ST JOSEPH OF THE PINES HEALTH (SOUTHERN PINES, NC) Detailed Nursing Home Profile

Quality Measures

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

Here:	16.3%
State:	19.4%

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

This Nursing Home:	3.5%
North Carolina:	12.6%

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

Here:	2.1%
State:	7.4%

Percent of long-stay residents who lose too much weight

This Nursing Home:	10.6%
State:	8.7%

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

Here:	68.4%
State:	56.1%

Percent of long-stay residents with a urinary tract infection

Here:	9.7%
State:	8.1%

Percent of long-stay residents who have depressive symptoms

Here:	1.8%
State:	6.2%

Percent of long-stay residents who were physically restrained

This Nursing Home:	1.7%
North Carolina:	1.8%

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

This Nursing Home:	6.1%
North Carolina:	3.2%

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

This Nursing Home:	98.3%
State:	94.9%

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

Here:	99.1%
State:	96.5%

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

Here:	20.2%
State:	21.9%

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

This Nursing Home:	0.3%
State:	1.4%

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

This Nursing Home:	98.9%
State:	88.7%

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

This Nursing Home:	99.0%
North Carolina:	87.2%

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

This Nursing Home:	0.6%
State:	2.6%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	20.4%
State:	21.0%

Complaint Deficiency

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Approved construction type or materials
- Harm: Potential for minimal harm
- Scope: Many
Corridor and hallway doors that block smoke
- Harm: Potential for minimal harm
- Scope: Many
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Potential for minimal harm
- Scope: Many
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Potential for minimal harm
- Scope: Many
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved automatic sprinkler system connected to the fire alarm system
- 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
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
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: Many
Proper backup exit lighting
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly working alarms on sprinkler valves
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions
- Harm: Minimal harm or potential for actual harm
- Scope: Few
No-smoking signs where oxygen is used
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop policies and procedures for influenza and pneumococcal immunizations
- Harm: Potential for minimal harm
- Scope: Some
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: Many
Proper stairway enclosures and vertical shafts
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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: Many
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.380
North Carolina:	0.671

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

Here:	1.250
State:	0.848

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.630
State:	1.518

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.150
State:	0.086

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.150
North Carolina:	0.088

ST JOSEPH OF THE PINES HEALTH - SOUTHERN PINES, NC

Quality Measures

Complaint Deficiency

Staff Information

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