TERRACE GROUP
Facility corrected deficient practice and has a standard status as of Aug-22-2002. Beginning May-16-2002, survey inspectors determined that the nursing home did not:
Honor all of the resident's rights. (Class = III, Scope = Isolated, Recited on Jun-24-2002 and corrected on Aug-19-2002)

Protect residents from mistreatment, neglect, and/or theft of personal property. (Class = II, Scope = Isolated, Cited on May-16-2002 and corrected on Jun-24-2002)

Provide care in a way that keeps or builds each resident's dignity and self respect. (Class = III, Scope = Pattern, Recited on Jun-24-2002 and corrected on Aug-19-2002)

Provide needed housekeeping and maintenance. (Class = III, Scope = Pattern, Recited on Jun-24-2002 and corrected on Aug-19-2002)

Have a program to keep infection from spreading. (Class = III, Scope = Isolated, Recited on Jun-24-2002 and corrected on Aug-19-2002)

Maintain sprinkler system as required. (Class = III, Scope = Widespread, Recited on Jul-05-2002 and corrected on Aug-22-2002)

Comply with specific requirements regarding flammable and combustible liquids and protection of electrical outlets located near water. (Class = III, Scope = Pattern, Recited on Jul-05-2002 and corrected on Aug-22-2002)

Number of times facility has appeared on the Watch List: 4
SAINT ANNE'S NURSING CENTER
11855 QUAIL ROOST DRIVE in MIAMI
County: DADE     AO: 11
Number of Beds: 240
License Expires: Apr-30-2003
Owner: ST ANNE'S NURSING CENTER & RESIDENCE INC
Appealed
Facility corrected deficient practice and has a standard status as of Aug-1-2002. Beginning Jun-4-2002, survey inspectors determined that the nursing home did not:
Provide services to meet the needs and preferences of each resident. (Class = II, Scope = Isolated, Cited on Jun-04-2002 and corrected on Aug-01-2002)
Number of times facility has appeared on the Watch List: 4
SHADY REST CARE PAVILION
2310 N. AIRPORT ROAD in FORT MYERS
County: LEE     AO: 8
Number of Beds: 180
License Expires: Sep-30-2003
Owner: SHADY REST CARE PAVILION, INC.
Facility corrected deficient practice and has a standard status as of Aug-8-2002. Beginning Jun-27-2002, survey inspectors determined that the nursing home did not:
Make sure each resident is being watched and has assistive devices when needed, to prevent accidents. (Class = II, Scope = Isolated, Cited on Jun-27-2002 and corrected on Aug-08-2002)
Number of times facility has appeared on the Watch List: 4
SHELL POINT NURSING PAVILION
15071 SHELL POINT BLVD. in FORT MYERS
County: LEE     AO: 8
Number of Beds: 219
License Expires: Nov-30-2003
Owner: CHRISTIAN AND MISSIONARY ALLIANCE FOUNDATION
Appealed
Facility corrected deficient practice and has a standard status as of Jul-9-2002. Beginning Jun-6-2002, survey inspectors determined that the nursing home did not:
Provide adequate and appropriate health care and protective and support services to all residents. (Class = II, Scope = Isolated, Cited on Jun-06-2002 and corrected on Jul-09-2002)
Number of times facility has appeared on the Watch List: 2
SPRINGS AT LAKE POINTE WOODS
7848 BENEVA ROAD in SARASOTA
County: SARASOTA     AO: 8
Number of Beds: 119
License Expires: Jun-30-2003
Owner: FOUNTAINS SENIOR PROPERTIES OF FLORIDA INC
Appealed
Facility corrected deficient practice and has a standard status as of Aug-13-2002. Beginning Jul-11-2002, survey inspectors determined that the nursing home did not:
Give each resident care and services to obtain or keep the highest quality of life possible. (Class = II, Scope = Isolated, Cited on Jul-11-2002 and corrected on Aug-13-2002)

Make sure each resident is being watched and has assistive devices when needed, to prevent accidents. (Class = II, Scope = Isolated, Cited on Jul-11-2002 and corrected on Aug-13-2002)

Number of times facility has appeared on the Watch List: 10
TANDEM HEALTH CARE OF SARASOTA
4783 FRUITVILLE ROAD in SARASOTA
County: SARASOTA     AO: 8
Number of Beds: 81
License Expires: Dec-31-2003
Owner: TANDEM HEALTH CARE OF SARASOTA, INC.
Facility corrected deficient practice and has a standard status as of Oct-25-2002. Beginning Sep-26-2002, survey inspectors determined that the nursing home did not:
Protect residents from mistreatment, neglect, and/or theft of personal property. (Class = II, Scope = Isolated, Cited on Sep-25-2002 and corrected on Oct-25-2002)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. (Class = II, Scope = Isolated, Recited on Sep-25-2002 and corrected on Oct-25-2002)

