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Lisner Louise Dickson Hurthome
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5425 Western Ave Nw
Washington, DC 20015
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0 Recommendations
Details
| Type of Ownership | Non profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 60 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | Yes |
| Multi-Home Chain? | No |
| Located in a Hospital? | No |
| Special Focus Facility? | No |
View: Health Inspections | Quality Measures | Staffing | Fire Inspections
Health Inspections
Most Recent Inspection: 05/13/2011
| Date of last standard health inspection: | 05/13/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Health Deficiencies for this nursing home: | 8 |
| Average number of Health Deficiencies in DC: | 19 |
| Average number of Health Deficiencies in US: | 8 |
| Range of Health Deficiencies in DC: | 0 - 59 |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have a program to keep infection from spreading. | 05/13/2011 | 07/22/2011 | Minimal harm or potential for actual harm | Isolated |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 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. | 05/13/2011 | 07/22/2011 | Minimal harm or potential for actual harm | Isolated |
| At least once a month, have a licensed pharmacist check the drugs that each resident takes. | 05/13/2011 | 07/22/2011 | Minimal harm or potential for actual harm | Isolated |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give professional services that meet a professional standard of quality. | 05/13/2011 | 07/22/2011 | Minimal harm or potential for actual harm | Isolated |
| Give each resident care and services to get or keep the highest quality of life possible. | 05/13/2011 | 07/22/2011 | Minimal harm or potential for actual harm | Isolated |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 05/13/2011 | 07/22/2011 | Actual harm | Isolated |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | 05/13/2011 | 07/22/2011 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 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. | 05/13/2011 | 07/22/2011 | Minimal harm or potential for actual harm | Isolated |
Inspection, 07/23/2010
Administration Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Follow all laws and professional standards. | 07/23/2010 | 09/15/2010 | Minimal harm or potential for actual harm | Isolated |
| Keep accurate and appropriate medical records. | 07/23/2010 | 09/15/2010 | Minimal harm or potential for actual harm | Isolated |
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide needed housekeeping and maintenance. | 07/23/2010 | 09/15/2010 | Minimal harm or potential for actual harm | Isolated |
| Make sure that the nursing home area is free of dangers that cause accidents. | 07/23/2010 | 09/15/2010 | Actual harm | Isolated |
| Have a program to keep infection from spreading. | 07/23/2010 | 09/15/2010 | Minimal harm or potential for actual harm | Isolated |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | 07/23/2010 | 09/15/2010 | Minimal harm or potential for actual harm | Isolated |
| Make sure there is a program to prevent/deal with mice, insects, or other pests. | 07/23/2010 | 09/15/2010 | Minimal harm or potential for actual harm | Isolated |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and give out food in a safe and clean way. | 07/23/2010 | 09/15/2010 | Minimal harm or potential for actual harm | Isolated |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 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. | 07/23/2010 | 09/15/2010 | Minimal harm or potential for actual harm | Isolated |
| Properly mark drugs and other similar products. | 07/23/2010 | 09/15/2010 | Minimal harm or potential for actual harm | Isolated |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give each resident care and services to get or keep the highest quality of life possible. | 07/23/2010 | 09/15/2010 | Minimal harm or potential for actual harm | Isolated |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make a complete assessment that covers all questions for areas that are listed in official regulations. | 07/23/2010 | 09/15/2010 | Minimal harm or potential for actual harm | Isolated |
| Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | 07/23/2010 | 09/15/2010 | Minimal harm or potential for actual harm | Isolated |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | 07/23/2010 | 09/15/2010 | Minimal harm or potential for actual harm | Isolated |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | 07/23/2010 | 09/15/2010 | Minimal harm or potential for actual harm | Isolated |
| Make sure that doctors visit residents regularly, as required. | 07/23/2010 | 09/15/2010 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 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. | 07/23/2010 | 09/15/2010 | Minimal harm or potential for actual harm | Isolated |
| Let residents give themselves their drugs if they are able. | 07/23/2010 | 09/15/2010 | Minimal harm or potential for actual harm | Isolated |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | 07/23/2010 | 09/15/2010 | Minimal harm or potential for actual harm | Isolated |
| Provide services to meet the needs and preferences of each resident. | 07/23/2010 | 09/15/2010 | Minimal harm or potential for actual harm | Isolated |
Inspection, 06/12/2009
Administration Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Follow all laws and professional standards. | 06/12/2009 | 07/28/2009 | Minimal harm or potential for actual harm | Isolated |
| Keep accurate and appropriate medical records. | 06/12/2009 | 07/28/2009 | Minimal harm or potential for actual harm | Isolated |
