MILLS HEALTH & REHAB CENTER, INC

Nursing Home Inspector

500 BECK LANE
MAYFIELD, KY 42066
Graves County
Phone: 270-247-7890
Provider Number: 185279
Last Inspection: 03/16/2017

About the Nursing Home

Number of Beds: 98
Number of Residents: 93
Beds Available: 5
Percent Occupancy: 95%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: Non profit - Church related
Within Hospital?: NO

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

 

0

Facility
1

County
12

KY
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

0

2017
30

2016
0

2014

Medicare Ratings

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

 

Details by Inspection Date

3/3/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Widespread : Potential 4 3/21/2016
 
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 3/21/2016
 
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated : Minimal 3 3/21/2016
 
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 3/21/2016
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 3/21/2016
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 3/21/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 3/21/2016
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 3/21/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 3/21/2016
 

Complaint Investigation Deficiencies

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

5/13/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Protect each resident from all abuse, physical punishment, and involuntary separation from others. Isolated : Minimal 3 4/18/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg KY State Avg
Number of Residents 93 72.33 79.68
Registered Nurses 1.62 1.12 0.86
Licensed Practical / Vocational Nurses 1.41 0.97 0.87
Certified Nursing Assistants 3.01 2.46 2.40
Total Staff Hours 6.04 4.54 4.13

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% KY State Avg%
of high risk long-stay residents with pressure ulcers 6 6 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 91 91 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96 94 95
of long-stay residents experiencing one or more falls with major injury 2 3 3
of long-stay residents who have depressive symptoms 0 1 2
of long-stay residents who lose too much weight 9 8 7
of long-stay residents who received an antianxiety or hypnotic medication 33 32 31
of long-stay residents who received an antipsychotic medication 13 20 19
of long-stay residents who self-report moderate to severe pain 2 5 6
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 32 25 21
of long-stay residents whose need for help with daily activities has increased 9 15 16
of long-stay residents with a catheter inserted and left in their bladder 1 1 2
of long-stay residents with a urinary tract infection 6 4 4
of low risk long-stay residents who lose control of their bowels or bladder 52 51 49
of short-stay residents assessed and appropriately given the pneumococcal vaccine 95 82 84
of short-stay residents who had an outpatient emergency department visit 17 14 14
of short-stay residents who made improvements in function 49 58 59
of short-stay residents who newly received an antipsychotic medication 5 4 2
of short-stay residents who self-report moderate to severe pain 7 12 16
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 94 81 83
of short-stay residents who were rehospitalized after a nursing home admission 26 22 22
of short-stay residents who were successfully discharged to the community 44 45 46
of short-stay residents with pressure ulcers that are new or worsened 0 0 1