COLONIAL POPLIN NURSING HOME

Nursing Home Inspector

442 MAIN STREET
FREMONT, NH 03044
Rockingham County
Phone: 603-895-3126
Provider Number: 305091
Last Inspection: 10/05/2017

About the Nursing Home

Number of Beds: 50
Number of Residents: 34
Beds Available: 16
Percent Occupancy: 68%
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

 

16

Facility
14

County
9

NH
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

16

2017
9

2016
24

2016

Medicare Ratings

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

 

Details by Inspection Date

10/5/2017 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 11/14/2017
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 11/14/2017
 
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated : Minimal 3 11/14/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 11/14/2017
 
Failed To: Keep all essential equipment working safely. Pattern : Potential 3 11/14/2017
 

11/23/2016 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 12/31/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 12/31/2016
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 12/31/2016
 

2/10/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that residents are fully informed and understand their health status, care and treatments. Isolated : Minimal 3 3/22/2016
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Potential 3 3/22/2016
 
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 3/22/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 3/22/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 3/22/2016
 
Failed To: Give residents a notice of rights, rules, services and charges. Widespread : Potential 4 3/22/2016
 
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 3/22/2016
 

Complaint Investigation Deficiencies

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

12/5/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Isolated : Minimal 3 1/19/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg NH State Avg
Number of Residents 34 79.00 87.55
Registered Nurses 1.15 1.00 0.91
Licensed Practical / Vocational Nurses 0.56 0.86 0.76
Certified Nursing Assistants 4.68 2.64 2.49
Total Staff Hours 6.38 4.50 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 1 4 3
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 99 97
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 98 98
of long-stay residents experiencing one or more falls with major injury 8 4 4
of long-stay residents who have depressive symptoms 1 4 4
of long-stay residents who lose too much weight 15 8 6
of long-stay residents who received an antianxiety or hypnotic medication 17 24 20
of long-stay residents who received an antipsychotic medication 8 15 15
of long-stay residents who self-report moderate to severe pain 5 7 7
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 25 21 20
of long-stay residents whose need for help with daily activities has increased 11 14 17
of long-stay residents with a catheter inserted and left in their bladder 3 1 1
of long-stay residents with a urinary tract infection 2 3 3
of low risk long-stay residents who lose control of their bowels or bladder 49 50 46
of short-stay residents assessed and appropriately given the pneumococcal vaccine 97 93 87
of short-stay residents who had an outpatient emergency department visit 11 14 13
of short-stay residents who made improvements in function 62 65 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 10 16 15
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 97 92 88
of short-stay residents who were rehospitalized after a nursing home admission 21 19 17
of short-stay residents who were successfully discharged to the community 68 66 57
of short-stay residents with pressure ulcers that are new or worsened 2 1 1