LAKE PRINCE WOODS, INC

Nursing Home Inspector

100 ANNA GOODE WAY
SUFFOLK, VA 23434
Suffolk City County
Phone: 757-923-5500
Provider Number: 495366
Last Inspection: 11/10/2016

About the Nursing Home

Number of Beds: 40
Number of Residents: 30
Beds Available: 10
Percent Occupancy: 75%
Insurance Accepted: Medicare
Types of Councils: Resident
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

 

0

Facility
13

County
27

VA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

0

2016
8

2016
17

2015

Medicare Ratings

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

 

Details by Inspection Date

1/28/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 2/28/2016
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 2/28/2016
 

2/12/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 2/13/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Widespread : Potential 4 2/15/2015
 
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 2/15/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 2/19/2015
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Widespread : Potential 4 2/23/2015
 

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 VA State Avg
Number of Residents 30 71.20 96.74
Registered Nurses 1.22 0.70 0.75
Licensed Practical / Vocational Nurses 1.30 0.90 1.04
Certified Nursing Assistants 2.55 1.96 2.20
Total Staff Hours 5.06 3.55 3.99

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% VA State Avg%
of high risk long-stay residents with pressure ulcers 11 9 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 91 93
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98 89 94
of long-stay residents experiencing one or more falls with major injury 5 4 3
of long-stay residents who have depressive symptoms 11 3 2
of long-stay residents who lose too much weight 1 7 7
of long-stay residents who received an antianxiety or hypnotic medication 16 18 23
of long-stay residents who received an antipsychotic medication 19 12 15
of long-stay residents who self-report moderate to severe pain 10 6 6
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 27 22 20
of long-stay residents whose need for help with daily activities has increased 19 19 16
of long-stay residents with a catheter inserted and left in their bladder 4 2 1
of long-stay residents with a urinary tract infection 12 6 4
of low risk long-stay residents who lose control of their bowels or bladder 38 55 53
of short-stay residents assessed and appropriately given the pneumococcal vaccine 100 81 85
of short-stay residents who had an outpatient emergency department visit 14 12 12
of short-stay residents who made improvements in function 73 68 69
of short-stay residents who newly received an antipsychotic medication 4 1 1
of short-stay residents who self-report moderate to severe pain 16 25 14
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 94 81 83
of short-stay residents who were rehospitalized after a nursing home admission 22 17 21
of short-stay residents who were successfully discharged to the community 62 66 56
of short-stay residents with pressure ulcers that are new or worsened 2 0 0