PRESTON RESIDENCE

Nursing Home Inspector

200 SYCAMORE DRIVE
WEST GROVE, PA 19390
Chester County
Phone: 610-869-6767
Provider Number: 396090
Last Inspection: 12/15/2016

About the Nursing Home

Number of Beds: 38
Number of Residents: 25
Beds Available: 13
Percent Occupancy: 66%
Insurance Accepted: Medicare
Types of Councils: None
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

 

10

Facility
16

County
23

PA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

10

2016
21

2015
21

2014

Medicare Ratings

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

 

Details by Inspection Date

12/15/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 1/5/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 1/5/2017
 
Failed To: Provide routine and 24-hour emergency dental care for each resident. Isolated : Minimal 3 1/5/2017
 

11/30/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 12/10/2015
 
Failed To: Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. Isolated : Minimal 3 12/2/2015
 
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 12/10/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 11/30/2015
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 12/1/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 12/10/2015
 
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 12/10/2015
 

12/19/2014 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 2/17/2015
 
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 2/17/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 2/17/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 2/17/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 2/17/2015
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 1/16/2015
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 2/17/2015
 

Complaint Investigation Deficiencies

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

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg PA State Avg
Number of Residents 25 98.33 110.03
Registered Nurses 1.62 1.16 0.94
Licensed Practical / Vocational Nurses 1.28 0.99 0.85
Certified Nursing Assistants 3.11 2.49 2.26
Total Staff Hours 6.01 4.64 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 5 4 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 97 94
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 83 95 95
of long-stay residents experiencing one or more falls with major injury 0 3 3
of long-stay residents who have depressive symptoms 0 2 2
of long-stay residents who lose too much weight 5 6 7
of long-stay residents who received an antipsychotic medication 17 20 22
of long-stay residents who were physically restrained 0 16 15
of long-stay residents with a catheter inserted and left in their bladder 0 6 6
of long-stay residents with a urinary tract infection 5 0 0
of short-stay residents assessed and appropriately given the pneumococcal vaccine 99 16 20
of short-stay residents who had an outpatient emergency department visit 13 13 15
of short-stay residents who made improvements in function 72 1 1
of short-stay residents who newly received an antipsychotic medication 0 3 3
of short-stay residents who self-report moderate to severe pain 16 60 56
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 87 82 83
of short-stay residents who were rehospitalized after a nursing home admission 20 10 10
of short-stay residents who were successfully discharged to the community 76 59 64
of short-stay residents with pressure ulcers that are new or worsened 0 1 1