PONTCHARTRAIN HEALTH CARE CENTER (MANDEVILLE, LA) Detailed Nursing Home Profile

Quality Measures

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

Here:	35.1%
Louisiana:	20.1%

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

Here:	7.2%
State:	10.5%

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

This Nursing Home:	11.8%
Louisiana:	9.2%

Percent of long-stay residents who lose too much weight

This Nursing Home:	16.7%
State:	7.8%

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

This Nursing Home:	38.2%
State:	34.2%

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

Here:	6.0%
Louisiana:	3.9%

Percent of long-stay residents with a urinary tract infection

Here:	12.2%
State:	7.4%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	1.2%
Louisiana:	4.0%

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

Here:	7.6%
Louisiana:	3.8%

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

This Nursing Home:	85.9%
Louisiana:	95.1%

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

Here:	89.1%
State:	93.1%

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

This Nursing Home:	16.4%
State:	21.0%

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

This Nursing Home:	1.0%
State:	1.9%

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

Here:	38.2%
Louisiana:	81.8%

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

This Nursing Home:	45.1%
Louisiana:	79.9%

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

This Nursing Home:	3.2%
State:	3.7%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	30.8%
Louisiana:	29.5%

Complaint Deficiency

Offer other nutritional food to each resident who will not eat the food served
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Proper medical gas storage and administration areas
- 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: 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
Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Proper medical gas storage and administration areas
- 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
Restrictions on the use of flammable curtains
- Harm: Minimal harm or potential for 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
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
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
Automatic sprinkler systems that have been maintained in working order
- Harm: Potential for minimal harm
- Scope: Many
Provide activities to meet the interests and needs of each resident
- 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
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature
- 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: 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: Few
Keep all essential equipment working safely
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Minimal harm or potential for actual harm
- Scope: Some
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews
- 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: Minimal harm or potential for actual harm
- Scope: Few
Signs that state that exit doors are to be kept closed
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Proper backup exit lighting
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Automatic sprinkler systems that have been maintained in working order
- 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: Few
Reasonably accommodate the needs and preferences of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature
- 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
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: Few

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.330
Louisiana:	0.408

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

Here:	1.130
Louisiana:	0.918

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.460
Louisiana:	1.326

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.090
Louisiana:	0.070

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.090
Louisiana:	0.071

PONTCHARTRAIN HEALTH CARE CENTER - MANDEVILLE, LA

Quality Measures

Complaint Deficiency

Staff Information

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