Britthaven Of Somerset

555 BOURNE AVENUE

Somerset, KY 42501

(606) 679-7421

General

Ratings

Deficiencies

Resident Stats

Staff Stats

Certified Beds:	166
Number of Residents:	154
Percent of Occupied Beds:	93%
Sprinkler Status:	Partially Sprinklered
Program Participation:	Medicare and Medicaid
Type of Ownership:	For profit - Corporation
Located Within a Hospital?	No
Multi Nursing Home Ownership?	Yes
Resident and Family Councils?	Resident
Continuing Care Retirement Community?	No
Quality Indicator Survey?	No
Special Focus Facility?	No

Date	Type	Category	Deficiency	Scope	Level of Harm	Date of Correction
20080118	Health	Resident Rights Deficiencies	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	20080310
20080118	Health	Quality Care Deficiencies	Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable.	Pattern	Actual harm	20080310
20080118	Health	Quality Care Deficiencies	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	Pattern	Minimal harm or potential for actual harm	20080310
20080118	Health	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Pattern	Actual harm	20080310
20080118	Health	Quality Care Deficiencies	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	20080310
20080118	Health	Quality Care Deficiencies	Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.	Pattern	Minimal harm or potential for actual harm	20080310
20080118	Health	Mistreatment Deficiencies	Keep each resident free from physical restraints, unless needed for medical treatment.	Isolated	Minimal harm or potential for actual harm	20080310
20080118	Health	Mistreatment Deficiencies	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	20080310
20080118	Health	Resident Rights Deficiencies	Provide services to meet the needs and preferences of each resident.	Isolated	Minimal harm or potential for actual harm	20080310
20080118	Health	Quality Care Deficiencies	Provide activities to meet the needs of each resident.	Pattern	Minimal harm or potential for actual harm	20080310
20080118	Health	Environmental Deficiencies	Keep safe, clean and homelike surroundings.	Isolated	Immediate jeopardy to resident health or safety	20080310
20080118	Health	Environmental Deficiencies	Provide needed housekeeping and maintenance.	Widespread	Minimal harm or potential for actual harm	20080310
20080118	Health	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Pattern	Immediate jeopardy to resident health or safety	20080310
20080118	Health	Resident Assessment Deficiencies	Do a new assessment after any major change in a resident's physical or mental health.	Isolated	Minimal harm or potential for actual harm	20080310
20080118	Health	Resident Assessment Deficiencies	Check and update (if needed) each resident's assessment every 3 months.	Isolated	Immediate jeopardy to resident health or safety	20080310
20080118	Health	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Pattern	Immediate jeopardy to resident health or safety	20080310
20080118	Health	Resident Assessment Deficiencies	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	Immediate jeopardy to resident health or safety	20080310
20080118	Health	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm	20080310
20080118	Health	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	Widespread	Minimal harm or potential for actual harm	20080310
20080118	Health	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm	20080310
20080118	Health	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Immediate jeopardy to resident health or safety	20080310
20080118	Health	Pharmacy Service Deficiencies	1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.	Isolated	Minimal harm or potential for actual harm	20080310
20080118	Health	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Isolated	Minimal harm or potential for actual harm	20080310
20080118	Health	Quality Care Deficiencies	Have enough nurses to care for every resident in a way that maximizes the resident's well being.	Pattern	Immediate jeopardy to resident health or safety	20080310
20080118	Health	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm	20080310
20080118	Health	Pharmacy Service Deficiencies	Properly mark drugs and other similar products.	Isolated	Minimal harm or potential for actual harm	20080310
20080118	Health	Environmental Deficiencies	Have a program to keep infection from spreading.	Pattern	Minimal harm or potential for actual harm	20080310
20080118	Health	Environmental Deficiencies	Make sure that a working call system is available in each resident's room or bathroom and bathing area.	Isolated	Minimal harm or potential for actual harm	20080310
20080118	Health	Administration Deficiencies	Be administered in a way that leads to the highest possible level of well being for each resident.	Pattern	Immediate jeopardy to resident health or safety	20080310
20080118	Health	Administration Deficiencies	1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator.	Pattern	Immediate jeopardy to resident health or safety	20080310
20080118	Health	Administration Deficiencies	Set up or keep a group of people to review and ensure quality.	Pattern	Immediate jeopardy to resident health or safety	20080310
20080616	Health	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Isolated	Immediate jeopardy to resident health or safety	20080624
20080616	Health	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Immediate jeopardy to resident health or safety	20080624
20080616	Health	Resident Rights Deficiencies	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	Immediate jeopardy to resident health or safety	20080624
20080825	Health	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm	20080912

Overall:
Health Inspection:
Nurse Staffing:
Quality Measures:
RN Only:

	Value	Notes
Percent of long-stay residents given influenza vaccination during the flu season:	93
Percent of long-stay residents who were assessed and given pneumococcal vaccination:	92
Percent of long-stay residents whose need for help with daily activities has increased:	13
Percent of long-stay residents who have moderate to severe pain:	6
Percent of high-risk long-stay residents who have pressure sores:	7
Percent of low-risk long-stay residents who have pressure sores:	1
Percent of long-stay residents who were physically restrained:	6
Percent of long-stay residents who are more depressed or anxious:	26
Percent of low-risk long-stay residents who lose control of their bowels or bladder:	51
Percent of long-stay residents who have/had a catheter inserted and left in their bladder:	9
Percent of long-stay residents who spend most of their time in bed or in a chair:	23
Percent of long-stay residents whose ability to move about in and around their room got worse:	5
Percent of long-stay residents who had a urinary tract infection:	6
Percent of long-stay residents who lose too much weight:	7
Percent of short-stay residents given influenza vaccination during the flu season:	87
Percent of short-stay residents who were assessed and given pneumococcal vaccination:	82
Percent of short-stay residents who have delirium:	0
Percent of short-stay residents who had moderate to severe pain:	11
Percent of short-stay residents who have pressure sores:	7

# of Residents:	154
# RN Hours per Resident:	0.53
# LPN Hours per Resident:	1.02
# CNA Hours per Resident:	3.41
Total Staff Hours per Resident:	1.55

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