Number of times facility has appeared on the Watch List: 6
VENICE REHAB AND HEALTH CARE
437 S. NOKOMIS AVENUE in VENICE
County: SARASOTA     AO: 8
Number of Beds: 178
License Expires: Jun-27-2003
Owner: VEOP LLC
Facility corrected deficient practice and has a standard status as of Sep-19-2002. Beginning Aug-15-2002, survey inspectors determined that the nursing home did not:
Make sure each resident is being watched and has assistive devices when needed, to prevent accidents. (Class = II, Scope = Isolated, Cited on Aug-15-2002 and corrected on Sep-19-2002)
Number of times facility has appeared on the Watch List: 6
WATERCREST CARE CENTER
16650 W DIXIE HWY in NORTH MIAMI BEACH
County: DADE     AO: 11
Number of Beds: 150
License Expires: Aug-31-2002
Owner: WATERCREST NURSING & REHABILITATION CENTER, INC.
Facility corrected deficient practice and has a standard status as of Oct-3-2002. Beginning Aug-6-2002, survey inspectors determined that the nursing home did not:
Give residents proper treatment to prevent new pressure sores or heal existing pressure sores. (Class = II, Scope = Isolated, Cited on Aug-06-2002 and corrected on Oct-03-2002)
Number of times facility has appeared on the Watch List: 9
WHITEHALL BOCA RATON
7300 DEL PRADO SOUTH in BOCA RATON
County: PALM BEACH     AO: 9
Number of Beds: 154
License Expires: Nov-30-2003
Owner: WHITEHALL BOCA, INC.
Facility corrected deficient practice and has a standard status as of Nov-1-2002. Beginning Sep-12-2002, survey inspectors determined that the nursing home did not:
Give professional services that meet a professional standard of quality. (Class = III, Scope = Isolated, Recited on Sep-12-2002 and corrected on Nov-01-2002)
Number of times facility has appeared on the Watch List: 6
WILLOWBROOKE COURT AT EDGEWATER POINTE ESTATES
23305 BLUE WATER CIRCLE in BOCA RATON
County: PALM BEACH     AO: 9
Number of Beds: 101
License Expires: Aug-31-2003
Owner: ACTS RETIREMENT-LIFE COMMUNITIES, INC
Facility corrected deficient practice and has a standard status as of Jul-29-2002. Beginning Jul-12-2002, survey inspectors determined that the nursing home did not:
Make sure each resident is being watched and has assistive devices when needed, to prevent accidents. (Class = I, Scope = Isolated, Cited on Jul-12-2002 and corrected on Jul-29-2002)
Number of times facility has appeared on the Watch List: 3
WINKLER COURT
3250 WINKLER AVENUE EXTENSION in FORT MYERS
County: LEE     AO: 8
Number of Beds: 120
License Expires: Apr-30-2003
Owner: KINDRED NURSING CENTERS EAST, LLC
Facility corrected deficient practice and has a standard status as of Sep-17-2002. Beginning Aug-15-2002, survey inspectors determined that the nursing home did not:
Make sure that each resident's nutritional needs were met. (Class = II, Scope = Isolated, Cited on Aug-15-2002 and corrected on Sep-16-2002)
Number of times facility has appeared on the Watch List: 13

Selecting a Nursing Home

Selecting a nursing home is a very important decision. That's why the Agency for Health Care Administration encourages citizens to tour any nursing home being considered for a loved one, interview staff and talk with residents about the facility and refer to information listed in the Florida Nursing Home Guide to aid in this decision making process.

The Guide provides the following information about specific nursing homes: inspection history, ownership status, special services, charges or deficiencies and ratings. The Guide also suggests community-based alternatives to traditional nursing home care and questions to ask when choosing a facility. This Watch List reflects facilities that did not meet minimum standards, at any time, during July 1 to September 30, 2002. To request a copy of the annual Guide or the quarterly Watch Lists, call (888) 419-3456. These publications are also available on the AHCA web site at www.fdhc.state.fl.us or www.floridahealthstat.com.

Licensure Status

Nursing homes are licensed as standard or conditional. A standard license indicates the facility meets minimum standards and a conditional license indicates that the facility did not meet, or correct upon follow-up, minimum standards. Immediate action is required for deficiencies that pose a threat to resident health or safety.

The Inspection Process

The state Agency for Health Care Administration inspects nursing homes each year. The survey includes a facility tour; interviews with residents, families, staff, visitors and volunteers; assessments of resident rights, protections and activities; and medical record review.

As necessary, the Agency also investigates consumer complaints against nursing homes. Nursing homes are required by law to post state inspection reports.

Managed Care and Health Quality Area Offices

North Florida Central Florida South Florida
Tallahassee
850-922-8844

Gainsville
386-418-5314

Jacksonville
904-359-6046

St. Petersburg
727-552-1133

Orlando
407-245-0850

Ft. Myers
941-338-2366

W. Palm Beach
561-840-0156

Miami
305-499-2165

Explanation of Terms

Deficiencies - Failure to meet established standards. Within 10 days of inspection, nursing homes are required to submit a written Plan of Correction detailing how the deficiencies will be corrected. State inspectors conduct follow-up visits to monitor the facility's progress. Given the complexity of the survey process, even the highest quality facilities may have some minor deficiencies. Severe deficiencies may result in fines, restriction of patient admissions, change of ownership, or closure.

Class - Each deficiency cited is "classified" based upon as a Class I, II, III, or IV.

A class I deficiency is a deficiency that the agency determines presents a situation in which immediate corrective action is necessary because the facility's noncompliance has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident receiving care in a facility.

