HARRIS HILL CENTER, GENESIS HEALTHCARE

Nursing Home Inspector

20 MAITLAND STREET
CONCORD, NH 03301
Merrimack County
Phone: 603-224-1319
Provider Number: 305078
Last Inspection: 01/12/2017

About the Nursing Home

Number of Beds: 85
Number of Residents: 81
Beds Available: 4
Percent Occupancy: 95%
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

 

22

Facility
9

County
9

NH
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

22

2017
6

2016
10

2015

Medicare Ratings

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

 

Details by Inspection Date

1/12/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 2/20/2017
 
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Isolated : Minimal 3 2/20/2017
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 2/20/2017
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 2/20/2017
 
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 2/20/2017
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 2/20/2017
 
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 2/20/2017
 

1/29/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 3/11/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 3/11/2016
 

3/19/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 4/29/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 4/29/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 4/29/2015
 

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 NH State Avg
Number of Residents 81 116.86 87.55
Registered Nurses 0.51 0.71 0.91
Licensed Practical / Vocational Nurses 0.85 0.68 0.76
Certified Nursing Assistants 2.05 2.40 2.49
Total Staff Hours 3.40 3.78 4.16

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% NH State Avg%
of high risk long-stay residents with pressure ulcers 4 2 3
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 97 98
of long-stay residents experiencing one or more falls with major injury 2 5 4
of long-stay residents who have depressive symptoms 13 4 4
of long-stay residents who lose too much weight 10 7 6
of long-stay residents who received an antianxiety or hypnotic medication 28 18 20
of long-stay residents who received an antipsychotic medication 28 17 15
of long-stay residents who self-report moderate to severe pain 7 5 7
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 19 22 20
of long-stay residents whose need for help with daily activities has increased 17 16 17
of long-stay residents with a catheter inserted and left in their bladder 2 2 1
of long-stay residents with a urinary tract infection 2 2 3
of low risk long-stay residents who lose control of their bowels or bladder 47 47 46
of short-stay residents assessed and appropriately given the pneumococcal vaccine 94 85 87
of short-stay residents who had an outpatient emergency department visit 16 10 13
of short-stay residents who made improvements in function 78 76 72
of short-stay residents who newly received an antipsychotic medication 1 1 1
of short-stay residents who self-report moderate to severe pain 21 14 15
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 88 85 88
of short-stay residents who were rehospitalized after a nursing home admission 20 19 17
of short-stay residents who were successfully discharged to the community 47 56 57
of short-stay residents with pressure ulcers that are new or worsened 0 0 1