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PALMYRA NURSING HOME
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728706165
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Details
Costs
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CMS Inspection Results
The Center for Medicare & Medcaid Services (CMS) contracts with each state to conduct inspections once every 9-15 months to assure that certified facilities meet the minimum Medicare and Medicaid quality and performance standards.
- 08/09/2007 Health Survey for PALMYRA NURSING HOME
| Administration | ||
| Deficiency | Scope | Level of Harm |
| Make sure that nurse aides show they have the skills to be able to care for residents. | Pattern | Minimal harm or potential for actual harm |
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm |
| Provide needed housekeeping and maintenance. | Pattern | Potential for minimal harm |
| Pharmacy Service | ||
| Deficiency | Scope | Level of Harm |
| At least once a month, have a licensed pharmacist check the drugs that each resident takes. | Isolated | Minimal harm or potential for actual harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Actual harm |
| Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | Pattern | Minimal harm or potential for actual harm |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Isolated | Minimal harm or potential for actual harm |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Isolated | Minimal harm or potential for actual harm |
| Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. | Isolated | Minimal harm or potential for actual harm |
| Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | Isolated | Minimal harm or potential for actual harm |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Isolated | Minimal harm or potential for actual harm |
| Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm |
| Provide activities to meet the needs of each resident. | Isolated | Minimal harm or potential for actual harm |
| Resident Assessment | ||
| Deficiency | Scope | Level of Harm |
| Make sure that doctors visit residents regularly, as required. | Pattern | Minimal harm or potential for actual harm |
| 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | Isolated | Minimal harm or potential for actual harm |
| Make sure that all needed doctor visits are made personally by a doctor, as required. | Isolated | Minimal harm or potential for actual harm |
| Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | Pattern | Potential for minimal harm |
| Resident Rights | ||
| Deficiency | Scope | Level of Harm |
| Let each resident choose a personal doctor. | Isolated | Minimal harm or potential for actual harm |
| Quickly give a resident's personal money to the heads of his or her estate after the resident's death. | Widespread | Potential for minimal harm |
| Provide proof that all residents' personal money which is deposited with the nursing home, is secure. | Widespread | Potential for minimal harm |
| Bill properly: Charged resident for items that Medicare or Medicaid pays for. | Widespread | Potential for minimal harm |
| Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. | Widespread | Potential for minimal harm |
- 08/09/2007 Fire Safety Survey for PALMYRA NURSING HOME
| Electrical | ||
| Deficiency | Scope | Level of Harm |
| properly installed electrical wiring and equipment. | Pattern | Minimal harm or potential for actual harm |
| Fire Alarm Systems | ||
| Deficiency | Scope | Level of Harm |
| properly maintained smoke detectors. | Pattern | Minimal harm or potential for actual harm |
| Smoke Compartmentation and Control | ||
| Deficiency | Scope | Level of Harm |
| walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. | Pattern | Minimal harm or potential for actual harm |
- 06/15/2006 Health Survey for PALMYRA NURSING HOME
| Administration | ||
| Deficiency | Scope | Level of Harm |
| Quickly tell the resident's doctor the results of lab tests. | Isolated | Minimal harm or potential for actual harm |
| Choose a doctor to be the medical director. | Isolated | Minimal harm or potential for actual harm |
| Keep accurate and appropriate medical records. | Pattern | Potential for minimal harm |
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Have a program to keep infection from spreading. | Widespread | Minimal harm or potential for actual harm |
| Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection. | Pattern | Minimal harm or potential for actual harm |
| Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm |
| Provide needed housekeeping and maintenance. | Widespread | Potential for minimal harm |
| Mistreatment | ||
| Deficiency | Scope | Level of Harm |
| 1) Hire only people who have 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 harm or potential for actual harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Give each resident care and services to get or keep the highest quality of life possible. | Pattern | Minimal harm or potential for actual harm |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Isolated | Minimal harm or potential for actual harm |
| Make sure that each resident's nutritional needs were met. | Isolated | Minimal harm or potential for actual harm |
| Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | Isolated | Minimal harm or potential for actual harm |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Minimal harm or potential for actual harm |
| Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm |
| Resident Assessment | ||
| Deficiency | Scope | Level of Harm |
| Make a complete assessment that covers all questions for areas that are listed in official regulations. | Isolated | Minimal harm or potential for actual harm |