A class II deficiency is a deficiency that the agency determines has compromised the resident's ability to maintain or reach his or her highest practicable physical, mental, and psychosocial well-being, as defined by an accurate and comprehensive resident assessment, plan of care, and provision of services.

A class III deficiency is a deficiency that the agency determines will result in no more than minimal physical, mental, or psychosocial discomfort to the resident or has the potential to compromise the resident's ability to maintain or reach his or her highest practical physical, mental, or psychosocial well-being, as defined by an accurate and comprehensive resident assessment, plan of care, and provision of services.

A class IV deficiency is a deficiency that the agency determines has the potential for causing no more than a minor negative impact on the resident.

Scope - Deficiencies are given a scope by the agency according to the extent of the impact of the deficiency.

Isolated deficiencies are those affecting one or a very limited number of residents, or involve one or a very limited number of staff, or a situation that occurred only occasionally or in a very limited number of locations.

Patterned deficiencies are those where more than a very limited number of residents are affected, or more than a very limited number of staff are involved, or the situation has occurred in several locations, or the same resident or residents have been affected by the reported occurrence of the same deficiency practice but the effect of the deficient practice is not found to be pervasive throughout the facility.

Widespread deficiencies are those in which problems causing the deficiency are pervasive in the facility or represent systemic failure that has affected or has the potential to affect a large portion of the facility's residents.

Under Appeal - Under Florida law, nursing homes have a right to challenge state inspection results. A conditional rating remains in effect until the appeal is settled or the deficiencies are corrected.

The state Agency for Health Care Administration administers Florida's $10 billion Medicaid program; licenses and regulates nearly 19,000 health care facilities including 680 nursing homes, and 32 health maintenance organizations; addresses complaints for more than 550,000 health care practitioners statewide; and publishes health care data and statistics.

Agency for Health Care Administration
2727 Mahan Drive, Tallahassee, Florida 32308
Visit AHCA online at www.fdhc.state.fl.us or www.floridahealthstat.com or call toll-free (888) 419-3456.

Bankrupt Nursing Homes
During the three months covered by this Watch List, the following nursing homes were either bankrupt or were associated with companies that were bankrupt. Please refer to the Agency for Health Care Administration web site for the latest revisions: www.fdhc.state.fl.us or www.floridahealthstat.com.
BLOUNTSTOWN HEALTH AND REHAB CENTER
16690 CHIPOLA ROAD in BLOUNTSTOWN
INTEGRATED HEALTH SERVICES OF FLORIDA AT LAKE WORTH
1201 12TH AVENUE SOUTH in LAKE WORTH
CRYSTAL OAKS OF PINELLAS
6767 86TH AVENUE NORTH in PINELLAS PARK
INTEGRATED HEALTH SERVICES OF FLORIDA AT WEST PALM BEACH
2939 SOUTH HAVERHILL ROAD IN WEST PALM BEACH
CRYSTAL SPRINGS NURSING & REHABILITATION CENTER
12006 MCINTOSH ROAD in THONOTOSASSA
INTEGRATED HEALTH SERVICES OF FORT MYERS
13755 GOLF CLUB PKWY. in FORT MYERS
HIALEAH CONVALESCENT HOME
190 W. 28TH STREET in HIALEAH
INTEGRATED HEALTH SERVICES OF JACKSONVILLE
1650 FOURAKER ROAD in JACKSONVILLE
IHS AT BRADEN RIVER
2010 MANATEE AVENUE, E. in BRADENTON
INTEGRATED HEALTH SERVICES OF LAKELAND AT OAKBRIDGE
3110 OAKBRIDGE BLVD., E. in LAKELAND
IHS AT RIVERFRONT
105 15TH STREET, EAST in BRADENTON
INTEGRATED HEALTH SERVICES OF ORANGE PARK
2029 PROFESSIONAL CENTER DRIVE in ORANGE PARK
IHS OF NORTHERN JACKSONVILLE
12740 LANIER ROAD in JACKSONVILLE
INTEGRATED HEALTH SERVICES OF PALM BAY
1515 PORT MALABAR BLVD. N.E. in PALM BAY
INTEGRATED HEALTH SERVICES AT BRANDON
702 S. KINGS AVENUE in BRANDON
INTEGRATED HEALTH SERVICES OF PINELLAS PARK
8701 49TH STREET NORTH in PINELLAS PARK
INTEGRATED HEALTH SERVICES AT CENTRAL PARK VILLAGE
9311 S. ORANGE BLOSSOM TRAIL in ORLANDO
INTEGRATED HEALTH SERVICES OF PORT CHARLOTTE
4033 BEAVER LANE in PORT CHARLOTTE
INTEGRATED HEALTH SERVICES AT GREENBRIAR
9820 N. KENDALL DRIVE in MIAMI
INTEGRATED HEALTH SERVICES OF SARASOTA AT BENEVA
741 S. BENEVA ROAD in SARASOTA
INTEGRATED HEALTH SERVICES OF BRADENTON
2302 59TH STREET WEST in BRADENTON
INTEGRATED HEALTH SERVICES OF SEBRING
3011 KENILWORTH BLVD. in SEBRING
INTEGRATED HEALTH SERVICES OF FLORIDA AT AUBURNDALE
919 OLD WINTER HAVEN ROAD in AUBURNDALE
INTEGRATED HEALTH SERVICES OF TARPON SPRINGS
900 BECKETT WAY in TARPON SPRINGS
INTEGRATED HEALTH SERVICES OF FLORIDA AT CLEARWATER
2055 PALMETTO STREET in CLEARWATER
INTEGRATED HEALTH SERVICES OF VERA BEACH
3663 15TH AVENUE in VERO BEACH
INTEGRATED HEALTH SERVICES OF FLORIDA AT FORT PIERCE
703 29TH STREET in FORT PIERCE
INTEGRATED HEALTH SERVICES OF WINTER PARK
2970 SCARLETT ROAD in WINTER PARK
LAKE PARK OF MADISON
1900 COUNTRY CLUB DRIVE in MADISON
SUNBRIDGE CARE AND REHABILITATION OF BRADENTON
5627 9TH STREET EAST in BRADENTON
SUNBRIDGE CARE & REHAB FOR PALM BEACH
6414 13TH ROAD SOUTH in WEST PALM BEACH
TYRONE MEDICAL INN
1100 66TH STREET NORTH in ST PETERSBURG
SUNBRIDGE CARE & REHAB FOR SOUTHPOINT
42 COLLINS AVENUE in MIAMI BEACH
WEST GABLES HEALTH CARE CENTER
2525 SW 75TH AVENUE in MIAMI
SUNBRIDGE CARE AND REHABILITATION FOR JACKSONVILLE
11411 ARMSDALE ROAD in JACKSONVILLE
 


