CRAWFORD COUNTY CARE CENTER

Nursing Home Inspector

20881 STATE HIGHWAY 198
SAEGERTOWN, PA 16433
Crawford County
Phone: 814-763-2445
Provider Number: 395853
Last Inspection: 06/23/2017

About the Nursing Home

Number of Beds: 157
Number of Residents: 134
Beds Available: 23
Percent Occupancy: 85%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
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

 

42

Facility
23

County
23

PA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

42

2017
18

2016
39

2015

Medicare Ratings

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

 

Details by Inspection Date

6/23/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. Isolated : Minimal 3 7/29/2017
 
Failed To: Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Isolated : Minimal 3 7/29/2017
 
Failed To: Give residents a notice of rights, rules, services and charges. Widespread : Potential 4 7/29/2017
 
Failed To: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Pattern : Minimal 4 7/29/2017
 
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated : Minimal 3 7/29/2017
 
Failed To: Provide resident groups or resident family groups with private space to meet. Isolated : Minimal 3 7/29/2017
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 7/29/2017
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 7/29/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 7/29/2017
 
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 7/29/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 7/29/2017
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 7/29/2017
 

12/15/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Pattern : Potential 3 12/30/2016
 
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 12/30/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 12/30/2016
 
Failed To: Post nurse staffing information/data on a daily basis. Pattern : Potential 3 12/30/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 12/30/2016
 

12/10/2015 Inspection

 
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 2/5/2016
 
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 2/5/2016
 
Failed To: Reasonably accommodate the needs and preferences of each resident. Isolated : Minimal 3 2/5/2016
 
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 2/5/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 2/5/2016
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 2/5/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 2/5/2016
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 2/5/2016
 
Failed To: Develop policies and procedures for influenza and pneumococcal immunizations. Isolated : Minimal 3 2/5/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 2/5/2016
 
Failed To: Have enough backup water supply for essential areas of the nursing home. Widespread : Minimal 5 2/5/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 2/5/2016
 

Complaint Investigation Deficiencies

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

7/9/2015 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 9/7/2015
 
Failed To: Provide timely notification to the resident before transfer or discharge. Isolated : Minimal 3 9/7/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 9/7/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 9/7/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 9/7/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg PA State Avg
Number of Residents 134 117.50 110.03
Registered Nurses 0.55 1.14 0.94
Licensed Practical / Vocational Nurses 0.78 1.26 0.85
Certified Nursing Assistants 2.20 2.13 2.26
Total Staff Hours 3.53 4.53 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 7 4 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 99 94
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 98 95
of long-stay residents experiencing one or more falls with major injury 2 3 3
of long-stay residents who have depressive symptoms 4 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 14 23 22
of long-stay residents who received an antipsychotic medication 13 20 15
of long-stay residents who self-report moderate to severe pain 6 6 6
of long-stay residents who were physically restrained 1 0 0
of long-stay residents whose ability to move independently worsened 17 15 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 5 5 3
of low risk long-stay residents who lose control of their bowels or bladder 48 53 56
of short-stay residents assessed and appropriately given the pneumococcal vaccine 92 94 83
of short-stay residents who had an outpatient emergency department visit 11 15 10
of short-stay residents who made improvements in function 78 68 64
of short-stay residents who newly received an antipsychotic medication 4 1 1
of short-stay residents who self-report moderate to severe pain 18 18 15
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 88 91 82
of short-stay residents who were rehospitalized after a nursing home admission 20 19 20
of short-stay residents who were successfully discharged to the community 37 50 52
of short-stay residents with pressure ulcers that are new or worsened 6 2 0