BRIGHTWOOD CENTER

Nursing Home Inspector

840 LEE ROAD
FOLLANSBEE, WV 26037
Brooke County
Phone: 304-527-1100
Provider Number: 515128
Last Inspection: 11/04/2016

About the Nursing Home

Number of Beds: 128
Number of Residents: 109
Beds Available: 19
Percent Occupancy: 85%
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

 

89

Facility
44

County
28

WV
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

89

2016
21

2015
45

2014

Medicare Ratings

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

 

Details by Inspection Date

11/4/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Pattern : Minimal 4 12/14/2016
 
Failed To: Upon the death of a resident, convey the resident’s personal funds and an accounting of those funds to the appropriate party. Isolated : Minimal 3 12/14/2016
 
Failed To: Provide proof that residents' personal money that is deposited with the nursing home is secure. Pattern : Minimal 4 12/14/2016
 
Failed To: Protect each resident from all abuse, physical punishment, and involuntary separation from others. Isolated : Minimal 3 12/14/2016
 
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 12/14/2016
 
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 12/14/2016
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 12/14/2016
 
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 12/14/2016
 
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 12/14/2016
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 12/14/2016
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 12/14/2016
 
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 12/14/2016
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 12/14/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 12/14/2016
 
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 12/14/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 12/14/2016
 
Failed To: Provide routine and 24-hour emergency dental care for each resident. Isolated : Minimal 3 12/14/2016
 
Failed To: Provide or obtain dental services for each resident. Isolated : Minimal 3 12/14/2016
 
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. Pattern : Minimal 4 12/14/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 12/14/2016
 
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Widespread : Minimal 5 12/14/2016
 
Failed To: Give or get x-rays or tests only when they are ordered by the attending physician. Isolated : Minimal 3 12/14/2016
 
Failed To: Keep signed and dated reports of x-rays and other diagnostic services. Isolated : Minimal 3 12/14/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 12/14/2016
 
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 12/14/2016
 

8/20/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 9/28/2015
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 9/28/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 9/28/2015
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 9/28/2015
 
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 : Minimal 3 9/28/2015
 
Failed To: Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Isolated : Minimal 3 9/28/2015
 

5/19/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents to self-administer drugs if determined safe. Isolated : Minimal 3 7/3/2014
 
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 7/3/2014
 
Failed To: Give notice to the resident before a room or roommate change. Isolated : Minimal 3 7/3/2014
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 7/3/2014
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 7/3/2014
 
Failed To: Review or revise the resident's care plan after any major change in physical or mental health. Isolated : Minimal 3 7/3/2014
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 7/3/2014
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 7/3/2014
 
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated : Minimal 3 7/3/2014
 
Failed To: Post nurse staffing information/data on a daily basis. Pattern : Potential 3 7/3/2014
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 7/3/2014
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 7/3/2014
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 7/3/2014
 

Complaint Investigation Deficiencies

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

3/4/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 4/14/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 4/14/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 4/14/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 4/14/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 4/14/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg WV State Avg
Number of Residents 109 81.00 75.79
Registered Nurses 0.52 0.71 0.71
Licensed Practical / Vocational Nurses 0.80 0.78 0.86
Certified Nursing Assistants 2.01 1.95 2.13
Total Staff Hours 3.33 3.43 3.69

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% WV State Avg%
of high risk long-stay residents with pressure ulcers 2 1 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 100 97
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96 97 96
of long-stay residents experiencing one or more falls with major injury 2 2 4
of long-stay residents who have depressive symptoms 35 17 4
of long-stay residents who lose too much weight 7 6 7
of long-stay residents who received an antianxiety or hypnotic medication 31 28 26
of long-stay residents who received an antipsychotic medication 16 12 15
of long-stay residents who self-report moderate to severe pain 7 3 5
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 39 30 22
of long-stay residents whose need for help with daily activities has increased 29 21 17
of long-stay residents with a catheter inserted and left in their bladder 2 2 2
of long-stay residents with a urinary tract infection 4 4 5
of low risk long-stay residents who lose control of their bowels or bladder 36 44 43
of short-stay residents assessed and appropriately given the pneumococcal vaccine 95 94 85
of short-stay residents who had an outpatient emergency department visit 15 15 15
of short-stay residents who made improvements in function 55 69 65
of short-stay residents who newly received an antipsychotic medication 3 1 2
of short-stay residents who self-report moderate to severe pain 20 11 14
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 82 84 83
of short-stay residents who were rehospitalized after a nursing home admission 27 28 23
of short-stay residents who were successfully discharged to the community 39 39 45
of short-stay residents with pressure ulcers that are new or worsened 0 1 1