CLAREMONT NRC OF CUMBERLAND CO

Nursing Home Inspector

1000 CLAREMONT ROAD
CARLISLE, PA 17013
Cumberland County
Phone: 717-243-2031
Provider Number: 395660
Last Inspection: 02/10/2017

About the Nursing Home

Number of Beds: 282
Number of Residents: 265
Beds Available: 17
Percent Occupancy: 94%
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

 

6

Facility
26

County
23

PA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

6

2017
11

2016
30

2014

Medicare Ratings

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

 

Details by Inspection Date

2/10/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated : Minimal 3 2/28/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 2/28/2017
 

1/7/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Upon the death of a resident, convey the resident’s personal funds and an accounting of those funds to the appropriate party. Pattern : Minimal 4 2/15/2016
 
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 2/15/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 2/15/2016
 

12/12/2014 Inspection

 
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 1/19/2015
 
Failed To: Provide housekeeping and maintenance services. Isolated : Minimal 3 1/19/2015
 
Failed To: Maintain comfortable and safe temperature levels. Isolated : Minimal 3 1/19/2015
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 1/19/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 1/19/2015
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 1/19/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 1/19/2015
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern : Minimal 4 1/19/2015
 
Failed To: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Isolated : Minimal 3 1/19/2015
 

Complaint Investigation Deficiencies

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

12/11/2016 Investigation

 
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. Isolated : Minimal 3 1/6/2017
 

7/30/2015 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 unknown
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 unknown
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 unknown
 
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 unknown
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg PA State Avg
Number of Residents 265 103.82 110.03
Registered Nurses 0.55 0.77 0.94
Licensed Practical / Vocational Nurses 0.81 0.99 0.85
Certified Nursing Assistants 2.48 2.31 2.26
Total Staff Hours 3.84 4.07 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 5 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 95 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 3 3
of long-stay residents who have depressive symptoms 3 3 2
of long-stay residents who lose too much weight 3 7 7
of long-stay residents who received an antianxiety or hypnotic medication 28 21 22
of long-stay residents who received an antipsychotic medication 24 12 15
of long-stay residents who self-report moderate to severe pain 5 5 6
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 24 19 20
of long-stay residents whose need for help with daily activities has increased 13 14 15
of long-stay residents with a catheter inserted and left in their bladder 0 1 1
of long-stay residents with a urinary tract infection 3 2 3
of low risk long-stay residents who lose control of their bowels or bladder 62 58 56
of short-stay residents assessed and appropriately given the pneumococcal vaccine 96 86 83
of short-stay residents who had an outpatient emergency department visit 10 8 10
of short-stay residents who made improvements in function 72 66 64
of short-stay residents who newly received an antipsychotic medication 3 2 1
of short-stay residents who self-report moderate to severe pain 6 11 15
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 93 86 82
of short-stay residents who were rehospitalized after a nursing home admission 14 17 20
of short-stay residents who were successfully discharged to the community 47 53 52
of short-stay residents with pressure ulcers that are new or worsened 0 0 0