GRAY'S NURSING HOME

Nursing Home Inspector

555 N CHESTNUT ST
PLATTEVILLE, WI 53818
Grant County
Phone: 608-349-6741
Provider Number: 525530
Last Inspection: 02/08/2017

About the Nursing Home

Number of Beds: 20
Number of Residents: 16
Beds Available: 4
Percent Occupancy: 80%
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

 

6

Facility
10

County
19

WI
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

6

2017
49

2016
35

2015

Medicare Ratings

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

 

Details by Inspection Date

2/8/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 2/28/2017
 
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 2/28/2017
 

4/19/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Widespread : Potential 4 5/11/2016
 
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 5/11/2016
 
Failed To: Keep residents' personal and medical records private and confidential. Pattern : Minimal 4 5/11/2016
 
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 5/11/2016
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Actual 4 5/23/2016
 
Failed To: Develop policies and procedures for influenza and pneumococcal immunizations. Widespread : Minimal 5 5/11/2016
 
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 5/11/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 5/11/2016
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 5/11/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 5/11/2016
 
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. Pattern : Minimal 4 5/11/2016
 
Failed To: Provide or obtain laboratory services only when ordered by the attending physician. Pattern : Minimal 4 5/11/2016
 

3/11/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Isolated : Minimal 3 3/17/2015
 
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 3/30/2015
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 3/19/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 3/25/2015
 
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 3/31/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 3/30/2015
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Actual 4 3/24/2015
 
Failed To: Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated : Actual 4 3/19/2015
 
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 3/27/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 3/30/2015
 

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 WI State Avg
Number of Residents 16 53.78 64.95
Registered Nurses 1.55 0.92 1.00
Licensed Practical / Vocational Nurses 0.00 0.44 0.56
Certified Nursing Assistants 2.29 2.48 2.54
Total Staff Hours 3.84 3.84 4.11

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% WI State Avg%
of high risk long-stay residents with pressure ulcers 9 4 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 99 98
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 98 96
of long-stay residents experiencing one or more falls with major injury 6 5 3
of long-stay residents who have depressive symptoms 0 2 5
of long-stay residents who lose too much weight 0 4 7
of long-stay residents who received an antianxiety or hypnotic medication 33 25 18
of long-stay residents who received an antipsychotic medication 15 12 12
of long-stay residents who were physically restrained 0 6 7
of long-stay residents whose ability to move independently worsened 21 0 0
of long-stay residents whose need for help with daily activities has increased 18 19 18
of long-stay residents with a catheter inserted and left in their bladder 0 16 13
of long-stay residents with a urinary tract infection 0 3 2
of short-stay residents assessed and appropriately given the pneumococcal vaccine 100 1 3
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100 37 46
of short-stay residents with pressure ulcers that are new or worsened 0 94 90