NAOMI HEIGHTS NURSING AND REHABILITATION CENTER (ALEXANDRIA, LA) Detailed Nursing Home Profile

Quality Measures

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

Here:	16.4%
Louisiana:	20.1%

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

This Nursing Home:	17.7%
Louisiana:	10.5%

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

Here:	10.0%
State:	9.2%

Percent of long-stay residents who lose too much weight

Here:	10.9%
State:	7.8%

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

Here:	42.0%
State:	34.2%

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

Here:	4.9%
State:	3.9%

Percent of long-stay residents with a urinary tract infection

Here:	5.0%
State:	7.4%

Percent of long-stay residents who have depressive symptoms

Here:	1.9%
Louisiana:	4.0%

Percent of long-stay residents who were physically restrained

Here:	15.0%
Louisiana:	4.3%

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

This Nursing Home:	1.7%
Louisiana:	3.8%

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

This Nursing Home:	98.3%
Louisiana:	95.1%

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

Here:	100.0%
Louisiana:	93.1%

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

This Nursing Home:	32.0%
State:	21.0%

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

This Nursing Home:	2.1%
State:	1.9%

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

This Nursing Home:	100.0%
State:	79.9%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	25.5%
State:	29.5%

Complaint Deficiency

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: Potential for minimal harm
- Scope: Some
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- 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
Restrictions on the use of portable space heaters
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Proper backup exit lighting
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Emergency lighting that can last at least 1 1/2 hours
- Harm: Minimal harm or potential for actual harm
- Scope: Many
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly sized and located linen or trash receptacles
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Proper construction of ducts through walls designed to prevent smoke passage
- 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
Provide housekeeping and maintenance services
- 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: Potential for minimal 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
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
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: Some
Have a program that investigates, controls and keeps infection from spreading
- 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
Provide housekeeping and maintenance services
- Harm: Potential for minimal 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
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: Some
Proper construction of ducts through walls designed to prevent smoke passage
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
Keep each resident's personal and medical records private and confidential
- 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
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Potential for minimal harm
- Scope: Some

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.300
State:	0.408

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

This Nursing Home:	0.840
Louisiana:	0.918

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.140
Louisiana:	1.326

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.050
Louisiana:	0.070

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.050
State:	0.071

NAOMI HEIGHTS NURSING AND REHABILITATION CENTER - ALEXANDRIA, LA

Quality Measures

Complaint Deficiency

Staff Information

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