CENTRO MEDICO WILMA N VAZQUEZ SNF

Nursing Home Inspector

ROAD 2 KM 39 5 BO ALGARROBO
VEGA BAJA, PR 00693
Vega Baja County
Phone: 787-858-1580
Provider Number: 405025
Last Inspection: 05/25/2017

About the Nursing Home

Number of Beds: 25
Number of Residents: 18
Beds Available: 7
Percent Occupancy: 72%
Insurance Accepted: Medicare
Types of Councils: None
Ownership: For profit - Corporation
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

 

20

Facility
20

County
68

PR
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

20

2017
62

2016
100

2015

Medicare Ratings

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

 

Details by Inspection Date

5/25/2017 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 7/11/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 7/11/2017
 
Failed To: Give or get specialized rehabilitative services per the patient's assessment or plan of care. Pattern : Minimal 4 7/11/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 7/11/2017
 
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 7/11/2017
 

3/10/2016 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. Isolated : Minimal 3 5/4/2016
 
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 4/10/2016
 
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 5/4/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 3/10/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 5/4/2016
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Widespread : Minimal 5 4/25/2016
 
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. Widespread : Minimal 5 4/4/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 5/4/2016
 
Failed To: Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. Widespread : Minimal 5 5/4/2016
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern : Minimal 4 4/20/2016
 
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 4/20/2016
 
Failed To: Quickly tell the resident's doctor the results of laboratory tests. Isolated : Minimal 3 5/4/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Widespread : Minimal 5 4/11/2016
 
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 4/30/2016
 

6/18/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. Widespread : Minimal 5 8/5/2015
 
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Widespread : Potential 4 8/5/2015
 
Failed To: Allow residents to have visitors. Widespread : Minimal 5 8/5/2015
 
Failed To: Allow residents to self-administer drugs if determined safe. Widespread : Minimal 5 8/5/2015
 
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. Pattern : Minimal 4 8/5/2015
 
Failed To: Reasonably accommodate the needs and preferences of each resident. Pattern : Minimal 4 8/5/2015
 
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 8/5/2015
 
Failed To: Provide clean bed and bath linens that are in good condition. Pattern : Minimal 4 8/5/2015
 
Failed To: Maintain comfortable and safe temperature levels. Pattern : Minimal 4 8/5/2015
 
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 8/5/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Widespread : Minimal 5 8/5/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 8/5/2015
 
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Widespread : Minimal 5 8/5/2015
 
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Minimal 5 8/5/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 8/5/2015
 
Failed To: Give or get specialized rehabilitative services per the patient's assessment or plan of care. Widespread : Minimal 5 8/5/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 8/5/2015
 
Failed To: Make sure that a working call system is available in each resident's room or bathroom and bathing area. Isolated : Minimal 3 8/5/2015
 
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 8/5/2015
 
Failed To: Operate and provide services according to Federal, State, and local laws and professional standards. Widespread : Minimal 5 8/5/2015
 
Failed To: Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. Pattern : Minimal 4 8/5/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Widespread : Minimal 5 8/5/2015
 

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 18 18.00 16.33
Registered Nurses 2.66 2.66 3.11
Licensed Practical / Vocational Nurses 3.81 3.81 1.98
Certified Nursing Assistants 0.00 Not Available 0.00
Total Staff Hours 6.47 6.47 5.08

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% PR State Avg%
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 Not Available   Not Available  
of long-stay residents experiencing one or more falls with major injury 0 100 100
of long-stay residents who have depressive symptoms 0 Not Available   Not Available  
of long-stay residents who received an antianxiety or hypnotic medication 17 0 0
of long-stay residents who received an antipsychotic medication 0 0 0
of long-stay residents who were physically restrained 0 Not Available   Not Available  
of short-stay residents assessed and appropriately given the pneumococcal vaccine 97 17 17
of short-stay residents who had an outpatient emergency department visit 6 0 0
of short-stay residents who made improvements in function 94 Not Available   Not Available  
of short-stay residents who newly received an antipsychotic medication 2 0 0
of short-stay residents who self-report moderate to severe pain 1 Not Available   Not Available  
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 98 Not Available   Not Available  
of short-stay residents who were rehospitalized after a nursing home admission 3 Not Available   Not Available  
of short-stay residents who were successfully discharged to the community 91 Not Available   Not Available  
of short-stay residents with pressure ulcers that are new or worsened 1 Not Available   Not Available