IOWA

Sample Facility Report Card

Facility Report Care Search3

Welcome to the Report Cards system provided by the State of Iowa Department of Inspections and Appeals, Division of Health Facilities. If this is your first time at this site please proceed to the About Report Cards page to gain a better understanding of the report cards system and how it relates to the process of surveying health facilities in Iowa.

To navigate successfully through the Report Cards portion of the Health Facilties web site please use the tabs located at the top of each page.

There are over 800 licensed and/or certified health care facilities in the State of Iowa. With the Report Card Health Facility Locator you can create a list of facilities to view Report Card information. To make the search for a particular facility easier you can search for a facility based upon the following criteria:

Please Note: If you encountering problems locating a facility through this search process or your computer locks up during a search please visit our Frequently Asked Questions page for tips on refining you search.

Search Tips: When you enter information, you can enter partial names. For example entering "Iowa" in the Facility Name field would find all facilities with the word "Iowa" as any part of the name. Entering a county or city will limit the search to those areas.

By default the list of facility types and counties will display all facility types for all counties in the state of Iowa which could cause your computer to lock up due to the amount of data being transferred to it. Please refine your search by selecting a facility type and/or county in Iowa. If you are unaware of the facility type of the facility that you wish to locate please review the list of facility types available on our Facility Types page.

About Health Facilities Report Cards4

These health facilities report cards are provided by the Iowa Department of Inspections and Appeals, Division of Health Facilities. The information is provided to assist you in reviewing or selecting health care facilities that can provide services for your family member(s). However, you should not rely solely on this information. These report cards cannot replace a personal visit to the facility. You should meet the staff who will work with your family members, tour the facility environment, and visit other residents and family before making your final decision. Visiting with others who have gone through this process can also help you in your own decision. For more information, see the federal guide on How to Choose a Nursing Home. In addition, the Medicare website also has a report card system tracking different information. If you have questions on how to save copies of the surveys contained within this web site please refer to our guide to downloading and saving information from this web site.

To proceed to the Health Facility Report Cards Facility Search click here.

For additional information you may want to contact the:

Long-Term Care Ombudsman, Department of Elder Affairs 1-800-532-3213
or
Iowa Protection & Advocacy Services Association, 515-278-2502

Please Note: Visits completed before June 1, 1999 are not available on this web site. To obtain a copy of a visit completed before June 1, 1999 please call 515 281-7624 or send an e-mail to IADIAHFD@netins.net and including the e-mail include the name of the facility, date of visit (if known), your name, daytime phone number, and e-mail address.

The Report Cards System uses Adobe Acrobat PDF (Portable Document Format) files to display individual facility information. To view Adobe PDF files you will need to download the Adobe Acrobat Reader. You will only need to download the Adobe Reader software once. It will then work every time you visit a website that contains PDF files.

If you have questions about Adobe Acrobat click here.

To download Adobe Acrobat Reader click here.

Report Cards - Facility Detail5

MONTICELLO NURSING & REHAB CENTER
Facility Type: NURSING FACILITIES - Medicare/Medicaid certified facility
License Number: 530729
Provider Number: 165279
Vendor Number(s): 0809194
Number of Beds: 133
Address: 500 PINEHAVEN DRIVE
MONTICELLO, IA 52310
Administrator: SR DONNA VENTEICHER
County: Jones
Phone: (319) 465-5415
Fax Number: (319) 465-3205
Real-Estate Owner: MONTICELLO NURSING HOME COMPANY
This facility has been recognized for a Best Practice. Click Here to view this recognition.

Report Cards - Facility Visits6

Visits to this facility since 6/1/99: 9
To obtain information on visits before 6/1/99 please call (515) 281-7624 or e-mail IADIAHFD@netins.net.