| Make sure that all needed doctor visits are made personally by a doctor, as required. | Isolated | Minimal harm or potential for actual harm |
| Make sure that doctors visit residents regularly, as required. | Isolated | Minimal harm or potential for actual harm |
| Resident Rights | ||
| Deficiency | Scope | Level of Harm |
| Provide services to meet the needs and preferences of each resident. | Isolated | Minimal harm or potential for actual harm |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | Isolated | Minimal harm or potential for actual harm |
| Keep each resident's personal and medical records private and confidential. | Isolated | Minimal harm or potential for actual harm |
| Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm |
- 06/15/2006 Fire Safety Survey for PALMYRA NURSING HOME
| Automatic Sprinkler Systems | ||
| Deficiency | Scope | Level of Harm |
| automatic sprinkler systems that have been maintained in working order. | Isolated | Minimal harm or potential for actual harm |
| an approved automatic sprinkler system connected to the fire alarm system. | Isolated | Minimal harm or potential for actual harm |
| Building Service Equipment | ||
| Deficiency | Scope | Level of Harm |
| heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Isolated | Minimal harm or potential for actual harm |
| Corridor Walls and Doors | ||
| Deficiency | Scope | Level of Harm |
| corridor and hallway doors that block smoke. | Isolated | Minimal harm or potential for actual harm |
| Electrical | ||
| Deficiency | Scope | Level of Harm |
| properly installed electrical wiring and equipment. | Pattern | Minimal harm or potential for actual harm |
| Fire Alarm Systems | ||
| Deficiency | Scope | Level of Harm |
| an approved installation, maintenance and testing program for fire alarm systems. | Isolated | Minimal harm or potential for actual harm |
| Furnishings and Decorations | ||
| Deficiency | Scope | Level of Harm |
| restrictions on the use of flammable curtains. | Isolated | Minimal harm or potential for actual harm |
| Illumination and Emergency Power | ||
| Deficiency | Scope | Level of Harm |
| emergency lighting that can last at least 1 1/2 hours. | Pattern | Minimal harm or potential for actual harm |
| Medical Gases and Anesthetizing Areas | ||
| Deficiency | Scope | Level of Harm |
| no-smoking signs where oxygen is used. | Isolated | Minimal harm or potential for actual harm |
| Smoke Compartmentation and Control | ||
| Deficiency | Scope | Level of Harm |
| smoke barrier doors that can resist smoke for at least 20 minutes. | Pattern | Minimal harm or potential for actual harm |
- 07/14/2005 Health Survey for PALMYRA NURSING HOME
| Administration | ||
| Deficiency | Scope | Level of Harm |
| Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm |
| Get services outside the nursing home that meet professional standards. | Isolated | Minimal harm or potential for actual harm |
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm |
| Provide needed housekeeping and maintenance. | Widespread | Potential for minimal harm |
| Mistreatment | ||
| Deficiency | Scope | Level of Harm |
| 1) Hire only people who have 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 harm or potential for actual harm |
| Pharmacy Service | ||
| Deficiency | Scope | Level of Harm |
| At least once a month, have a licensed pharmacist check the drugs that each resident takes. | Pattern | Minimal harm or potential for actual harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Isolated | Minimal harm or potential for actual harm |
| Resident Assessment | ||
| Deficiency | Scope | Level of Harm |
| 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | Isolated | Minimal harm or potential for actual harm |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm |
- 07/14/2005 Fire Safety Survey for PALMYRA NURSING HOME
| Automatic Sprinkler Systems | ||
| Deficiency | Scope | Level of Harm |
| an approved automatic sprinkler system connected to the fire alarm system. | Pattern | Minimal harm or potential for actual harm |
| automatic sprinkler systems that have been maintained in working order. | Isolated | Minimal harm or potential for actual harm |
| properly working alarms on sprinkler valves. | Isolated | Minimal harm or potential for actual harm |
| Building Service Equipment | ||
| Deficiency | Scope | Level of Harm |
| properly protected cooking facilities. | Isolated | Minimal harm or potential for actual harm |
| Corridor Walls and Doors | ||
| Deficiency | Scope | Level of Harm |
| corridor and hallway doors that block smoke. | Pattern | Minimal harm or potential for actual harm |
| Electrical | ||
| Deficiency | Scope | Level of Harm |
| properly installed electrical wiring and equipment. | Isolated | Minimal harm or potential for actual harm |
| Emergency Plans and Fire Drills | ||
| Deficiency | Scope | Level of Harm |
| record of quarterly fire drills for each shift under varying conditions. | Isolated | Minimal harm or potential for actual harm |
| Fire Alarm Systems | ||
| Deficiency | Scope | Level of Harm |
| properly maintained smoke detectors. | Isolated | Minimal harm or potential for actual harm |
| an approved installation, maintenance and testing program for fire alarm systems. | Isolated | Minimal harm or potential for actual harm |
| Furnishings and Decorations | ||
| Deficiency | Scope | Level of Harm |
| restrictions on the use of flammable curtains. | Pattern | Minimal harm or potential for actual harm |
| Illumination and Emergency Power | ||
| Deficiency | Scope | Level of Harm |
| properly located and lighted Exit signs. | Isolated | Minimal harm or potential for actual harm |
| emergency lighting that can last at least 1 1/2 hours. | Isolated | Minimal harm or potential for actual harm |
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