RYDER MEMORIAL HOSPITAL INC

Nursing Home Inspector

355 AVE FONT MARTELO
HUMACAO, PR 00792
Humacao County
Phone: 787-852-0768
Provider Number: 405018
Last Inspection: 05/04/2017

About the Nursing Home

Number of Beds: 42
Number of Residents: 28
Beds Available: 14
Percent Occupancy: 67%
Insurance Accepted: Medicare
Types of Councils: None
Ownership: Non profit - Church related
Within Hospital?: YES

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

 

116

Facility
116

County
68

PR
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

116

2017
80

2016
122

2015

Medicare Ratings

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

 

Details by Inspection Date

5/4/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 7/12/2017
 
Failed To: Try to resolve each resident's complaints quickly. Isolated : Minimal 3 7/12/2017
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Actual 5 7/12/2017
 
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Widespread : Minimal 5 7/12/2017
 
Failed To: Provide housekeeping and maintenance services. Widespread : Minimal 5 7/12/2017
 
Failed To: Provide clean bed and bath linens that are in good condition. Pattern : Minimal 4 7/12/2017
 
Failed To: Provide adequate and comfortable lighting levels in all areas. Isolated : Minimal 3 7/12/2017
 
Failed To: Maintain comfortable and safe temperature levels. Pattern : Minimal 4 7/12/2017
 
Failed To: Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Isolated : Minimal 3 7/12/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 7/12/2017
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Actual 4 7/12/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Widespread : Minimal 5 7/12/2017
 
Failed To: Develop policies and procedures for influenza and pneumococcal immunizations. Widespread : Minimal 5 7/12/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 7/12/2017
 
Failed To: Make sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor. Isolated : Minimal 3 7/12/2017
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 7/12/2017
 
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. Pattern : Minimal 4 7/12/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 7/12/2017
 
Failed To: Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers. Widespread : Minimal 5 7/12/2017
 
Failed To: Keep all essential equipment working safely. Widespread : Minimal 5 7/12/2017
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread : Minimal 5 7/12/2017
 
Failed To: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Widespread : Minimal 5 7/12/2017
 
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Widespread : Minimal 5 7/12/2017
 
Failed To: Operate and provide services according to Federal, State, and local laws and professional standards. Widespread : Minimal 5 7/12/2017
 
Failed To: Quickly tell the resident's doctor the results of laboratory tests. Isolated : Actual 4 7/12/2017
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Widespread : Minimal 5 7/12/2017
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Widespread : Minimal 5 7/12/2017
 

3/17/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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. Pattern : Minimal 4 5/10/2016
 
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern : Minimal 4 5/10/2016
 
Failed To: Maintain comfortable and safe temperature levels. Isolated : Minimal 3 5/10/2016
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 5/10/2016
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern : Minimal 4 5/10/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Minimal 4 5/10/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 5/10/2016
 
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 5/10/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 5/10/2016
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 5/10/2016
 
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 : Actual 4 5/10/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Widespread : Minimal 5 5/10/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 5/10/2016
 
Failed To: Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. Widespread : Minimal 5 5/10/2016
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread : Minimal 5 5/10/2016
 
Failed To: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Isolated : Minimal 3 5/10/2016
 
Failed To: Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. Widespread : Minimal 5 5/10/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Widespread : Minimal 5 5/10/2016
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Widespread : Minimal 5 5/10/2016
 

7/6/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Isolated : Minimal 3 8/25/2015
 
Failed To: Allow residents to have visitors. Widespread : Minimal 5 8/25/2015
 
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. Widespread : Minimal 5 8/25/2015
 
Failed To: Reasonably accommodate the needs and preferences of each resident. Isolated : Actual 4 8/25/2015
 
Failed To: Provide housekeeping and maintenance services. Widespread : Minimal 5 8/25/2015
 
Failed To: Maintain comfortable and safe temperature levels. Widespread : Minimal 5 8/25/2015
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Widespread : Minimal 5 8/25/2015
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 8/25/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Widespread : Minimal 5 8/25/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 8/25/2015
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Widespread : Minimal 5 8/25/2015
 
Failed To: Give each resident enough fluids to keep them healthy and prevent dehydration. Widespread : Minimal 5 8/25/2015
 
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 8/25/2015
 
Failed To: Develop policies and procedures for influenza and pneumococcal immunizations. Widespread : Minimal 5 8/25/2015
 
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Widespread : Minimal 5 8/25/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 8/25/2015
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Widespread : Minimal 5 8/25/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 8/25/2015
 
Failed To: Keep all essential equipment working safely. Widespread : Minimal 5 8/25/2015
 
Failed To: Provide bedrooms that don't allow residents to see each other when privacy is needed. Widespread : Minimal 5 8/25/2015
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread : Minimal 5 8/25/2015
 
Failed To: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Widespread : Minimal 5 8/25/2015
 
Failed To: Operate and provide services according to Federal, State, and local laws and professional standards. Widespread : Minimal 5 8/25/2015
 
Failed To: Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. Widespread : Minimal 5 8/25/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Widespread : Minimal 5 8/25/2015
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Widespread : Minimal 5 8/25/2015
 

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 PR State Avg
Number of Residents 28 28.00 16.33
Registered Nurses 3.51 3.51 3.11
Licensed Practical / Vocational Nurses 0.00 Not Available 1.98
Certified Nursing Assistants 0.00 Not Available 0.00
Total Staff Hours 3.51 3.51 5.08

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% PR State Avg%
of short-stay residents assessed and appropriately given the pneumococcal vaccine 81 Not Available   Not Available  
of short-stay residents who had an outpatient emergency department visit 13 Not Available   100
of short-stay residents who made improvements in function 72 Not Available   Not Available  
of short-stay residents who newly received an antipsychotic medication 1 Not Available   0
of short-stay residents who self-report moderate to severe pain 17 Not Available   0
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 83 Not Available   Not Available  
of short-stay residents who were rehospitalized after a nursing home admission 10 Not Available   17
of short-stay residents who were successfully discharged to the community 87 Not Available   0
of short-stay residents with pressure ulcers that are new or worsened 0 Not Available   Not Available