Broad Mountain Health And Rehabilitation Center

500 West Laurel Street
Frackville, PA 17931
Schuylkill County
Phone: 570-874-0696
Provider Number: 395286
Last Inspection: 07/24/2015

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
129
Number of Residents
Number of
Residents
105
Number of Beds Available
Beds Available
24
Percent Occupancy
Percent Occupancy
81%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Resident
Type of Ownership
Type of Ownership
Non profit - Corporation
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • PA
  • USA
  • 31
  • 21
  • 19
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2015
  • 2014
  • 2013
  • 31
  • 39
  • 14
Lower Numbers are Better

Details by Inspection Date

 

7/24/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Try to resolve each resident's complaints quickly. Pattern : Minimal 4 9/18/2015
Failed To: Keep each resident free from drugs that restrain them, unless needed for medical treatment. Isolated : Minimal 3 9/18/2015
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated : Minimal 3 9/18/2015
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 9/18/2015
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 10/1/2015
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Actual 4 9/18/2015
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 9/18/2015
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 10/1/2015
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern : Minimal 4 10/1/2015
 

6/5/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Pattern : Potential 3 7/16/2014
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated : Minimal 3 7/16/2014
Failed To: Provide activities to meet the interests and needs of each resident. Pattern : Minimal 4 7/16/2014
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 7/16/2014
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 7/16/2014
Failed To: Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Pattern : Minimal 4 7/16/2014
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Pattern : Minimal 4 7/16/2014
Failed To: Make sure that paid feeding assistants 1) completed training; 2) work under the supervision of a RN or LPN; and 3) feed only residents who have no complicated feeding problems. Pattern : Minimal 4 7/16/2014
Failed To: Provide or obtain dental services for each resident. Isolated : Minimal 3 7/16/2014
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 7/16/2014
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated : Minimal 3 7/16/2014
 

7/11/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Pattern : Potential 3 8/15/2013
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 8/15/2013
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 8/15/2013
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 8/15/2013


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

4/20/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 unknown
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 unknown
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 unknown
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 unknown
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Pattern : Minimal 4 unknown
 

11/19/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 unknown
Failed To: Give or get specialized rehabilitative services per the patient's assessment or plan of care. Isolated : Minimal 3 unknown
 

9/5/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Pattern : Potential 3 10/8/2013
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Pattern : Minimal 4 10/8/2013

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg PA State Avg
Number of Residents 105 109.62 112.58
Registered Nurses 0.60 0.67 0.94
Licensed Practical / Vocational Nurses 0.76 0.84 0.84
Certified Nursing Assistants 2.02 2.14 2.23
Total Staff Hours 3.37 3.64 4.02

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% PA State Avg%
High Risk Long Stay Residents With Pressure Ulcers 3 4 5
Long Stay Residents Experiencing One or More Falls with Major Injury 3 3 3
Long Stay Residents Who Have Depressive Symptoms 0 2 3
Long Stay Residents Who Lose Too Much Weight 6 7 7
Long Stay Residents Who Received an Antipsychotic Medication 22 17 16
Long Stay Residents Who Self Report Moderate to Severe Pain 5 4 8
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 2 3 5
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 5 1 4
Long Stay Residents Who Were Physically Restrained 0 0 0
Long Stay Residents Whose Need for Help with ADLs has Increased 14 14 15
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3 3 3
Long Stay Residents With a Urinary Tract Infection 7 4 4
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 48 49 56
Short Stay Residents Who Newly Received an Antipsychotic Medication 2 1 1
Short Stay Residents Who Self Report Moderate to Severe Pain 17 18 18
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 14 12 17
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 9 8 16
Short Stay Residents With Pressure Ulcers That Are New or Worsened 0 1 1