ROSE MANOR HEALTH CARE

Nursing Home Inspector

3057 NORTH CLEVELAND ROAD
LEXINGTON, KY 40516
Fayette County
Phone: 859-299-4117
Provider Number: 185322
Last Inspection: 10/13/2016

About the Nursing Home

Number of Beds: 34
Number of Residents: 33
Beds Available: 1
Percent Occupancy: 97%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Corporation
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
13

County
12

KY
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

0

2016
20

2015
7

2014

Medicare Ratings

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

 

Details by Inspection Date

12/17/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Widespread : Minimal 5 1/6/2016
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Widespread : Minimal 5 1/6/2016
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 1/6/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 1/6/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 1/6/2016
 

11/20/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 12/16/2014
 
Failed To: Provide routine and 24-hour emergency dental care for each resident. Pattern : Minimal 4 12/16/2014
 

Complaint Investigation Deficiencies

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

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg KY State Avg
Number of Residents 33 74.50 79.68
Registered Nurses 0.56 0.95 0.86
Licensed Practical / Vocational Nurses 0.79 1.00 0.87
Certified Nursing Assistants 2.04 2.40 2.40
Total Staff Hours 3.39 4.35 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 5 5 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 93 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 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 5 0 2
of long-stay residents who lose too much weight 5 10 7
of long-stay residents who received an antianxiety or hypnotic medication 17 27 31
of long-stay residents who received an antipsychotic medication 40 25 19
of long-stay residents who self-report moderate to severe pain 11 4 6
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 6 14 21
of long-stay residents whose need for help with daily activities has increased 6 12 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 3 3 4