HAMILTON ARMS CENTER

Nursing Home Inspector

336 SOUTH WEST END AVENUE
LANCASTER, PA 17603
Lancaster County
Phone: 717-393-0419
Provider Number: 395224
Last Inspection: 03/10/2017

About the Nursing Home

Number of Beds: 94
Number of Residents: 87
Beds Available: 7
Percent Occupancy: 93%
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

 

7

Facility
15

County
23

PA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

7

2017
9

2016
24

2015

Medicare Ratings

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

 

Details by Inspection Date

3/10/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 4/19/2017
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 4/19/2017
 

2/29/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 4/29/2016
 
Failed To: Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. Widespread : Minimal 5 4/29/2016
 

3/31/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 5/27/2015
 
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 5/30/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 5/30/2015
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 5/27/2015
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Isolated : Minimal 3 5/30/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 5/30/2015
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 5/27/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 5/27/2015
 

Complaint Investigation Deficiencies

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

7/21/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 9/19/2017
 

3/27/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 4/19/2017
 

7/14/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 8/8/2016
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 8/8/2016
 
Failed To: Provide special eating equipment and utensils for each resident who needs them. Isolated : Minimal 3 8/8/2016
 

10/27/2015 Investigation

 
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. Isolated : Minimal 3 12/11/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg PA State Avg
Number of Residents 87 116.03 110.03
Registered Nurses 0.83 0.88 0.94
Licensed Practical / Vocational Nurses 0.71 0.97 0.85
Certified Nursing Assistants 1.79 2.56 2.26
Total Staff Hours 3.33 4.42 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 4 3 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 96 97 94
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99 97 95
of long-stay residents experiencing one or more falls with major injury 2 3 3
of long-stay residents who have depressive symptoms 1 2 2
of long-stay residents who lose too much weight 7 7 7
of long-stay residents who received an antianxiety or hypnotic medication 5 20 22
of long-stay residents who received an antipsychotic medication 20 13 15
of long-stay residents who self-report moderate to severe pain 7 7 6
of long-stay residents who were physically restrained 1 0 0
of long-stay residents whose ability to move independently worsened 29 18 20
of long-stay residents whose need for help with daily activities has increased 16 13 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 3 3
of low risk long-stay residents who lose control of their bowels or bladder 46 60 56
of short-stay residents assessed and appropriately given the pneumococcal vaccine 70 89 83
of short-stay residents who had an outpatient emergency department visit 0 7 10
of short-stay residents who made improvements in function 81 72 64
of short-stay residents who newly received an antipsychotic medication 2 1 1
of short-stay residents who self-report moderate to severe pain 23 15 15
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 87 88 82
of short-stay residents who were rehospitalized after a nursing home admission 14 14 20
of short-stay residents who were successfully discharged to the community 53 60 52
of short-stay residents with pressure ulcers that are new or worsened 0 0 0