10/17/02 - Complaint
Percent of Compliance with Quality Indicators: 100.00% (57/57)
Deficiences: 0 N/A
Licensure Action: None
Certification Action: None
8/27/02 - Mandatory Report (Abuse)
Percent of Compliance with Quality Indicators: 100.00% (57/57)
Deficiences: 0 N/A
Licensure Action: None
Certification Action: None
5/26/02 - Survey Revisit/Complaint Revisit
Percent of Compliance with Quality Indicators: 100.00% (57/57)
Deficiences: 0 N/A
Licensure Action: None
Certification Action: None
4/26/02 - Survey/Complaint
View the Statement of Deficiencies and Plan of Correction
This is an Abode PDF Document - Click here for more information
Percent of Compliance with Quality Indicators: 96.49% (55/57)
Deficiences: 5 F281; F323; F324; F363; F465 (View Details)
Licensure Action: None
Certification Action: None
5/14/01 - Survey Revisit
Percent of Compliance with Quality Indicators: 100.00% (57/57)
Deficiences: N/A
Licensure Action: None
Certification Action: None
4/13/01 - Survey
View the Statement of Deficiencies and Plan of Correction
This is an Abode PDF Document - Click here for more information
Percent of Compliance with Quality Indicators: 96.49% (55/57)
Deficiences: 5 58.45(2); F253; F323; F362; F371 (View Details)
Licensure Action: None
Certification Action: None
8/1/00 - Complaint
Percent of Compliance with Quality Indicators: 100.00% (57/57)
Deficiences: 0 N/A
Licensure Action: None
Certification Action: None
4/4/00 - Survey Revisit
Percent of Compliance with Quality Indicators: 100.00% (57/57)
Deficiences: 0 N/A
Licensure Action: None
Certification Action: None
3/17/00 - Survey
View the Statement of Deficiencies and Plan of Correction
This is an Abode PDF Document - Click here for more information
Percent of Compliance with Quality Indicators: 100.00% (57/57)
Deficiences: 2 F363; F371 (View Details)
Licensure Action: None
Certification Action: None

View the Scope/Severity Matrix for Substandard Quality of Care - The Scope/Severity indicator is found on the left-hand side of the State of Deficiency/Plan of Correction. (See Substandard Quality of Care for more information.)

Disclaimer: All findings are subject to review and appeal.

Reminder: All surveys and citations are Portable Document Format (PDF) files. To view surveys and citations, you must have Adobe Acrobat Reader installed.


MARYLAND

Sample Performance Evaluation Guide

Maryland Nursing Home Performance Evaluation Guide7

The Maryland Health Care Commission (MHCC), in consultation with the Department of Health and Mental Hygiene and the Department of Aging, produced this Guide on nursing homes with the assistance of experts in long-term care, representatives of the nursing home industry in Maryland, as well as nursing home advocates and long-term care ombudsmen. The Maryland General Assembly established the Commission to carry out several health care reforms in the State, including development of information on nursing home quality. The Commission is a public regulatory agency.

This Guide is designed to assist consumers and their families in making decisions about selecting a nursing home. It includes:

Facility Characteristics8

Allegany Nursing and Rehab Center
Data Source: Maryland Long Term Care Survey
Timeframe: 2000
Facility Ownership: This Facility Maryland*
For Profit: No 65%
Change in Ownership During the Past Year: No 4%
Member of a Chain/Health System: No 62%
Name of Chain/Health System: N/A
Number of Beds: 153 128 - state average
CNA Training Program: No 43%
Licensure/Certification:  
Medicaid-certified: Yes 93%
Medicare-certified: Yes 92%
Rehabilitation Accreditation Commission Certification (CARF): No 4%
Clinical Services:  
Dementia/Alzheimer care: Yes 93%
Rehabilitation Care: Yes 98%
Dialysis care: Yes 24%
Peritoneal Dialysis care: Yes 17%
Ventilator care: No 7%
Care for Tracheostromy Patients: Yes 80%
Catheter care: Yes 99%
Central IV therapy: Yes 80%
Total parenteral nutrition (TPN): Yes 39%
Hospice available: No 83%
Respite care offered: Yes 80%

* This column refers to the percentage of facilities in Maryland that have this characteristic.

Resident Characteristics9

Allegany Nursing and Rehab Center
Data Source: MDS
Timeframe: 1/02 - 6/02
Gender: This Facility State Average
Percent Male: 22% 30%
Percent Female: 78% 70%
Age:  
Mean Age: 81 79
Percent Under 65: 8% 12%
Percent 65-75: 17% 16%
Percent 76-84: 30% 32%
Percent 85 and Over: 46% 39%
Functional Status:  
Percent Ambulatory: 11% 12%
Percent with No or Mild Dementia: 31% 32%
Percent with Moderate Dementia: 28% 38%
Percent with Severe Dementia: 41% 30%
Percent with Retardation: 0% 1%
Percent Requiring Feeding Assistance: 68% 60%

Quality Indicators10

Allegany Nursing and Rehab Center
Data Source: MDS
Timeframe: 01/02 - 06/02
= top 20% of all facilities (fewer adverse events)
= bottom 10% of all facilities (more adverse events)
= all others
N/A = Indicator could not be calculated because too few residents met its criteria.
Category Total N/A Range of State Rates
Clinical 9 2 7 0 0 State Graph
Psychosocial 5 2 3 0 0 State Graph
Medications 4 1 2 1 0 State Graph
Functional 3 0 2 1 0 State Graph
Facility Total 21 5 14 2 0
Click on any of the above categories to see detailed information about the specific measures that make up the category score.

