Atlantic Shores Rehabilitation & Health Center

231 SOUTH WASHINGTON STREET
Millsboro, DE 19966
(302) 934-7300
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 181
Number of Residents: 169
Percent of Occupied Beds: 93%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital? No
Multi Nursing Home Ownership? No
Resident and Family Councils? Resident
Continuing Care Retirement Community? No
Quality Indicator Survey? Yes
Special Focus Facility? Yes
Overall: 2 Star Overall Rating
Health Inspection: 1 Star Health Inspection Rating
Nurse Staffing: 4 Star Nurse Staffing Rating
Quality Measures: 3 Star Quality Measures Rating
RN Only: 3 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20071109 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 20080107
20071109 Health Resident Rights Deficiencies Try to resolve each resident's complaints quickly. Isolated Minimal harm or potential for actual harm 20080107
20071109 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Minimal harm or potential for actual harm 20080107
20080319 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Minimal harm or potential for actual harm 20080603
20080319 Health Resident Rights Deficiencies Keep each resident's personal and medical records private and confidential. Pattern Potential for minimal harm 20080603
20080319 Health Quality Care Deficiencies 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 20080603
20080319 Health Pharmacy Service Deficiencies Make sure that residents are safe from serious medication errors. Pattern Minimal harm or potential for actual harm 20080603
20080319 Health Quality Care Deficiencies Give or get special rehabilitation if in the patient's plan of care. Isolated Minimal harm or potential for actual harm 20080603
20080319 Health Pharmacy Service Deficiencies Properly mark drugs and other similar products. Pattern Minimal harm or potential for actual harm 20080603
20080319 Health Administration Deficiencies Choose a doctor to be the medical director. Pattern Minimal harm or potential for actual harm 20080603
20080319 Health Mistreatment Deficiencies Keep each resident free from physical restraints, unless needed for medical treatment. Isolated Minimal harm or potential for actual harm 20080603
20080319 Health Mistreatment Deficiencies Protect residents from mistreatment, neglect, and/or theft of personal property. Pattern Minimal harm or potential for actual harm 20080603
20080319 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 20080603
20080319 Health Resident Rights Deficiencies Provide services to meet the needs and preferences of each resident. Isolated Minimal harm or potential for actual harm 20080603
20080319 Health Environmental Deficiencies Provide needed housekeeping and maintenance. Isolated Minimal harm or potential for actual harm 20080603
20080319 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Actual harm 20080603
20080319 Health Quality Care Deficiencies 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 20080603
20080319 Health Quality Care Deficiencies Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated Minimal harm or potential for actual harm 20080603
20080731 Fire Safety Miscellaneous Deficiencies fire safety features required by current fire safety codes. Widespread Minimal harm or potential for actual harm 20080822
20080930 Health Administration Deficiencies Set up or keep a group of people to review and ensure quality. Pattern Minimal harm or potential for actual harm 20081113
20080930 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Actual harm 20081113
20080930 Health Administration Deficiencies Be administered in a way that leads to the highest possible level of well being for each resident. Widespread Minimal harm or potential for actual harm 20081113
20080930 Health Administration Deficiencies Follow all laws and professional standards. Isolated Minimal harm or potential for actual harm 20081113
20080930 Health Environmental Deficiencies Have a program to keep infection from spreading. Isolated Minimal harm or potential for actual harm 20081113
20080930 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Widespread Minimal harm or potential for actual harm 20081113
20090105 Health Pharmacy Service Deficiencies Make sure that residents are safe from serious medication errors. Isolated Minimal harm or potential for actual harm 20090227
20090105 Health Administration Deficiencies Keep accurate and appropriate medical records. Isolated Minimal harm or potential for actual harm 20090227
20090105 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 20090227
20090316 Health Environmental Deficiencies Make sure that the nursing home area is safe, easy to use, clean and comfortable. Pattern Minimal harm or potential for actual harm 20090525
20090828 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 20090911
20090828 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 20090911
20100322 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 20100616
20100322 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Pattern Minimal harm or potential for actual harm 20100616
20100322 Health Quality Care Deficiencies Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated Actual harm 20100616
20100322 Health Nutrition and Dietary Deficiencies Provide food in a way that meets a resident's needs. Isolated Minimal harm or potential for actual harm 20100616
20100322 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 20100616
20100322 Health Resident Assessment Deficiencies Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. Isolated Minimal harm or potential for actual harm 20100616
20100716 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 20101014
20100716 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 20101014
20100716 Health Pharmacy Service Deficiencies Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. Isolated Minimal harm or potential for actual harm 20101014
20100716 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. Isolated Minimal harm or potential for actual harm 20101014
20100716 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Actual harm 20101014
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 85
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 95
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: 3
Percent of high-risk long-stay residents who have pressure sores: 12
Percent of low-risk long-stay residents who have pressure sores: 1
Percent of long-stay residents who were physically restrained: 1
Percent of long-stay residents who are more depressed or anxious: 7
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 48
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 6
Percent of long-stay residents who spend most of their time in bed or in a chair: 6
Percent of long-stay residents whose ability to move about in and around their room got worse: 10
Percent of long-stay residents who had a urinary tract infection: 12
Percent of long-stay residents who lose too much weight: 13
Percent of short-stay residents given influenza vaccination during the flu season: 85
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 95
Percent of short-stay residents who have delirium: 1
Percent of short-stay residents who had moderate to severe pain: 19
Percent of short-stay residents who have pressure sores: 13
# of Residents: 169
# RN Hours per Resident: 0.66
# LPN Hours per Resident: 0.99
# CNA Hours per Resident: 2.37
Total Staff Hours per Resident: 1.65