WALNUT CREEK HEALTHCARE AND REHABILITATION CENTER

Nursing Home Inspector

4850 ZUCK ROAD
ERIE, PA 16506
Erie County
Phone: 814-453-6641
Provider Number: 395200
Last Inspection: 04/06/2017

About the Nursing Home

Number of Beds: 115
Number of Residents: 98
Beds Available: 17
Percent Occupancy: 85%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
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

 

37

Facility
22

County
23

PA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

37

2017
29

2016
11

2016

Medicare Ratings

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

 

Details by Inspection Date

4/6/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 5/26/2017
 
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 5/26/2017
 
Failed To: Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. Isolated : Minimal 3 5/26/2017
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 5/26/2017
 
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. Pattern : Minimal 4 5/26/2017
 
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. Pattern : Minimal 4 5/26/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 5/26/2017
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Widespread : Minimal 5 5/26/2017
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern : Minimal 4 5/26/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 5/26/2017
 

9/12/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 11/11/2016
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern : Minimal 4 11/11/2016
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 11/11/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 11/11/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 11/11/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 11/11/2016
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 11/11/2016
 
Failed To: 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. Pattern : Minimal 4 11/11/2016
 

3/25/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 5/6/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 5/6/2016
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern : Minimal 4 5/6/2016
 

Complaint Investigation Deficiencies

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

2/22/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep all essential equipment working safely. Pattern : Minimal 4 3/17/2017
 

5/16/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide or obtain laboratory services only when ordered by the attending physician. Isolated : Minimal 3 5/23/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg PA State Avg
Number of Residents 98 105.32 110.03
Registered Nurses 1.11 0.80 0.94
Licensed Practical / Vocational Nurses 0.98 0.89 0.85
Certified Nursing Assistants 2.51 2.16 2.26
Total Staff Hours 4.61 3.85 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 5 4 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 99 94 94
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98 97 95
of long-stay residents experiencing one or more falls with major injury 12 4 3
of long-stay residents who have depressive symptoms 4 4 2
of long-stay residents who lose too much weight 11 7 7
of long-stay residents who received an antianxiety or hypnotic medication 29 20 22
of long-stay residents who received an antipsychotic medication 13 16 15
of long-stay residents who self-report moderate to severe pain 23 10 6
of long-stay residents who were physically restrained 3 0 0
of long-stay residents whose ability to move independently worsened 13 18 20
of long-stay residents whose need for help with daily activities has increased 15 14 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 7 4 3
of low risk long-stay residents who lose control of their bowels or bladder 48 56 56
of short-stay residents assessed and appropriately given the pneumococcal vaccine 95 84 83
of short-stay residents who had an outpatient emergency department visit 12 9 10
of short-stay residents who made improvements in function 62 60 64
of short-stay residents who newly received an antipsychotic medication 1 2 1
of short-stay residents who self-report moderate to severe pain 41 23 15
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 93 82 82
of short-stay residents who were rehospitalized after a nursing home admission 27 20 20
of short-stay residents who were successfully discharged to the community 66 53 52
of short-stay residents with pressure ulcers that are new or worsened 2 1 0