The Quality Indicators (QIs) presented here have been developed for and are being used by the Centers for Medicare and Medicaid Services (CMS - formerly HCFA). The QIs are calculated using data from the Minimum Data Set (MDS). These data are collected on each resident and submitted to CMS by the indivdual nursing homes. Please note that the QI data presented in this Guide are abstracted from the quarterly and annual resident assessments. Assessments for newly admitted residents to a nursing home are not included in the calculations.

The detailed operational definitions for these indicators used in this Guide can be viewed on the website of their developer. This site also has background information detailing the development of the indicators.

http://www.chsra.wisc.edu/CHSRA/PIP_ORYX_LTC/QI_Matrix/main.htm

QIs were developed to assist nursing homes with identifying areas for quality improvement or to monitor progress of improvement efforts. Nursing home inspectors use information derived from the QIs to target potential problem areas. In addition to the QI information, we recommend that prospective residents seek out other sources of information, such as speaking with family, friends, and healthcare providers, and also reviewing the facility characteristics, resident characteristics, and deficiency information presented in this Guide. You are also encouraged to visit nursing homes prior to making this important decision. We caution against judging a facility based on the QI scores alone, but are confident that the scores in conjunction with other information can help prospective residents to make informed decisions.

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CMS Nursing Home Quality Initiative

The federal Centers for Medicare and Medicaid Services (CMS, formerly HCFA) has committed itself to an ongoing process of quality improvement in nursing homes. As part of this effort, CMS contracted with health care experts to identify a set of measures for further testing and analysis. From this, a new set of quality measures was developed. Several of these measures utilize a more concise risk-adjustment methodology to account for the severity of illness of nursing home residents. CMS is reporting the new measures publicly for nursing homes nationwide. These quality measures for each nursing home in Maryland are reported on the CMS website, Nursing Home Compare, showing the results for a particular nursing home compared to the state average and the national average. The Maryland Health Care Commission is presenting results of the Nursing Home Quality Initiative for individual nursing homes on this website in the same format used for the Quality Indicators that it currently displays. Each nursing home's score is compared to the range of scores for all other nursing homes in Maryland. To view the CMS Quality Measures on this website, click on the box below.

Click here to go to CMS's Nursing Home Compare website to learn more about the Nursing Home Quality Initiative and how the measures are risk-adjusted:

http://www.medicare.gov/nhcompare/home.asp

Deficiency Report11

The Office of Health Care Quality (OHCQ) in the Department of Health and Mental Hygiene (DHMH) conducts at least one annual inspection of every nursing home in Maryland. Inspections are conducted by nurses, dieticians, and sanitarians and take an average of three to five days to complete. Surveyors review all areas of a nursing home operation including nursing, medical care, food services, cleanliness, and resident rights.

When a problem is found, surveyors determine the severity and scope of the violation. A score from A through L is assigned to each deficiency, with "A" affecting the least number of people and being the least severe and "L" affecting the most people and being the most severe. The nursing home is then notified and required to submit a Plan of Correction. If appropriate, follow-up inspections are conducted to make sure problems are corrected.

The Guide includes deficiency information for all nursing homes in Maryland that have been inspected since January 1, 2002. If no deficiency or only minimal deficiencies (scores A, B, and C) have been found during the inspection, a facility is labeled as being in substantial compliance with the regulations. For all other deficiencies, their type as well as their scope and severity are listed. The nursing home's Plan of Correction is not included, but is available on request for a small fee from the OHCQ.

If you are looking for a nursing home's inspection report that is not listed (i.e., the inspection occurred before January 1, 2002) or need additional help, please call OHCQ at 410-401-8201 or email to: ohcqnhreports@dhmh.state.md.us.

Listed below are the deficiencies that have been found by state surveyors in their most recent inspection. The information includes:

Further detail on the nature of the citations for any survey is available by clicking on the hyper linked "type of inspection" box entry.

Allegany County Nursing & Rehabilitation Center
Data Source:
OHCQ
Timeframe: 01/01/01 - 11/01/02
Last Update: 3/15/2003

Date of Inspection Type of Inspection Numbers of Deficiencies
  Substandard Quality of Care All Other Deficiences
07/29/02 Full Inspection 0 1
06/11/01 Full Inspection 0 0

Listed below are any specific deficiencies cited during this inspection. In the absence of any citations, it was determined that the facility was in substantial compliance with regulations.

Date of Inspection: 07/29/02
Type of Inspection: Full Inspection

Level of Severity/Scope Description Substandard Quality of Care
Potential for more than minimal harm / Isolated (D) Facility Failed to Inform Resident, Physician and/or Family of Change in Status NO

Date of Inspection: 06/11/01
Type of Inspection: Full Inspection

Level of Severity/Scope Description Substandard Quality of Care
NA * In Substantial Compliance * NO

For a complete summary of the deficiencies cited among all Maryland facilities, please click here.


