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Country Village Center, Genesis Healthcare
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91 Country Village Road
Lancaster, NH 03584
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0 Recommendations
Details
| Type of Ownership | For profit - Partnership |
| 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: 10/14/2010
| Date of last standard health inspection: | 10/14/2010 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Health Deficiencies for this nursing home: | 6 |
| Average number of Health Deficiencies in NH: | 6 |
| Average number of Health Deficiencies in US: | 8 |
| Range of Health Deficiencies in NH: | 0 - 28 |
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep accurate and appropriate medical records. | 10/14/2010 | 12/21/2010 | Minimal harm or potential for actual harm | Isolated |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep each resident free from physical restraints, unless needed for medical treatment. | 10/14/2010 | 12/21/2010 | 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. | 10/14/2010 | 12/21/2010 | Minimal harm or potential for actual harm | Isolated |
| Give each resident care and services to get or keep the highest quality of life possible. | 10/14/2010 | 12/21/2010 | Minimal harm or potential for actual harm | Isolated |
Resident Assessment Deficiencies |
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| 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. | 10/14/2010 | 12/21/2010 | 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. | 10/14/2010 | 12/21/2010 | Minimal harm or potential for actual harm | Isolated |
Inspection, 10/08/2009
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Assess the resident when the resident enters the nursing home, in a timely manner. | 10/08/2009 | 11/20/2009 | Potential for minimal harm | Pattern |
| Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | 10/08/2009 | 11/20/2009 | Potential for minimal harm | Widespread |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | 10/08/2009 | 11/20/2009 | 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. | 10/08/2009 | 11/20/2009 | Minimal harm or potential for actual harm | Isolated |
Inspection, 10/09/2008
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| At least once a month, have a licensed pharmacist check the drugs that each resident takes. | 10/09/2008 | 11/29/2008 | 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. | 10/09/2008 | 11/29/2008 | Minimal harm or potential for actual harm | Isolated |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Assess the resident when the resident enters the nursing home, in a timely manner. | 10/09/2008 | 11/29/2008 | Potential for minimal harm | Pattern |
| Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | 10/09/2008 | 11/29/2008 | Potential for minimal harm | Widespread |
Resident Rights Deficiencies |
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| 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. | 10/09/2008 | 11/29/2008 | 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 | 5 out of 5 stars |
| Total Number of Residents | 86 | 87 | 81 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
1 hour 29 minutes | 1 hour 31 minutes | 1 hour 34 minutes |
|
RN Hours per Resident per Day |
40 minutes | 53 minutes | 1 hour 3 minutes |
|
LPN/LVN Hours per Resident per Day |
49 minutes | 37 minutes | 30 minutes |
|
CNA Hours per Resident per Day |
2 hours 25 minutes | 2 hours 35 minutes | 1 hour 58 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 | 12% |
| Percent of long-stay residents given influenza vaccination during the flu season | 90+% |
| Percent of long-stay residents who are more depressed or anxious | 20% |
| Percent of long-stay residents who had a urinary tract infection | 16% |
| Percent of long-stay residents who have moderate to severe pain | 5% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 7% |
| 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 | 0% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 20% |
| Percent of long-stay residents whose need for help with daily activities has increased | 20% |
| Percent of low-risk long-stay residents who have pressure sores | 4% |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 46% |
Short-Term Residents
| Percent of long-stay residents who lose too much weight | 11% |
| Percent of short-stay residents given influenza vaccination during the flu season | 89% |
| Percent of short-stay residents who had moderate to severe pain | 24% |
| 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 | 82% |
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: 10/25/2010
| Automatic Sprinkler Systems in all required areas | fully sprinklered |
| Date of last standard fire safety inspection: | 10/25/2010 |
| 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 NH: | 3 |
| Average number of Fire Safety Deficiencies in US: | 4 |
| Range of Fire Safety Deficiencies in NH: | 0 - 4 |
Medical Gases and Anesthetizing Areas Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| proper medical gas storage and administration areas. | 10/25/2010 | 11/24/2010 | Minimal harm or potential for actual harm | Isolated |
Inspection, 10/07/2009
Corridor Walls and Doors Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| corridor and hallway doors that block smoke. | 10/07/2009 | 11/22/2009 | Minimal harm or potential for actual harm | Isolated |
Exits and Egress Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| exits that are accessible at all times. | 10/07/2009 | 11/22/2009 | Minimal harm or potential for actual harm | Pattern |
Fire Alarm Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| a fire alarm system that can be heard throughout the facility. | 10/07/2009 | 11/22/2009 | Minimal harm or potential for actual harm | Isolated |
Hazardous Area Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| construction that can resist fire for one hour or an approved fire extinguishing system. | 10/07/2009 | 11/22/2009 | Minimal harm or potential for actual harm | Isolated |
Miscellaneous Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| fire safety features required by current fire safety codes. | 10/07/2009 | 11/22/2009 | Minimal harm or potential for actual harm | Pattern |
