MIDTOWN MANOR

Nursing Home Inspector

125 SOUTH 900 WEST
SALT LAKE CITY, UT 84104
Salt Lake County
Phone: 801-363-6340
Provider Number: 465124
Last Inspection: 03/29/2017

About the Nursing Home

Number of Beds: 82
Number of Residents: 79
Beds Available: 3
Percent Occupancy: 96%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
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

 

44

Facility
38

County
29

UT
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

44

2017
25

2016
15

2014

Medicare Ratings

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

 

Details by Inspection Date

3/29/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 5/30/2017
 
Failed To: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Pattern : Minimal 4 5/30/2017
 
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. Isolated : Minimal 3 5/30/2017
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 5/30/2017
 
Failed To: Completely assess the resident at least every twelve months. Isolated : Minimal 3 5/30/2017
 
Failed To: Assure that each resident’s assessment is updated at least once every 3 months. Isolated : Minimal 3 5/30/2017
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 5/30/2017
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 5/30/2017
 
Failed To: Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Isolated : Minimal 3 5/30/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 5/30/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 5/30/2017
 
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. Pattern : Minimal 4 5/30/2017
 

1/21/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 3/10/2016
 
Failed To: Assure that each resident’s assessment is updated at least once every 3 months. Pattern : Minimal 4 3/10/2016
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 3/10/2016
 
Failed To: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Widespread : Minimal 5 3/10/2016
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 3/10/2016
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 3/10/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 3/10/2016
 

11/4/2014 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. Pattern : Minimal 4 12/20/2014
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 12/20/2014
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 12/20/2014
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 12/20/2014
 

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 UT State Avg
Number of Residents 79 59.19 54.00
Registered Nurses 0.96 1.41 1.35
Licensed Practical / Vocational Nurses 0.24 0.51 0.58
Certified Nursing Assistants 2.58 2.57 2.62
Total Staff Hours 3.77 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 4 4 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 95 96
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98 93 94
of long-stay residents experiencing one or more falls with major injury 1 2 3
of long-stay residents who have depressive symptoms 37 8 7
of long-stay residents who lose too much weight 3 4 5
of long-stay residents who received an antianxiety or hypnotic medication 39 27 28
of long-stay residents who received an antipsychotic medication 67 16 16
of long-stay residents who self-report moderate to severe pain 4 10 9
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 11 18 17
of long-stay residents whose need for help with daily activities has increased 7 14 13
of long-stay residents with a catheter inserted and left in their bladder 4 1 2
of long-stay residents with a urinary tract infection 4 4 4
of low risk long-stay residents who lose control of their bowels or bladder 40 52 48
of short-stay residents assessed and appropriately given the pneumococcal vaccine 97 87 90
of short-stay residents who self-report moderate to severe pain 0 10 11
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 81 55 62
of short-stay residents with pressure ulcers that are new or worsened 0 1 1