PARAMOUNT HEALTH AND REHABILITATION

Nursing Home Inspector

4035 SOUTH 500 EAST
SALT LAKE CITY, UT 84107
Salt Lake County
Phone: 801-262-9181
Provider Number: 465100
Last Inspection: 01/23/2017

About the Nursing Home

Number of Beds: 99
Number of Residents: 52
Beds Available: 47
Percent Occupancy: 53%
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

 

71

Facility
38

County
29

UT
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

71

2017
37

2015
15

2014

Medicare Ratings

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

 

Details by Inspection Date

1/23/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 3/20/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 3/20/2017
 
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. Pattern : Minimal 4 3/20/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 3/20/2017
 
Failed To: Hire sufficient dietary support personnel. Pattern : Minimal 4 3/20/2017
 
Failed To: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Isolated : Minimal 3 3/20/2017
 
Failed To: Reasonably accommodate the needs and preferences of each resident. Pattern : Minimal 4 3/20/2017
 
Failed To: Keep clinical record information safe. Pattern : Minimal 4 3/20/2017
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 3/20/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 3/20/2017
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 3/20/2017
 
Failed To: Provide special eating equipment and utensils for each resident who needs them. Isolated : Minimal 3 3/20/2017
 
Failed To: Ensure that residents are safe from serious medication errors. Pattern : Minimal 4 3/20/2017
 
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Isolated : Minimal 3 3/20/2017
 
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 3/20/2017
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 3/20/2017
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 3/20/2017
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Pattern : Potential 3 3/20/2017
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 3/20/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 3/20/2017
 

10/7/2015 Inspection

 
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 : Minimal 3 10/26/2015
 
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 10/26/2015
 
Failed To: 1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe Pattern : Minimal 4 10/26/2015
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 10/26/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 10/26/2015
 
Failed To: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Isolated : Minimal 3 10/26/2015
 
Failed To: Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Isolated : Minimal 3 10/26/2015
 
Failed To: Review or revise the resident's care plan after any major change in physical or mental health. Isolated : Minimal 3 10/26/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 10/26/2015
 
Failed To: Have enough outside ventilation via a window or mechanical ventilation, or both. Pattern : Minimal 4 10/26/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 10/26/2015
 

9/9/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 9/26/2014
 
Failed To: Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. Pattern : Minimal 4 9/26/2014
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 10/11/2014
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 9/26/2014
 

Complaint Investigation Deficiencies

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

1/27/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 2/29/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 2/29/2016
 
Failed To: Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated : Actual 4 2/29/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 2/29/2016
 

11/5/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 12/16/2015
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Actual 4 12/16/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg UT State Avg
Number of Residents 52 59.19 54.00
Registered Nurses 1.14 1.41 1.35
Licensed Practical / Vocational Nurses 0.49 0.51 0.58
Certified Nursing Assistants 2.04 2.57 2.62
Total Staff Hours 3.66 4.49 4.55

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% UT State Avg%
of high risk long-stay residents with pressure ulcers 10 4 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 98 95 96
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 87 93 94
of long-stay residents experiencing one or more falls with major injury 0 2 3
of long-stay residents who have depressive symptoms 10 8 7
of long-stay residents who lose too much weight 7 4 5
of long-stay residents who received an antianxiety or hypnotic medication 24 27 28
of long-stay residents who received an antipsychotic medication 16 16 16
of long-stay residents who self-report moderate to severe pain 12 10 9
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 23 18 17
of long-stay residents whose need for help with daily activities has increased 8 14 13
of long-stay residents with a catheter inserted and left in their bladder 5 1 2
of long-stay residents with a urinary tract infection 6 4 4
of low risk long-stay residents who lose control of their bowels or bladder 62 52 48
of short-stay residents assessed and appropriately given the pneumococcal vaccine 93 87 90
of short-stay residents who had an outpatient emergency department visit 9 10 11
of short-stay residents who made improvements in function 42 55 62
of short-stay residents who newly received an antipsychotic medication 1 1 1
of short-stay residents who self-report moderate to severe pain 34 17 16
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 93 87 87
of short-stay residents who were rehospitalized after a nursing home admission 25 16 15
of short-stay residents who were successfully discharged to the community 50 60 64
of short-stay residents with pressure ulcers that are new or worsened 1 0 0