BERKS HEIM NURSING & REHABILITATION

Nursing Home Inspector

1011 BERKS ROAD
LEESPORT, PA 19533
Berks County
Phone: 610-376-4841
Provider Number: 395094
Last Inspection: 06/16/2017

About the Nursing Home

Number of Beds: 420
Number of Residents: 412
Beds Available: 8
Percent Occupancy: 98%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: Government - County
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
12

County
23

PA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

22

2017
14

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

6/16/2017 Inspection

 
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 8/7/2017
 
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 8/7/2017
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 8/7/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 8/7/2017
 
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 8/7/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 8/7/2017
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Isolated : Minimal 3 8/7/2017
 

7/15/2016 Inspection

 
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 8/29/2016
 
Failed To: Reasonably accommodate the needs and preferences of each resident. Isolated : Minimal 3 8/29/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 8/29/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 8/29/2016
 

6/5/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 7/31/2015
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread : Minimal 5 7/31/2015
 

Complaint Investigation Deficiencies

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

4/10/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 5/3/2017
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg PA State Avg
Number of Residents 412 149.53 110.03
Registered Nurses 0.70 0.83 0.94
Licensed Practical / Vocational Nurses 0.78 0.74 0.85
Certified Nursing Assistants 2.39 2.17 2.26
Total Staff Hours 3.87 3.74 4.05

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% PA State Avg%
of high risk long-stay residents with pressure ulcers 6 3 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 94 94
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 95 95
of long-stay residents experiencing one or more falls with major injury 3 2 3
of long-stay residents who have depressive symptoms 2 2 2
of long-stay residents who lose too much weight 8 8 7
of long-stay residents who received an antianxiety or hypnotic medication 32 20 22
of long-stay residents who received an antipsychotic medication 27 16 15
of long-stay residents who self-report moderate to severe pain 13 4 6
of long-stay residents who were physically restrained 5 0 0
of long-stay residents whose ability to move independently worsened 26 18 20
of long-stay residents whose need for help with daily activities has increased 18 15 15
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 2 2 3
of low risk long-stay residents who lose control of their bowels or bladder 66 53 56
of short-stay residents assessed and appropriately given the pneumococcal vaccine 98 83 83
of short-stay residents who had an outpatient emergency department visit 3 7 10
of short-stay residents who made improvements in function 81 70 64
of short-stay residents who newly received an antipsychotic medication 5 2 1
of short-stay residents who self-report moderate to severe pain 19 14 15
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 96 82 82
of short-stay residents who were rehospitalized after a nursing home admission 10 18 20
of short-stay residents who were successfully discharged to the community 29 50 52
of short-stay residents with pressure ulcers that are new or worsened 1 0 0