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Mountain Ridge Center, Genesis Healthcare

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7 Baldwin Street
Franklin, NH 03235
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Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 86
Continuing Care? No
Resident Council? Yes
Family Council? No
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: 10/28/2010

Date of last standard health inspection: 10/28/2010
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 NH: 6
Average number of Health Deficiencies in US: 8
Range of Health Deficiencies in NH: 0 - 28
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the nursing home area is free of dangers that cause accidents. 08/16/2011 09/20/2011 Actual harm Isolated
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect residents from mistreatment, neglect, and/or theft of personal property. 08/16/2011 09/20/2011 Actual harm Isolated
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. 08/16/2011 09/20/2011 Minimal harm or potential for actual harm Isolated
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. 08/16/2011 09/20/2011 Minimal harm or potential for actual harm Isolated
Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate and appropriate medical records. 10/28/2010 12/06/2010 Potential for minimal harm Pattern
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give professional services that meet a professional standard of quality. 10/28/2010 12/06/2010 Minimal harm or potential for actual harm Isolated
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 10/28/2010 12/06/2010 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. 10/28/2010 12/06/2010 Potential for minimal harm Pattern

Inspection, 10/23/2009

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the nursing home area is free of dangers that cause accidents. 10/23/2009 12/06/2009 Actual harm Isolated
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give professional services that follow each resident's written care plan. 10/23/2009 12/06/2009 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. 10/23/2009 12/06/2009 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. 10/23/2009 12/06/2009 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. 10/23/2009 12/06/2009 Minimal harm or potential for actual harm Isolated
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. 10/23/2009 12/06/2009 Minimal harm or potential for actual harm Pattern
Quickly give a resident's personal money to the heads of his or her estate after the resident's death. 10/23/2009 12/06/2009 Minimal harm or potential for actual harm Pattern

Inspection, 10/30/2008

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate and appropriate medical records. 10/30/2008 12/09/2008 Minimal harm or potential for actual harm Widespread
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop/implement required procedures for the administration of immunizations. 10/30/2008 12/09/2008 Minimal harm or potential for actual harm Pattern
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. 10/30/2008 12/09/2008 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. 10/30/2008 12/09/2008 Minimal harm or potential for actual harm Isolated
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 10/30/2008 12/09/2008 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 NH Golden Living Center, Asheville
RN Staff Only1 N/A N/A 4 out of 5 stars
Total Number of Residents 86 87 79
Total, Licensed Nurse Staff Hours
per Resident per Day
1 hour 29 minutes 1 hour 31 minutes 1 hour 33 minutes
RN Hours
per Resident per Day
40 minutes 53 minutes 1 hour 6 minutes
LPN/LVN Hours
per Resident per Day
49 minutes 37 minutes 26 minutes
CNA Hours
per Resident per Day
2 hours 25 minutes 2 hours 35 minutes 2 hours 7 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 9%
Percent of long-stay residents given influenza vaccination during the flu season 90+%
Percent of long-stay residents who are more depressed or anxious 34%
Percent of long-stay residents who had a urinary tract infection 8%
Percent of long-stay residents who have moderate to severe pain 3%
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 0%
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 24%
Percent of long-stay residents whose need for help with daily activities has increased 24%
Percent of low-risk long-stay residents who have pressure sores 1%
Percent of low-risk long-stay residents who lose control of their bowels or bladder 57%

Short-Term Residents

Percent of long-stay residents who lose too much weight 9%
Percent of short-stay residents given influenza vaccination during the flu season 79%
Percent of short-stay residents who had moderate to severe pain 29%
Percent of short-stay residents who have delirium 0%
Percent of short-stay residents who have pressure sores 14%
Percent of short-stay residents who were assessed and given pneumococcal vaccination 81%

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: 10/27/2010

Automatic Sprinkler Systems in all required areas fully sprinklered
Date of last standard fire safety inspection: 10/27/2010
Dates of Complaint Investigations: 12/01/2010 - 11/30/2011
Total number of Fire Safety Deficiencies for this nursing home: 2
Average number of Fire Safety Deficiencies in NH: 3
Average number of Fire Safety Deficiencies in US: 4
Range of Fire Safety Deficiencies in NH: 0 - 4
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
exits that are accessible at all times. 10/27/2010 12/06/2010 Minimal harm or potential for actual harm Isolated
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
construction that can resist fire for one hour or an approved fire extinguishing system. 10/27/2010 12/06/2010 Minimal harm or potential for actual harm Isolated

Inspection, 10/21/2009

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
an approved automatic sprinkler system connected to the fire alarm system. 10/21/2009 12/01/2009 Minimal harm or potential for actual harm Isolated
automatic sprinkler systems that have been maintained in working order. 10/21/2009 12/01/2009 Minimal harm or potential for actual harm Isolated
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
corridor and hallway doors that block smoke. 10/21/2009 12/01/2009 Minimal harm or potential for actual harm Isolated
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
exits that are accessible at all times. 10/21/2009 12/01/2009 Minimal harm or potential for actual harm Isolated
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
construction that can resist fire for one hour or an approved fire extinguishing system. 10/21/2009 12/01/2009 Minimal harm or potential for actual harm Isolated

Inspection, 10/29/2008

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
an approved automatic sprinkler system connected to the fire alarm system. 10/29/2008 12/09/2008 Minimal harm or potential for actual harm Isolated
automatic sprinkler systems that have been maintained in working order. 10/29/2008 12/09/2008 Minimal harm or potential for actual harm Isolated
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
properly protected cooking facilities. 10/29/2008 12/09/2008 Minimal harm or potential for actual harm Isolated
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
properly installed electrical wiring and equipment. 10/29/2008 12/09/2008 Minimal harm or potential for actual harm Isolated
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
a fire alarm system that can be heard throughout the facility. 10/29/2008 12/09/2008 Minimal harm or potential for actual harm Isolated
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
restrictions on the use of flammable curtains. 10/29/2008 12/09/2008 Minimal harm or potential for actual harm Pattern
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
posted "No-smoking" signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed. 10/29/2008 12/09/2008 Minimal harm or potential for actual harm Isolated