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UNIVERSITY EXTENDED CARE/WESTW

Category: Nursing Home

561 UNIVERSITY DRIVE
EVANS, GA 30809
Medicare, Medicaid  
Capacity: 149 beds  
CMS Rating:   

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University Extended Care/westw Details

Resident Capacity:149

University Extended Care/westw Costs

Reimbursement:Medicare, Medicaid

CMS Inspection Results for UNIVERSITY EXTENDED CARE/WESTW

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.

  • 09/24/2008 Health Survey for UNIVERSITY EXTENDED CARE/WESTW
Administration
DeficiencyScopeLevel of Harm
Make sure that nurse aides show they have the skills to be able to care for residents. Isolated Minimal harm or potential for actual harm
Environmental
DeficiencyScopeLevel of Harm
Have a program to keep infection from spreading. Widespread Minimal harm or potential for actual harm
Provide bedrooms that don't allow residents to see each other when privacy is needed. Isolated Minimal harm or potential for actual harm
Put firmly secured handrails on each side of hallways. Isolated 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
DeficiencyScopeLevel of Harm
Keep each resident free from physical restraints, unless needed for medical treatment. Pattern Minimal harm or potential for actual harm
Pharmacy Service
DeficiencyScopeLevel of Harm
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern Minimal harm or potential for actual harm
Quality Care
DeficiencyScopeLevel of 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 each resident care and services to get or keep the highest quality of life 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
Resident Assessment
DeficiencyScopeLevel 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
Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. Isolated Minimal harm or potential for actual 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
Resident Rights
DeficiencyScopeLevel of 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
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. Pattern Potential for minimal harm

 

  • 12/12/2007 Health Survey for UNIVERSITY EXTENDED CARE/WESTW
Administration
DeficiencyScopeLevel of Harm
Give or get lab tests to meet the needs of residents. Isolated Minimal harm or potential for actual harm
Environmental
DeficiencyScopeLevel of Harm
Provide needed housekeeping and maintenance. Pattern Minimal harm or potential for actual harm
Nutrition and Dietary
DeficiencyScopeLevel of Harm
Provide special eating equipment and utensils for each resident who needs them. Isolated Minimal harm or potential for actual harm
Pharmacy Service
DeficiencyScopeLevel of Harm
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern Minimal harm or potential for actual 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
DeficiencyScopeLevel of Harm
Give each resident care and services to get or keep the highest quality of life possible. 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
Resident Rights
DeficiencyScopeLevel of Harm
Listen to the resident or family groups or act on their complaints or suggestions. Pattern Minimal harm or potential for actual harm

 

  • 09/27/2006 Health Survey for UNIVERSITY EXTENDED CARE/WESTW
Administration
DeficiencyScopeLevel of Harm
Keep accurate and appropriate medical records. Isolated Minimal harm or potential for actual harm
Environmental
DeficiencyScopeLevel of Harm
Make sure that the nursing home area is free of dangers that cause accidents. Pattern Minimal harm or potential for actual harm
Provide needed housekeeping and maintenance. Widespread Potential for minimal harm
Nutrition and Dietary
DeficiencyScopeLevel of Harm
1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. Isolated Minimal harm or potential for actual harm
Quality Care
DeficiencyScopeLevel of Harm
Give professional services that follow each resident's written care plan. Isolated Minimal harm or potential for actual harm
Resident Assessment
DeficiencyScopeLevel of Harm
Make sure that doctors visit residents regularly, as required. Isolated Minimal harm or potential for actual harm

 

  • 09/27/2006 Fire Safety Survey for UNIVERSITY EXTENDED CARE/WESTW
Automatic Sprinkler Systems
DeficiencyScopeLevel of Harm
an approved automatic sprinkler system connected to the fire alarm system. Isolated Minimal harm or potential for actual harm
Building Service Equipment
DeficiencyScopeLevel 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
properly protected cooking facilities. Isolated Minimal harm or potential for actual harm
Electrical
DeficiencyScopeLevel of Harm
properly installed electrical wiring and equipment. Isolated Minimal harm or potential for actual harm
Emergency Plans and Fire Drills
DeficiencyScopeLevel of Harm
record of quarterly fire drills for each shift under varying conditions. Isolated Minimal harm or potential for actual harm
Fire Alarm Systems
DeficiencyScopeLevel of Harm
a fire alarm system that can be heard throughout the facility. Isolated Minimal harm or potential for actual harm
Hazardous Area
DeficiencyScopeLevel of Harm
construction that can resist fire for one hour or an approved fire extinguishing system. Isolated Minimal harm or potential for actual harm
Illumination and Emergency Power
DeficiencyScopeLevel of Harm
emergency lighting that can last at least 1 1/2 hours. Widespread Potential for minimal harm

 


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