DUNBAR VILLAGE TERRACE

Nursing Home Inspector

725 DUNBAR AVE
BAY SAINT LOUIS, MS 39520
Hancock County
Phone: 228-466-3099
Provider Number: 255322
Last Inspection: 04/27/2017

About the Nursing Home

Number of Beds: 70
Number of Residents: 66
Beds Available: 4
Percent Occupancy: 94%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Partnership
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

 

9

Facility
9

County
11

MS
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

9

2017
10

2016
21

2015

Medicare Ratings

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

 

Details by Inspection Date

4/27/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 6/10/2017
 
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 5/12/2017
 
Failed To: Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. Isolated : Minimal 3 6/10/2017
 

3/17/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 4/15/2016
 
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 4/15/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 4/15/2016
 

4/9/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 5/8/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 4/17/2015
 
Failed To: Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. Isolated : Minimal 3 5/7/2015
 
Failed To: Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. Isolated : Minimal 3 5/7/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 4/10/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 5/7/2015
 
Failed To: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Isolated : Minimal 3 5/7/2015
 

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 MS State Avg
Number of Residents 66 97.00 77.87
Registered Nurses Not Available 0.34 0.78
Licensed Practical / Vocational Nurses Not Available 0.56 0.98
Certified Nursing Assistants Not Available 1.28 2.33
Total Staff Hours Not Available 2.18 4.09

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% MS State Avg%
of high risk long-stay residents with pressure ulcers 6 6 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 98 97 97
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96 89 96
of long-stay residents experiencing one or more falls with major injury 3 2 3
of long-stay residents who have depressive symptoms 1 0 1
of long-stay residents who lose too much weight 5 6 7
of long-stay residents who received an antianxiety or hypnotic medication 26 24 26
of long-stay residents who received an antipsychotic medication 10 17 19
of long-stay residents who self-report moderate to severe pain 7 5 8
of long-stay residents who were physically restrained 0 1 1
of long-stay residents whose ability to move independently worsened 14 22 18
of long-stay residents whose need for help with daily activities has increased 7 10 16
of long-stay residents with a catheter inserted and left in their bladder 3 2 2
of long-stay residents with a urinary tract infection 0 1 4
of low risk long-stay residents who lose control of their bowels or bladder 45 45 49
of short-stay residents assessed and appropriately given the pneumococcal vaccine 70 82 87
of short-stay residents who had an outpatient emergency department visit 19 20 14
of short-stay residents who made improvements in function 83 75 62
of short-stay residents who newly received an antipsychotic medication 0 1 2
of short-stay residents who self-report moderate to severe pain 7 7 15
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 76 81 84
of short-stay residents who were rehospitalized after a nursing home admission 23 28 24
of short-stay residents who were successfully discharged to the community 57 49 41
of short-stay residents with pressure ulcers that are new or worsened 0 0 0