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide needed housekeeping and maintenance. | 06/12/2009 | 07/28/2009 | Minimal harm or potential for actual harm | Isolated |
| Make sure that the nursing home area is free of dangers that cause accidents. | 06/12/2009 | 07/28/2009 | Minimal harm or potential for actual harm | Isolated |
| Keep all essential equipment working safely. | 06/12/2009 | 07/28/2009 | Minimal harm or potential for actual harm | Isolated |
Nutrition and Dietary Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and give out food in a safe and clean way. | 06/12/2009 | 07/28/2009 | Minimal harm or potential for actual harm | Isolated |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly mark drugs and other similar products. | 06/12/2009 | 07/28/2009 | Minimal harm or potential for actual harm | Isolated |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give each resident care and services to get or keep the highest quality of life possible. | 06/12/2009 | 07/28/2009 | Minimal harm or potential for actual harm | Isolated |
| Give or get dental care for each resident. | 06/12/2009 | 07/28/2009 | Minimal harm or potential for actual harm | Isolated |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | 06/12/2009 | 07/28/2009 | Minimal harm or potential for actual harm | Isolated |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | 06/12/2009 | 07/28/2009 | Minimal harm or potential for actual harm | Isolated |
| 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. | 06/12/2009 | 07/28/2009 | Minimal harm or potential for actual harm | Isolated |
Nursing Home Staffing
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
| National Average | Average in DC | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | 4 out of 5 stars |
| Total Number of Residents | 86 | 124 | 60 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
1 hour 29 minutes | 1 hour 43 minutes | 2 hours 10 minutes |
|
RN Hours per Resident per Day |
40 minutes | 36 minutes | 49 minutes |
|
LPN/LVN Hours per Resident per Day |
49 minutes | 1 hour 7 minutes | 1 hour 20 minutes |
|
CNA Hours per Resident per Day |
2 hours 25 minutes | 2 hours 29 minutes | 2 hours 49 minutes |
1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.
Quality Measures
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
Long-Term Residents
| Percent of high-risk long-stay residents who have pressure sores | 6% |
| Percent of long-stay residents given influenza vaccination during the flu season | 90+% |
| Percent of long-stay residents who are more depressed or anxious | 10% |
| Percent of long-stay residents who had a urinary tract infection | 10% |
| Percent of long-stay residents who have moderate to severe pain | 0% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 2% |
| Percent of long-stay residents who spend most of their time in bed or in a chair | 5% |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | 90+% |
| Percent of long-stay residents who were physically restrained | 1% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 13% |
| Percent of long-stay residents whose need for help with daily activities has increased | 7% |
| Percent of low-risk long-stay residents who have pressure sores | Not Available |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 62% |
Short-Term Residents
| Percent of long-stay residents who lose too much weight | 5% |
| Percent of short-stay residents given influenza vaccination during the flu season | 90+% |
| Percent of short-stay residents who had moderate to severe pain | 11% |
| Percent of short-stay residents who have delirium | 1% |
| Percent of short-stay residents who have pressure sores | 14% |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | 84% |
Fire Safety Inspections
Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.
Most Recent Inspection: 05/18/2011
| Automatic Sprinkler Systems in all required areas | fully sprinklered |
| Date of last standard fire safety inspection: | 05/18/2011 |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Fire Safety Deficiencies for this nursing home: | 1 |
| Average number of Fire Safety Deficiencies in DC: | 2 |
| Average number of Fire Safety Deficiencies in US: | 4 |
| Range of Fire Safety Deficiencies in DC: | 0 - 2 |
Miscellaneous Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| fire safety features required by current fire safety codes. | 05/18/2011 | 07/13/2011 | Minimal harm or potential for actual harm | Isolated |
Inspection, 07/29/2010
Corridor Walls and Doors Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| corridors that are separated from common areas by walls constructed to limit the passage of smoke. | 07/29/2010 | 09/15/2010 | Minimal harm or potential for actual harm | Isolated |
Emergency Plans and Fire Drills Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| record of quarterly fire drills for each shift under varying conditions. | 07/29/2010 | 09/15/2010 | Minimal harm or potential for actual harm | Isolated |
Miscellaneous Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| fire safety features required by current fire safety codes. | 07/29/2010 | 09/15/2010 | Minimal harm or potential for actual harm | Isolated |
Inspection, 07/14/2009
Corridor Walls and Doors Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| corridors that are separated from common areas by walls constructed to limit the passage of smoke. | 07/14/2009 | 08/28/2009 | Minimal harm or potential for actual harm | Isolated |
Emergency Plans and Fire Drills Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| did not have a written emergency evacuation plan. | 07/14/2009 | 08/28/2009 | Minimal harm or potential for actual harm | Isolated |
