FAIRVIEW CARE CENTER OF BETHLEHEM PIKE

Nursing Home Inspector

184 BETHLEHEM PIKE
PHILADELPHIA, PA 19118
Philadelphia County
Phone: 215-247-5311
Provider Number: 395782
Last Inspection: 11/01/2016

About the Nursing Home

Number of Beds: 176
Number of Residents: 162
Beds Available: 14
Percent Occupancy: 92%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Partnership
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

 

25

Facility
23

County
23

PA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

25

2016
11

2015
11

2015

Medicare Ratings

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

 

Details by Inspection Date

11/1/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated : Minimal 3 12/15/2016
 
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 12/15/2016
 
Failed To: Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. Isolated : Minimal 3 12/15/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 12/15/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 12/15/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 12/15/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 12/15/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 12/15/2016
 

12/14/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Reasonably accommodate the needs and preferences of each resident. Pattern : Minimal 4 1/27/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 1/27/2016
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Isolated : Minimal 3 1/27/2016
 

1/23/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 3/10/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 3/10/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 3/10/2015
 

Complaint Investigation Deficiencies

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

9/8/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Reasonably accommodate the needs and preferences of each resident. Isolated : Minimal 3 10/23/2017
 
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 10/23/2017
 

4/24/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 6/12/2017
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 6/12/2017
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg PA State Avg
Number of Residents 162 145.15 110.03
Registered Nurses 1.03 1.02 0.94
Licensed Practical / Vocational Nurses 0.55 0.84 0.85
Certified Nursing Assistants 2.09 2.44 2.26
Total Staff Hours 3.66 4.30 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 11 6 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 96 86 94
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 93 92 95
of long-stay residents experiencing one or more falls with major injury 1 2 3
of long-stay residents who have depressive symptoms 7 2 2
of long-stay residents who lose too much weight 12 8 7
of long-stay residents who received an antianxiety or hypnotic medication 11 18 22
of long-stay residents who received an antipsychotic medication 11 12 15
of long-stay residents who self-report moderate to severe pain 11 5 6
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 15 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 2 1
of long-stay residents with a urinary tract infection 1 1 3
of low risk long-stay residents who lose control of their bowels or bladder 59 59 56
of short-stay residents assessed and appropriately given the pneumococcal vaccine 78 64 83
of short-stay residents who had an outpatient emergency department visit 8 11 10
of short-stay residents who made improvements in function 60 56 64
of short-stay residents who newly received an antipsychotic medication 3 1 1
of short-stay residents who self-report moderate to severe pain 22 14 15
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 74 68 82
of short-stay residents who were rehospitalized after a nursing home admission 22 25 20
of short-stay residents who were successfully discharged to the community 55 52 52
of short-stay residents with pressure ulcers that are new or worsened 4 0 0