BAPTIST HOME OF SOUTH JERSEY

Nursing Home Inspector

303 BANK AVE
RIVERTON, NJ 08077
Burlington County
Phone: 856-829-2274
Provider Number: 315448
Last Inspection: 10/05/2017

About the Nursing Home

Number of Beds: 60
Number of Residents: 57
Beds Available: 3
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

 

8

Facility
11

County
11

NJ
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

8

2017
28

2016
31

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: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 11/3/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 11/3/2017
 

9/30/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 10/21/2016
 
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 10/21/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 10/21/2016
 
Failed To: Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Isolated : Minimal 3 10/21/2016
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 10/21/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 10/21/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 10/21/2016
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Isolated : Minimal 3 10/21/2016
 

1/12/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 1/31/2016
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 1/31/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Minimal 4 1/31/2016
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 1/31/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 1/31/2016
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Pattern : Minimal 4 1/31/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Immediate 7 1/31/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 1/31/2016
 

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 NJ State Avg
Number of Residents 57 105.06 121.28
Registered Nurses 0.52 1.15 0.98
Licensed Practical / Vocational Nurses 0.93 0.85 0.82
Certified Nursing Assistants 2.09 2.44 2.25
Total Staff Hours 3.53 4.44 4.05

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% NJ State Avg%
of high risk long-stay residents with pressure ulcers 1 5 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 89 94 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98 97 96
of long-stay residents experiencing one or more falls with major injury 6 2 2
of long-stay residents who have depressive symptoms 3 1 1
of long-stay residents who lose too much weight 13 7 6
of long-stay residents who received an antianxiety or hypnotic medication 15 23 20
of long-stay residents who received an antipsychotic medication 6 14 11
of long-stay residents who self-report moderate to severe pain 3 3 2
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 5 14 14
of long-stay residents whose need for help with daily activities has increased 10 11 11
of long-stay residents with a catheter inserted and left in their bladder 0 1 1
of long-stay residents with a urinary tract infection 3 2 2
of low risk long-stay residents who lose control of their bowels or bladder 55 39 39
of short-stay residents assessed and appropriately given the pneumococcal vaccine 84 83 89
of short-stay residents who had an outpatient emergency department visit 8 9 9
of short-stay residents who made improvements in function 62 68 70
of short-stay residents who newly received an antipsychotic medication 1 1 1
of short-stay residents who self-report moderate to severe pain 11 11 6
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 83 83 87
of short-stay residents who were rehospitalized after a nursing home admission 19 23 22
of short-stay residents who were successfully discharged to the community 42 54 56
of short-stay residents with pressure ulcers that are new or worsened 2 0 0