CONSULATE HEALTH CARE OF WINTER HAVEN (WINTER HAVEN, FL) Detailed Nursing Home Profile

Quality Measures

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

Here:	18.9%
State:	14.7%

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

Here:	8.5%
State:	8.4%

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

Here:	6.3%
Florida:	6.8%

Percent of long-stay residents who lose too much weight

Here:	8.7%
State:	8.1%

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

Here:	7.4%
State:	3.5%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	2.9%
Florida:	9.2%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	18.0%
State:	3.4%

Percent of long-stay residents who were physically restrained

Here:	12.9%
Florida:	2.8%

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

This Nursing Home:	5.7%
Florida:	2.8%

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

This Nursing Home:	75.7%
State:	94.0%

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

This Nursing Home:	80.0%
State:	95.6%

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

Here:	19.7%
Florida:	20.3%

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

This Nursing Home:	0.3%
State:	1.2%

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

This Nursing Home:	71.2%
Florida:	86.5%

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

This Nursing Home:	75.2%
State:	86.6%

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

This Nursing Home:	2.6%
State:	3.1%

Percent of long-stay residents who received an antipsychotic medication

Here:	11.8%
Florida:	24.1%

Complaint Deficiency

Properly installed electrical wiring and equipment
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Dispose of garbage and refuse properly
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Restrictions on the use of flammable curtains
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Other fire safety features required by fire safety codes
- 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
Make sure services provided by the nursing facility meet professional standards of quality
- 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
Proper construction of ducts through walls designed to prevent smoke passage
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper backup exit lighting
- 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: Few
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property
- Harm: Actual harm
- Scope: Some
Did not have a written emergency evacuation plan
- Harm: Actual harm
- Scope: Some
A separate and independent backup electrical power source
- Harm: Actual harm
- Scope: Some
Provide proof that all residents' personal money which is deposited with the nursing home, is secure
- Harm: 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: Few
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly protected cooking facilities
- Harm: Minimal harm or potential for 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
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 that residents receive treatment/services to not only continue, but improve the ability to care for themselves
- 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
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
Make sure each resident receives an accurate assessment by a qualified health professional
- 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
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give each resident enough fluids to keep them healthy and prevent dehydration
- 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: Few
Help and prepare each resident for a safe and easy discharge and transfer from the nursing home
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Conduct initial and periodic assessments of each resident's functional capacity
- 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
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Employ or obtain outside professional resources providing services in the nursing home that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few

CONSULATE HEALTH CARE OF WINTER HAVEN - WINTER HAVEN, FL

Quality Measures

Complaint Deficiency

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