TEXAS

Overview of How Texas Quality Reporting System Evaluates Medicaid-Certified Facilities12

Overview: Certified facilities are compared in QRS on the basis of four dimensions that depict some important aspects of quality. Quality has many dimensions. The quality of care provided to nursing home residents, the quality of life each resident experiences, the ability of a facility to meet all regulatory requirements, and customer satisfaction are all important aspects of quality. QRS uses four quality dimensions or axes to rate nursing facilities. Two axes reflect quality of care, and two more measure compliance with state and federal regulations.

A brief background history of QRS development as well as answers to providers' frequently asked questions are available on the QRS Provider FAQ page.

Interpret QRS ratings cautiously. QRS nursing home ratings are based on a reporting period that tends to indicate each facility's recent performance. QRS ratings do not indicate facility performance over the long term. Further, because QRS is only updated monthly, it is possible that very recent performance problems will not be reported. Even a facility that appears to have favorable QRS ratings may be under sanctions or penalties due to performance problems that occurred outside the QRS reporting period. The Regulatory Compliance History and Events and Actions sections of each facility's quality profile contain additional historical information that can help you to better judge the consistency of facility performance over time.

Use QRS information to help you make a nursing facility selection rather than as a short-cut to finding the best nursing home. You may also contact the DHS Consumer Information Hotline at 1-800-252-8016 or via e-mail to request additional consumer information about a particular facility.

Comparisons: QRS uses comparison tables to show ratings for Medicaid-certified nursing facilities. These comparison tables include an overall rating score for each facility. Interpret this overall score with caution. The overall rating is the simple average of the four quality axis scores. It arbitrarily assigns equal importance to all the quality axes. As you read individual facility quality profiles, you will need to decide whether these axes are indeed equally important to you.

Nursing facilities are listed in the comparison tables from highest overall rating to lowest. When several facilities earn the same overall rating, they appear in alphabetical order. Thus, if facilities South Village, West Oaks and Davis Retirement Center all have the same overall rating, they will appear in the comparison table in the order Davis Retirement Center, South Village and West Oaks.

Quality of Care - the PAS and PDS Scales: QRS reports the quality of resident care using two ratings; these ratings serve as predictors of quality rather than as true measurements of quality. Both ratings are based on the Center for Health Systems Research and Analysis (CHSRA) Quality Indicators adopted by the Centers for Medicare and Medicaid Services(CMS, formerly HCFA) for use in monitoring nursing facility performance. The quality indicators are calculated from resident assessments that each facility submits to CMS. At this time, these assessments are not independently verified by either DHS or by CMS.

Each resident is reassessed at least every 90 days. The quality indicator scores that QRS uses are based on assessments submitted during the first four months of the six month interval that precedes the date on which this Web site's database is updated (see the date at the bottom of each Web page.) The Potential Advantages Score (PAS) and Potential Disadvantages Score (PDS) are the ratings that summarize a facility's quality indicator scores.

PDS: CMS uses the quality indicators to identify potential performance problems. That is, CMS advises nursing facilities to look for quality problems whenever an indicator condition is more common in that facility than in 90% of all other facilities. For three of the indicator conditions (Dehydration, Fecal Impaction, and Pressure Sores in Low Risk Residents), CMS recommends looking for quality problems on every occurrence. The PDS rates each facility based on the number of indicator conditions that suggest potential performance problems - each such condition is a potential disadvantage for residents in that facility. The most favorable PDS rating means that a facility has the fewest potential disadvantages.

PAS: Where CMS currently uses quality indicators only to identify potential quality problems, QRS also uses them to identify potentially superior performance. QRS recognizes those facilities in which indicator conditions are less common than in 90% of all other facilities. The PAS rates each facility based on the number of indicator conditions that suggest potentially superior performance - each such condition is a potential advantage for residents in that facility. The most favorable PAS rating means that a facility has the most potential advantages.

The Rating Scales topic below explains the relationship between the number of potential advantages and the PAS rating symbols as well as the relationship between the number of potential disadvantages and the PDS rating symbols. Because the purpose of the PAS and PDS ratings is to summarize and highlight the differences among resident groups from different facilities, DHS may periodically revise these relationships.

When considering PAS, it is important to remember that it is based on quality indicator conditions that may be less common in a particular facility simply because the residents in that facility are more healthy or less prone to those conditions. Low quality indicator scores that create a favorable PAS do not always imply higher quality services. Similarly, PDS is based on quality indicator conditions that may be more common in a particular facility simply because the residents in that facility are less healthy or more prone to those conditions. High quality indicator scores that create an unfavorable PDS do not always imply lower quality services.

Facility Surveys: Unlike PAS and PDS, the QRS Investigations and Survey scores are direct measurements of quality. The scores rate the facility's compliance with all applicable regulations and requirements.

Investigations Score: DHS investigates all complaints that come to its attention concerning nursing homes. Substantiated complaint allegations that constitute a violation of state or federal regulations are usually cited by DHS as nursing home deficiencies. The Investigations Score is based on the nature, severity and scope of the deficiencies cited in each home during the preceding six months.

Survey Score: A DHS survey team also inspects each nursing home at least once every 15 months (every 12 months on the average). The results of the most recent routine survey determine the Survey Score. This rating may not be a sensitive quality measure if the most recent survey occurred many months earlier; the quality of any service can change markedly over the course of a year.

