GRACE LUTHERAN COMMUNITIES - RIVER PINES

Nursing Home Inspector

206 N WILLSON DR
ALTOONA, WI 54720
Eau Claire County
Phone: 715-598-7800
Provider Number: 525724
Last Inspection: 08/11/2017

About the Nursing Home

Number of Beds: 50
Number of Residents: 47
Beds Available: 3
Percent Occupancy: 94%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: Non profit - Church related
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

 

35

Facility
14

County
19

WI
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

35

2017
7

2016

Medicare Ratings

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

 

Details by Inspection Date

8/11/2017 Inspection

 
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. Pattern : Minimal 4 9/18/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 9/18/2017
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Actual 4 9/18/2017
 
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. Pattern : Minimal 4 9/18/2017
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Actual 4 9/18/2017
 
Failed To: Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated : Actual 4 9/18/2017
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 9/18/2017
 
Failed To: Develop policies and procedures for influenza and pneumococcal immunizations. Isolated : Minimal 3 9/18/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 9/18/2017
 

7/20/2016 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 7/22/2016
 
Failed To: Train all employees on what to do in an emergency, and carry out unannounced staff drills. Widespread : Potential 4 7/22/2016
 

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 47 48.44 64.95
Registered Nurses 0.78 1.10 1.00
Licensed Practical / Vocational Nurses 0.24 0.42 0.56
Certified Nursing Assistants 2.94 2.29 2.54
Total Staff Hours 3.96 3.82 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 3 4 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 98 98 98
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97 97 96
of long-stay residents experiencing one or more falls with major injury 4 2 3
of long-stay residents who have depressive symptoms 4 3 5
of long-stay residents who lose too much weight 2 5 7
of long-stay residents who received an antianxiety or hypnotic medication 31 23 18
of long-stay residents who received an antipsychotic medication 14 13 12
of long-stay residents who self-report moderate to severe pain 15 8 7
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 43 25 18
of long-stay residents whose need for help with daily activities has increased 24 17 13
of long-stay residents with a catheter inserted and left in their bladder 5 2 2
of long-stay residents with a urinary tract infection 6 4 3
of low risk long-stay residents who lose control of their bowels or bladder 45 44 46
of short-stay residents assessed and appropriately given the pneumococcal vaccine 86 90 90
of short-stay residents who made improvements in function 84 15 12
of short-stay residents who newly received an antipsychotic medication 1 76 74
of short-stay residents who self-report moderate to severe pain 15 1 1
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 82 22 18
of short-stay residents with pressure ulcers that are new or worsened 0 90 86