MOUNTAIN HOME HEALTH AND REHAB

Nursing Home Inspector

200 HERITAGE DRIVE
HENDERSONVILLE, NC 28739
Henderson County
Phone: 828-693-5849
Provider Number: 345285
Last Inspection: 03/16/2017

About the Nursing Home

Number of Beds: 134
Number of Residents: 103
Beds Available: 31
Percent Occupancy: 77%
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

 

27

Facility
12

County
14

NC
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

27

2017
13

2015
0

2015

Medicare Ratings

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

 

Details by Inspection Date

3/16/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Isolated : Minimal 3 5/16/2017
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 5/16/2017
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 5/16/2017
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 5/16/2017
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 5/16/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 5/16/2017
 
Failed To: Provide routine and 24-hour emergency dental care for each resident. Isolated : Minimal 3 5/16/2017
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern : Minimal 4 5/16/2017
 

12/29/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 2/1/2016
 
Failed To: Give or get specialized rehabilitative services per the patient's assessment or plan of care. Isolated : Minimal 3 2/1/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 2/1/2016
 
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Isolated : Minimal 3 2/1/2016
 

Complaint Investigation Deficiencies

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

Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated : Minimal 3 2/1/2016
 
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 2/1/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg NC State Avg
Number of Residents 103 83.56 84.96
Registered Nurses 0.64 0.92 0.72
Licensed Practical / Vocational Nurses 0.65 0.76 0.87
Certified Nursing Assistants 1.63 2.28 2.33
Total Staff Hours 2.92 3.95 3.91

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% NC State Avg%
of high risk long-stay residents with pressure ulcers 3 5 7
of long-stay residents assessed and appropriately given the pneumococcal vaccine 87 91 93
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 88 96 93
of long-stay residents experiencing one or more falls with major injury 2 5 3
of long-stay residents who have depressive symptoms 0 0 2
of long-stay residents who lose too much weight 10 9 8
of long-stay residents who received an antianxiety or hypnotic medication 32 36 29
of long-stay residents who received an antipsychotic medication 17 14 13
of long-stay residents who self-report moderate to severe pain 4 2 6
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 15 15 23
of long-stay residents whose need for help with daily activities has increased 15 13 18
of long-stay residents with a catheter inserted and left in their bladder 1 1 1
of long-stay residents with a urinary tract infection 7 5 4
of low risk long-stay residents who lose control of their bowels or bladder 61 59 55
of short-stay residents assessed and appropriately given the pneumococcal vaccine 36 84 83
of short-stay residents who had an outpatient emergency department visit 8 9 13
of short-stay residents who newly received an antipsychotic medication 0 58 64
of short-stay residents who self-report moderate to severe pain 0 2 1
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 35 5 14
of short-stay residents who were rehospitalized after a nursing home admission 19 81 81
of short-stay residents with pressure ulcers that are new or worsened 0 17 20