TREMONT HEALTH AND REHABILITATION CENTER

Nursing Home Inspector

44 DONALDSON ROAD
TREMONT, PA 17981
Schuylkill County
Phone: 570-695-3141
Provider Number: 395499
Last Inspection: 11/18/2016

About the Nursing Home

Number of Beds: 180
Number of Residents: 175
Beds Available: 5
Percent Occupancy: 97%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: Non 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
21

County
23

PA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

7

2016
9

2015
0

2014

Medicare Ratings

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

 

Details by Inspection Date

11/18/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Have enough outside ventilation via a window or mechanical ventilation, or both. Pattern : Potential 3 12/27/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 12/27/2016
 

10/9/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 11/10/2015
 
Failed To: Develop policies and procedures for influenza and pneumococcal immunizations. Isolated : Minimal 3 11/10/2015
 
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 11/10/2015
 

Complaint Investigation Deficiencies

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

9/14/2016 Investigation

 
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 : Actual 4 10/10/2016
 

2/27/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 unknown
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg PA State Avg
Number of Residents 175 109.23 110.03
Registered Nurses 0.44 0.63 0.94
Licensed Practical / Vocational Nurses 0.64 0.71 0.85
Certified Nursing Assistants 1.90 2.20 2.26
Total Staff Hours 2.98 3.54 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 3 4 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 92 96 94
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97 96 95
of long-stay residents experiencing one or more falls with major injury 3 2 3
of long-stay residents who have depressive symptoms 5 1 2
of long-stay residents who lose too much weight 7 7 7
of long-stay residents who received an antianxiety or hypnotic medication 25 23 22
of long-stay residents who received an antipsychotic medication 28 18 15
of long-stay residents who self-report moderate to severe pain 1 4 6
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 20 20 20
of long-stay residents whose need for help with daily activities has increased 14 15 15
of long-stay residents with a catheter inserted and left in their bladder 1 2 1
of long-stay residents with a urinary tract infection 1 3 3
of low risk long-stay residents who lose control of their bowels or bladder 46 47 56
of short-stay residents assessed and appropriately given the pneumococcal vaccine 74 82 83
of short-stay residents who had an outpatient emergency department visit 10 13 10
of short-stay residents who made improvements in function 70 65 64
of short-stay residents who newly received an antipsychotic medication 0 1 1
of short-stay residents who self-report moderate to severe pain 10 14 15
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 79 83 82
of short-stay residents who were rehospitalized after a nursing home admission 20 21 20
of short-stay residents who were successfully discharged to the community 40 44 52
of short-stay residents with pressure ulcers that are new or worsened 1 0 0