GRACE HEALTH AND REHAB OF GRENADA, LLC (GRENADA, MS) Detailed Nursing Home Profile

Quality Measures

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

This Nursing Home:	12.6%
Mississippi:	18.2%

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

This Nursing Home:	6.4%
Mississippi:	13.9%

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

Here:	11.5%
State:	7.3%

Percent of long-stay residents who lose too much weight

Here:	3.8%
State:	7.8%

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

This Nursing Home:	10.0%
State:	41.4%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

This Nursing Home:	9.2%
State:	3.2%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	3.8%
Mississippi:	7.3%

Percent of long-stay residents who have depressive symptoms

Here:	5.1%
Mississippi:	2.8%

Percent of long-stay residents who were physically restrained

Here:	10.0%
Mississippi:	3.9%

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

Here:	0.9%
Mississippi:	2.9%

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

This Nursing Home:	90.0%
Mississippi:	94.9%

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

Here:	91.8%
State:	96.7%

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

Here:	18.2%
State:	24.8%

Percent of short-stay residents with Pressure ulcers that are new or worsened

This Nursing Home:	1.7%
Mississippi:	1.5%

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

This Nursing Home:	75.0%
Mississippi:	84.8%

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

This Nursing Home:	61.2%
Mississippi:	85.8%

Percent of short-stay residents who newly received an antipsychotic medication

This Nursing Home:	2.9%
Mississippi:	3.3%

Percent of long-stay residents who received an antipsychotic medication

Here:	26.2%
State:	26.8%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.460
Mississippi:	0.625

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

This Nursing Home:	1.010
State:	0.996

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.480
Mississippi:	1.616

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.020
State:	0.046

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.020
Mississippi:	0.049

Complaint Deficiency

Signs that state that exit doors are to be kept closed
- Harm: Actual harm
- Scope: Few
Approved construction type or materials
- Harm: Actual harm
- Scope: Few
Properly installed electrical wiring and equipment
- Harm: Actual harm
- Scope: Few
Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Potential for minimal harm
- Scope: Many
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
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Proper construction of ducts through walls designed to prevent smoke passage
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property
- 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
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Keep each resident free from physical restraints, unless needed for medical treatment
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure each resident receives an accurate assessment by a qualified health professional
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests
- Harm: Minimal harm or potential for actual harm
- Scope: Many

GRACE HEALTH AND REHAB OF GRENADA, LLC - GRENADA, MS

Quality Measures

Staff Information

Complaint Deficiency

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