KEYSTONE POINTE HEALTH AND REHABILITATION (LAGRANGE, OH) Detailed Nursing Home Profile

Quality Measures

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

Here:	19.4%
State:	14.9%

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

Here:	4.0%
State:	12.5%

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

This Nursing Home:	9.6%
Ohio:	6.3%

Percent of long-stay residents who lose too much weight

This Nursing Home:	12.6%
Ohio:	7.6%

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

Here:	22.6%
Ohio:	38.6%

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

Here:	6.5%
Ohio:	4.1%

Percent of long-stay residents with a urinary tract infection

Here:	3.4%
Ohio:	7.7%

Percent of long-stay residents who have depressive symptoms

Here:	30.6%
State:	16.2%

Percent of long-stay residents who were physically restrained

This Nursing Home:	4.6%
Ohio:	2.4%

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

This Nursing Home:	1.1%
State:	3.4%

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

This Nursing Home:	96.6%
State:	94.9%

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

This Nursing Home:	86.2%
Ohio:	94.8%

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

This Nursing Home:	15.8%
State:	26.0%

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

Here:	84.5%
Ohio:	86.0%

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

This Nursing Home:	81.6%
State:	84.9%

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

Here:	5.4%
Ohio:	2.5%

Percent of long-stay residents who received an antipsychotic medication

Here:	37.8%
State:	24.6%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.590
Ohio:	0.670

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

Here:	0.930
State:	0.885

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.520
Ohio:	1.552

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.140
State:	0.066

Number Therapy Hours Per Resident Per Day

Here:	0.140
Ohio:	0.069

Complaint Deficiency

Keep each resident's personal and medical records private and confidential
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- 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: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Record of quarterly fire drills for each shift under varying conditions
- Harm: Potential for minimal harm
- Scope: Many
Properly installed hallway dispensers for alcohol-based hand rub
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep each resident free from physical restraints, unless needed for medical treatment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure each resident receives an accurate assessment by a qualified health professional
- 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: Few
Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Corridors that are separated from common areas by walls constructed to limit the passage of smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Proper exit design
- 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: Many
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Few
Provide medically-related social services to help each resident achieve the highest possible quality of life
- 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: 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
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few

KEYSTONE POINTE HEALTH AND REHABILITATION - LAGRANGE, OH

Quality Measures

Staff Information

Complaint Deficiency

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