ASCENSION OAKS NURSING AND REHABILITATION CENTER (GONZALES, LA) Detailed Nursing Home Profile

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

Here:	8.9%
State:	20.1%

Percent of long-stay residents who self-report moderate to severe pain

This Nursing Home:	9.2%
Louisiana:	10.5%

Percent of long-stay high-risk residents with pressure ulcers

Here:	9.4%
Louisiana:	9.2%

Percent of long-stay residents who lose too much weight

This Nursing Home:	5.2%
State:	7.8%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

Here:	13.7%
Louisiana:	34.2%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	9.3%
State:	7.4%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	3.2%
Louisiana:	4.0%

Percent of long-stay residents who were physically restrained

This Nursing Home:	12.2%
Louisiana:	4.3%

Percent of long-stay residents experiencing one or more falls with major injury

This Nursing Home:	4.1%
State:	3.8%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	100.0%
State:	95.1%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	99.0%
State:	93.1%

Percent of long-stay residents who received an antipsychotic medication

Here:	25.8%
State:	29.5%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.480
Louisiana:	0.408

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	0.740
Louisiana:	0.918

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.220
State:	1.326

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.040
Louisiana:	0.070

Number Therapy Hours Per Resident Per Day

Here:	0.040
State:	0.071

Complaint Deficiency

Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Signs that state that exit doors are to be kept closed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Proper backup exit lighting
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Other fire safety features required by fire safety codes
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Determine if it is safe for the resident to self-administer drugs
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide activities to meet the interests and needs of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that residents receive treatment/services to not only continue, but improve the ability to care for themselves
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide or obtain dental services for each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Reasonably accommodate the needs and preferences of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exits that are accessible at all times
- Harm: Potential for minimal harm
- Scope: Many
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture
- Harm: Minimal harm or potential for actual harm
- Scope: Some

ASCENSION OAKS NURSING AND REHABILITATION CENTER - GONZALES, LA

Quality Measures

Staff Information

Complaint Deficiency

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