DRESHER HILL HEALTH AND REHAB

Nursing Home Inspector

1390 CAMP HILL ROAD
FORT WASHINGTON, PA 19034
Montgomery County
Phone: 215-628-3800
Provider Number: 395509
Last Inspection: 09/15/2017

About the Nursing Home

Number of Beds: 118
Number of Residents: 110
Beds Available: 8
Percent Occupancy: 93%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
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

 

28

Facility
18

County
23

PA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

28

2017
15

2016
9

2015

Medicare Ratings

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

 

Details by Inspection Date

9/15/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Isolated : Minimal 3 10/19/2017
 
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 10/19/2017
 
Failed To: Reasonably accommodate the needs and preferences of each resident. Isolated : Minimal 3 10/19/2017
 
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern : Minimal 4 10/19/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 10/19/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 10/19/2017
 
Failed To: Ensure residents maintain acceptable nutritional status. Pattern : Minimal 4 10/19/2017
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 10/19/2017
 

10/7/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern : Minimal 4 11/19/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 11/19/2016
 
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 11/19/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 11/19/2016
 

11/19/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Pattern : Potential 3 12/5/2015
 
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 12/5/2015
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 12/5/2015
 

Complaint Investigation Deficiencies

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

2/4/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread : Potential 4 2/15/2016
 

1/29/2015 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 unknown
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg PA State Avg
Number of Residents 110 107.56 110.03
Registered Nurses 0.57 1.11 0.94
Licensed Practical / Vocational Nurses 0.84 0.66 0.85
Certified Nursing Assistants 1.90 2.31 2.26
Total Staff Hours 3.31 4.08 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 8 5 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 96 93 94
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99 94 95
of long-stay residents experiencing one or more falls with major injury 3 3 3
of long-stay residents who have depressive symptoms 1 3 2
of long-stay residents who lose too much weight 6 8 7
of long-stay residents who received an antianxiety or hypnotic medication 22 23 22
of long-stay residents who received an antipsychotic medication 24 13 15
of long-stay residents who self-report moderate to severe pain 3 5 6
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 26 19 20
of long-stay residents whose need for help with daily activities has increased 14 16 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 39 56 56
of short-stay residents assessed and appropriately given the pneumococcal vaccine 67 76 83
of short-stay residents who had an outpatient emergency department visit 5 9 10
of short-stay residents who made improvements in function 64 65 64
of short-stay residents who newly received an antipsychotic medication 5 1 1
of short-stay residents who self-report moderate to severe pain 4 13 15
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 72 78 82
of short-stay residents who were rehospitalized after a nursing home admission 17 21 20
of short-stay residents who were successfully discharged to the community 48 54 52
of short-stay residents with pressure ulcers that are new or worsened 0 0 0