ROSEWOOD REHABILITATION AND NURSING CENTER (RENSSELAER, NY) Detailed Nursing Home Profile

Complaint Deficiency

Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: Many
Provide proof that all residents' personal money which is deposited with the nursing home, is secure
- Harm: Actual harm
- Scope: Many
Check and assess each resident's assessment at least every 3 months
- Harm: Actual harm
- Scope: Many
Fire-resistant room wall surfaces
- Harm: Actual harm
- Scope: Many
Proper stairway enclosures and vertical shafts
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
Provide housekeeping and maintenance services
- 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: 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
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper backup exit lighting
- 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 services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Potential for minimal harm
- Scope: Some
Proper stairway enclosures and vertical shafts
- 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
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: 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
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
Maintain 15 months of resident assessments in the resident's active clinical record
- Harm: Potential for minimal harm
- Scope: Some
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
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that residents are safe from serious medication errors
- 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
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing
- 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

Quality Measures

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

Here:	37.0%
State:	15.6%

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

Here:	19.7%
New York:	7.6%

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

Here:	10.9%
New York:	8.4%

Percent of long-stay residents who lose too much weight

Here:	5.1%
State:	6.4%

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

This Nursing Home:	1.6%
New York:	3.1%

Percent of long-stay residents with a urinary tract infection

Here:	6.7%
State:	6.8%

Percent of long-stay residents who have depressive symptoms

Here:	20.3%
New York:	12.6%

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

This Nursing Home:	6.3%
State:	2.9%

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

Here:	95.2%
State:	96.7%

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

Here:	98.4%
New York:	97.3%

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

Here:	22.1%
New York:	16.9%

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

Here:	1.7%
State:	1.8%

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

Here:	96.6%
State:	86.9%

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

This Nursing Home:	94.1%
New York:	85.0%

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

This Nursing Home:	2.2%
New York:	3.1%

Percent of long-stay residents who received an antipsychotic medication

Here:	4.8%
State:	20.8%

ROSEWOOD REHABILITATION AND NURSING CENTER - RENSSELAER, NY

Complaint Deficiency

Quality Measures

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