MOUNTAIN MANOR OF PAINTSVILLE (PAINTSVILLE, KY) Detailed Nursing Home Profile

Quality Measures

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

Here:	4.4%
State:	16.4%

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

This Nursing Home:	27.8%
Kentucky:	13.2%

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

Here:	14.3%
Kentucky:	6.9%

Percent of long-stay residents who lose too much weight

Here:	11.3%
State:	8.3%

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

This Nursing Home:	7.2%
State:	5.1%

Percent of long-stay residents with a urinary tract infection

Here:	6.6%
Kentucky:	8.7%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	3.2%
Kentucky:	6.4%

Percent of long-stay residents who were physically restrained

This Nursing Home:	3.7%
State:	3.4%

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

This Nursing Home:	2.8%
Kentucky:	3.5%

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

Here:	99.1%
State:	95.5%

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

This Nursing Home:	100.0%
Kentucky:	96.8%

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

This Nursing Home:	56.3%
Kentucky:	25.0%

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

Here:	2.1%
State:	1.6%

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

This Nursing Home:	84.4%
Kentucky:	88.6%

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

Here:	79.7%
State:	87.8%

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

Here:	4.1%
State:	3.4%

Percent of long-stay residents who received an antipsychotic medication

Here:	17.3%
Kentucky:	25.6%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.800
Kentucky:	0.690

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

This Nursing Home:	0.680
State:	0.901

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.480
State:	1.591

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.030
State:	0.070

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.030
Kentucky:	0.074

Complaint Deficiency

Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Exits that are accessible at all times
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Signs that state that exit doors are to be kept closed
- Harm: 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
Properly installed electrical wiring and equipment
- Harm: Actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Actual harm
- Scope: Few
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: Few
Provide proof that all residents' personal money which is deposited with the nursing home, is secure
- Harm: Actual harm
- Scope: Few
Fire-resistant room wall surfaces
- Harm: Actual harm
- Scope: Few
Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Fire-resistant interior walls
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed electrical wiring and equipment
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Actual harm
- Scope: Few
Provide proof that all residents' personal money which is deposited with the nursing home, is secure
- Harm: 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
Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Some
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
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: 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
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Offer other nutritional food to each resident who will not eat the food served
- 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
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give or get quality lab services/tests in a timely manner to meet the needs of residents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Quickly tell the resident's doctor the results of lab tests
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Some
An approved back-up procedure for a faulty fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Make sure services provided by the nursing facility meet professional standards of quality
- 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
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
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
Put firmly secured handrails on each side of hallways
- 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: Few
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Resident room doors of proper design and width
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Immediate jeopardy to resident health or safety
- 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
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few

MOUNTAIN MANOR OF PAINTSVILLE - PAINTSVILLE, KY

Quality Measures

Staff Information

Complaint Deficiency

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