DARWAY HEALTHCARE AND REHABILITATION CENTER

Nursing Home Inspector

5865 ROUTE 154
FORKSVILLE, PA 18616
Sullivan County
Phone: 570-924-3411
Provider Number: 395909
Last Inspection: 07/27/2017

About the Nursing Home

Number of Beds: 67
Number of Residents: 60
Beds Available: 7
Percent Occupancy: 90%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For 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

 

26

Facility
18

County
23

PA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

26

2017
28

2016
44

2015

Medicare Ratings

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

 

Details by Inspection Date

7/27/2017 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. Widespread : Potential 4 8/30/2017
 
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 8/30/2017
 
Failed To: Assess in a timely manner the resident when the resident enters the nursing home. Isolated : Minimal 3 8/30/2017
 
Failed To: Completely assess the resident at least every twelve months. Isolated : Minimal 3 8/30/2017
 
Failed To: Assure that each resident’s assessment is updated at least once every 3 months. Isolated : Minimal 3 8/30/2017
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 8/30/2017
 
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 8/30/2017
 
Failed To: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Pattern : Minimal 4 8/30/2017
 

6/17/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Isolated : Minimal 3 7/12/2016
 
Failed To: Upon the death of a resident, convey the resident’s personal funds and an accounting of those funds to the appropriate party. Isolated : Minimal 3 7/12/2016
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 7/12/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 7/12/2016
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 7/12/2016
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 7/12/2016
 
Failed To: Develop policies and procedures for influenza and pneumococcal immunizations. Pattern : Minimal 4 7/12/2016
 
Failed To: Provide or obtain dental services for each resident. Pattern : Minimal 4 7/12/2016
 

7/10/2015 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 8/31/2015
 
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 8/31/2015
 
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 8/31/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 8/31/2015
 
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 8/31/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 8/31/2015
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 8/31/2015
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 8/31/2015
 
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 8/31/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 8/31/2015
 
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated : Minimal 3 8/31/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 8/31/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 8/31/2015
 

Complaint Investigation Deficiencies

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

5/6/2016 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 5/27/2016
 

3/31/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give each resident enough fluids to keep them healthy and prevent dehydration. 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 60 85.00 110.03
Registered Nurses 0.67 0.59 0.94
Licensed Practical / Vocational Nurses 0.60 0.76 0.85
Certified Nursing Assistants 1.87 1.89 2.26
Total Staff Hours 3.14 3.25 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 2 2 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 95 97 94
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96 98 95
of long-stay residents experiencing one or more falls with major injury 3 2 3
of long-stay residents who have depressive symptoms 0 0 2
of long-stay residents who lose too much weight 3 3 7
of long-stay residents who received an antianxiety or hypnotic medication 27 36 22
of long-stay residents who received an antipsychotic medication 27 31 15
of long-stay residents who self-report moderate to severe pain 5 3 6
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 25 24 20
of long-stay residents whose need for help with daily activities has increased 21 20 15
of long-stay residents with a catheter inserted and left in their bladder 0 0 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 57 49 56
of short-stay residents assessed and appropriately given the pneumococcal vaccine 82 84 83
of short-stay residents who had an outpatient emergency department visit 3 7 10
of short-stay residents who newly received an antipsychotic medication 0 70 64
of short-stay residents who self-report moderate to severe pain 18 0 1
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 78 18 15
of short-stay residents who were rehospitalized after a nursing home admission 9 79 82
of short-stay residents who were successfully discharged to the community 5 11 20
of short-stay residents with pressure ulcers that are new or worsened 3 25 52