NOTE CAREFULLY: The number of deficiencies does not determine the compliance score; it is the nature, scope, and severity of the most severe deficiency that determines the score. A nursing home cited for a deficiency has a right to appeal the citation, and there are occasions on which such appeals lead to the reversal of even the most severe deficiencies. Therefore, both the Complaint and Survey ratings can appear to be poor only to suddenly improve as the result of such a reversal. In order to provide the most accurate ratings possible, all ratings are recalculated each month.

Quality Profiles: QRS can show a quality profile that explains the facts behind the ratings assigned to a facility. This additional information may help you decide whether the facility is one that you want to consider further. The profile is a written report that includes the following:

Rating Scales: Each QRS rating scale consists of five rating symbols. A sixth symbol, NR, is used to show that the facility could not be rated for lack of information. The rating symbols range from - the most favorable rating to - the least favorable rating. Holding the mouse pointer over any rating symbol for a few seconds will show a brief description of a rating symbol on any QRS page. Most Web browsers will show the text explanation for any picture when this is done. The precise meaning of each symbol in each rating scale is given in the tables below.

PAS is rated according to the following scale.

Most Advantages. Five or more quality indicators suggest potentially superior performance.
More Advantages. Three or four quality indicators suggest potentially superior performance.
Some Advantages. Two quality indicators suggest potentially superior performance.
Fewer Advantages. One quality indicator suggest potentially superior performance.
Fewest Advantages. No quality indicators suggest potentially superior performance.
NR No Rating Available.

PDS is rated according to the following scale.

Fewest Disadvantages. No more than one quality indicator suggests potential performance problems.
Few Disadvantages. Two or three quality indicator suggest potential performance problems.
Some Disadvantages. Four or five quality indicators suggest potential performance problems.
More Disadvantages. Six or seven quality indicators suggest potential performance problems.
Most Disadvantages. Eight or more quality indicators suggest potential performance problems.
NR No Rating Available.

The complaint and survey scores are based on the following scale.

In total compliance with regulations. No deficiencies were cited.
In substantial compliance with regulations. No cited deficiency resulted in actual resident harm or immediate jeopardy or had more than potential for minimal resident harm.
Not in substantial compliance with regulations. A cited deficiency had the potential for more than minimal harm but did not cause residents either actual harm or immediate jeopardy and did not constitute Substandard Quality of Care.
Not in substantial compliance with regulations and having at least one deficiency that caused actual resident harm or jeopardy to resident health or safety. A cited deficiency either caused actual resident harm or constituted immediate jeopardy to the Health or Safety of residents but did not constitute Substandard Quality of Care.
Substandard Quality of Care. A cited deficiency involved regulations that govern Quality of Care, Quality of Life, or Resident Behavior and Facility Practices such that: 1) there was a widespread occurrence with more than the potential for minimal harm, 2) there was a pattern or widespread occurrence of actual harm, or 3) there was immediate jeopardy to the Health or Safety of at least one resident.
NR No Rating Available.
Caution: This web site does not reflect recommendations of any specific provider by TDHS. It is simply a tool that you can use to help you make a selection. Because QRS shows information from a limited time period and is updated only once each month, it may not include some important events that are either older or more recent. QRS rating systems are developed in collaboration with long term care providers and consumer advocates and may include some self-declared and unverified information. TDHS strongly encourages you to visit any provider that you consider, to talk with its clients or client ombudsman, and to contact the TDHS Consumer Information Hotline at 1-800-458-9858 or via e-mail to obtain the most recent information concerning that provider.


NOTES

  1. Source: http://www.fdhc.state.fl.us/nhcguide/DGStatic/Facility70504Detail.htm, 4/1/2003.

  2. Agency for Health Care Administration, April 2003, http://www.fdhc.state.fl.us/Nursing_Home_Guide/nhup0403.shtml.

  3. Source: http://www.dia-hfd.state.ia.us/reportcards, 4/1/2003.

  4. Source: http://www.dia-hfd.state.ia.us/reportcards/about.asp, 4/1/2003.

  5. Source: http://www.dia-hfd.state.ia.us/reportcards/rptdetails.asp?id=1072&pageno=1&pagesize=10, 4/1/2003.

  6. Source: http://www.dia-hfd.state.ia.us/reportcards/rptdetails.asp?id=1072&pageno=1&pagesize=10, 4/1/2003.

  7. Source: http://209.219.237.235, 4/1/2003.

  8. Source: http://209.219.237/01001_facilityCharacteristics.htm, 4/1/2003.

  9. Source: http://209.219.237/01001_resident.htm, 4/1/2003.

  10. Source: http://209.219.237.235/01001_qualitymeasures.htm, 4/1/2003.

  11. Source: http://209.219.237.235/01001_deficiencies.htm, 4/1/2003.

  12. Source: http://facilityquality.dhs.state.tx.us/ltcqrs_public/nq1/jsp2/qrsHowQRSRatesMA_nh1en.jsp?MODE=P&LANGCD=en, 4/1/2003.

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  • Table of Contents
  • APPENDIX A. State Reports
  • You can also advance to:
  • APPENDIX C. Technical Assistance Programs
  • APPENDIX D. Best Practices
  • APPENDIX E. Provider Training Programs
  • APPENDIX F. Facility Recognition Programs
  • APPENDIX G. Funding of Quality Improvement Programs