PROVIDENCE SEWARD MED & CARE CENTER LTC

Nursing Home Inspector

2203 OAK STREET (P.O. BOX 430)
SEWARD, AK 99664
Kenai Peninsula County
Phone: 907-224-5241
Provider Number: 025024
Last Inspection: 09/15/2016

About the Nursing Home

Number of Beds: 40
Number of Residents: 23
Beds Available: 17
Percent Occupancy: 57%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: Government - City/county
Within Hospital?: YES

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: 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.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

32

Facility
26

County
37

AK
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

32

2016
13

2015
46

2014

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

9/15/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Try to resolve each resident's complaints quickly. Isolated : Minimal 3 10/30/2016
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 10/30/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 10/30/2016
 
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 10/30/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 10/30/2016
 
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 10/30/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 10/30/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 10/30/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 10/30/2016
 

7/2/2015 Inspection

 
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 8/16/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 8/16/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 8/6/2015
 
Failed To: Keep clinical record information safe. Pattern : Minimal 4 8/6/2015
 

5/8/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Pattern : Minimal 4 6/22/2014
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 6/22/2014
 
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Isolated : Minimal 3 6/22/2014
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 6/22/2014
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 6/22/2014
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 6/22/2014
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 6/22/2014
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 6/22/2014
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 6/22/2014
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 6/22/2014
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 6/22/2014
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 6/22/2014
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 6/22/2014
 

Complaint Investigation Deficiencies

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

6/3/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide timely notification to the resident before transfer or discharge. Isolated : Minimal 3 7/18/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg AK State Avg
Number of Residents 23 33.67 32.83
Registered Nurses Not Available 0.93 1.24
Licensed Practical / Vocational Nurses Not Available 0.16 0.51
Certified Nursing Assistants Not Available 2.32 2.58
Total Staff Hours Not Available 3.41 4.33

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% AK State Avg%
of high risk long-stay residents with pressure ulcers 1 2 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 95 97 94
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96 98 96
of long-stay residents experiencing one or more falls with major injury 5 1 1
of long-stay residents who have depressive symptoms 10 12 6
of long-stay residents who lose too much weight 6 7 7
of long-stay residents who received an antianxiety or hypnotic medication 10 15 18
of long-stay residents who received an antipsychotic medication 18 10 10
of long-stay residents who self-report moderate to severe pain 27 23 21
of long-stay residents who were physically restrained 1 0 0
of long-stay residents whose ability to move independently worsened 20 19 21
of long-stay residents whose need for help with daily activities has increased 23 16 17
of long-stay residents with a catheter inserted and left in their bladder 10 3 2
of long-stay residents with a urinary tract infection 1 3 3
of low risk long-stay residents who lose control of their bowels or bladder 25 43 35
of short-stay residents assessed and appropriately given the pneumococcal vaccine 76 87 78
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 90 13 8
of short-stay residents with pressure ulcers that are new or worsened 0 80 73