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War Memorial Hosp, D/p
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1 Healthy Way
Berkeley Springs, WV 25411
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0 Recommendations
Details
| Type of Ownership | Non profit - Corporation |
| Participates in Medicare? | No |
| Participates in Medicaid? | Yes |
| Certified Beds | 16 |
| 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: 01/06/2011
| Date of last standard health inspection: | 01/06/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Health Deficiencies for this nursing home: | 0 |
| Average number of Health Deficiencies in WV: | 3 |
| Average number of Health Deficiencies in US: | 3 |
| Range of Health Deficiencies in WV: | 0 - 12 |
Inspection, 00/07/2012
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | 00/07/2012 | 03/00/2001 | 1 | Many |
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have a program that investigates, controls and keeps infection from spreading. | 00/07/2012 | 03/00/2001 | 2 | Many |
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. | 00/07/2012 | 03/00/2001 | 2 | Few |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | 00/07/2012 | 03/00/2001 | 2 | Some |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | 00/07/2012 | 03/00/2001 | 2 | Some |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | 00/07/2012 | 03/00/2001 | 2 | Few |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | 00/07/2012 | 03/00/2001 | 2 | Few |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | 00/07/2012 | 03/00/2001 | 2 | Many |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide activities to meet the interests and needs of each resident. | 00/07/2012 | 03/00/2001 | 2 | Few |
| Provide care by qualified persons according to each resident's written plan of care. | 00/07/2012 | 03/00/2001 | 2 | Few |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Conduct initial and periodic assessments of each resident's functional capacity. | 00/07/2012 | 03/00/2001 | 2 | Few |
| Ensure each resident receives an accurate assessment by a qualified health professional. | 00/07/2012 | 03/00/2001 | 2 | Few |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 00/07/2012 | 03/00/2001 | 2 | Some |
| Allow residents the right to participate in the planning or revision of care and treatment. | 00/07/2012 | 03/00/2001 | 2 | Few |
| Maintain 15 months of resident assessments in the resident's active clinical record. | 00/07/2012 | 03/00/2001 | 2 | Many |
Inspection, 02/00/2005
Administration Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | 02/00/2005 | 00/01/2007 | 2 | Few |
Mistreatment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Hire only people with 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. | 02/00/2005 | 01/00/2007 | 2 | Few |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | 02/00/2005 | 00/01/2007 | 2 | Few |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 02/00/2005 | 02/00/2005 | 2 | Few |
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. | 02/00/2005 | 00/03/2007 | 2 | Few |
Inspection, 00/06/2001
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Maintain comfortable sound levels. | 00/06/2001 | 01/09/2004 | 2 | Some |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 00/06/2001 | 01/09/2004 | 2 | Few |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | 00/06/2001 | 01/09/2004 | 2 | Few |
Mistreatment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Hire only people with 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. | 00/06/2001 | 01/09/2004 | 2 | Few |
Nutrition and Dietary Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and serve food in a safe and clean way. | 00/06/2001 | 01/09/2004 | 2 | Many |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | 00/06/2001 | 01/09/2004 | 2 | Few |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | 00/06/2001 | 01/09/2004 | 2 | Few |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide care by qualified persons according to each resident's written plan of care. | 00/06/2001 | 01/09/2004 | 2 | Few |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 00/06/2001 | 01/09/2004 | 3 | Few |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 00/06/2001 | 01/09/2004 | 3 | Few |
| Ensure residents maintain acceptable nutritional status. | 00/06/2001 | 01/09/2004 | 3 | Few |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 00/06/2001 | 01/09/2004 | 2 | Few |
| Allow residents the right to participate in the planning or revision of care and treatment. | 00/06/2001 | 01/09/2004 | 2 | Few |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 00/06/2001 | 01/09/2004 | 2 | Few |
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 WV | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | NA |
| Total Number of Residents | 85 | 73 | 16 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
15 hours 26 minutes | 13 hours 22 minutes | 999 hours 59 minutes |
|
RN Hours per Resident per Day |
14 hours 37 minutes | 12 hours 29 minutes | 999 hours 59 minutes |
|
LPN/LVN Hours per Resident per Day |
14 hours 52 minutes | 12 hours 41 minutes | 999 hours 59 minutes |
|
CNA Hours per Resident per Day |
16 hours 21 minutes | 14 hours 13 minutes | 999 hours 59 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
Short-Term Residents
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: 01/06/2011
| Automatic Sprinkler Systems in all required areas | Yes |
| Date of last standard fire safety inspection: | 01/06/2011 |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Fire Safety Deficiencies for this nursing home: | 0 |
| Average number of Fire Safety Deficiencies in WV: | 0 |
| Average number of Fire Safety Deficiencies in US: | 2 |
| Range of Fire Safety Deficiencies in WV: | 0 - 0 |
