Mt Carmel Home- Keens Memorial
Details
| Type of Ownership |
Non profit - Corporation |
| Participates in Medicare? |
Yes |
| Participates in Medicaid? |
Yes |
| Certified Beds |
75 |
| 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: 12/14/2011
|
Date of last standard health inspection:
|
12/14/2011 |
|
Quality Indicator Survey
|
No |
|
Dates of Complaint Investigations:
|
04/01/2011 - 03/31/2012 |
|
Total number of Health Deficiencies for this nursing home:
|
1 |
|
Average number of Health Deficiencies in NE:
|
3 |
|
Average number of Health Deficiencies in US:
|
3 |
|
Range of Health Deficiencies in NE:
|
0 -
11 |
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.
|
01/04/2012
|
00/09/2001
|
2
|
Some
|
Inspection, 01/04/2012
Administration Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
|
01/04/2012
|
02/08/2001
|
2
|
Some
|
Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
|
01/04/2012
|
02/06/2001
|
2
|
Some
|
|
Have enough outside ventilation via a window or mechanical ventilation, or both.
|
01/04/2012
|
02/08/2001
|
2
|
Some
|
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.
|
01/04/2012
|
00/09/2001
|
2
|
Some
|
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.
|
01/04/2012
|
02/08/2001
|
2
|
Some
|
|
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
|
01/04/2012
|
02/08/2001
|
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.
|
01/04/2012
|
02/08/2001
|
2
|
Some
|
Resident Rights Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Give residents a notice of rights, rules, services and charges.
|
01/04/2012
|
01/06/2001
|
2
|
Few
|
|
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
|
01/04/2012
|
02/06/2001
|
2
|
Few
|
Inspection, 02/00/2011
Resident Rights Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
|
02/00/2011
|
01/01/2001
|
2
|
Few
|
Inspection, 02/07/2010
Mistreatment Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Protect each resident from mistreatment, neglect and misappropriation of personal property.
|
02/07/2010
|
00/02/2012
|
2
|
Few
|
|
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.
|
02/07/2010
|
03/00/2011
|
2
|
Few
|
Inspection, 02/04/2010
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.
|
02/04/2010
|
00/07/2012
|
2
|
Few
|
|
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
|
02/04/2010
|
00/07/2012
|
2
|
Few
|
Inspection, 02/02/2009
Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
|
02/02/2009
|
00/01/2011
|
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.
|
02/02/2009
|
02/08/2010
|
3
|
Few
|
|
Give each resident enough fluids to keep them healthy and prevent dehydration.
|
02/02/2009
|
02/08/2010
|
3
|
Few
|
Resident Rights Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
|
02/02/2009
|
02/08/2010
|
2
|
Few
|
|
Tell the resident or the resident
|
02/02/2009
|
02/08/2010
|
2
|
Few
|
Inspection, 00/01/2009
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.
|
00/01/2009
|
00/01/2010
|
2
|
Some
|
Resident Rights Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Try to resolve each resident's complaints quickly.
|
00/01/2009
|
00/01/2010
|
2
|
Some
|
|
Provide residents with private access to a telephone.
|
00/01/2009
|
00/01/2010
|
2
|
Few
|
|
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
|
00/01/2009
|
00/01/2010
|
2
|
Some
|
Inspection, 01/01/2004
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.
|
01/01/2004
|
02/06/2005
|
2
|
Few
|
Resident Rights Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
|
01/01/2004
|
02/06/2005
|
2
|
Few
|
Inspection, 00/06/2004
Quality Care Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Ensure services provided by the nursing facility meet professional standards of quality.
|
00/06/2004
|
00/01/2005
|
2
|
Few
|
Inspection, 02/01/2002
Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide housekeeping and maintenance services.
|
02/01/2002
|
02/08/2003
|
2
|
Some
|
|
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
|
02/01/2002
|
02/08/2003
|
2
|
Few
|
|
Have a program that investigates, controls and keeps infection from spreading.
|
02/01/2002
|
02/08/2003
|
2
|
Some
|
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.
|
02/01/2002
|
02/08/2003
|
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.
|
02/01/2002
|
02/08/2003
|
2
|
Few
|
|
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
|
02/01/2002
|
02/08/2003
|
2
|
Some
|
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.
|
02/01/2002
|
02/08/2003
|
2
|
Few
|
Resident Rights Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
|
02/01/2002
|
02/08/2003
|
2
|
Few
|
Inspection, 00/02/2001
Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
|
00/02/2001
|
02/09/2001
|
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 NE |
Golden Living Center, Asheville
|
|
RN Staff Only1
|
N/A
|
N/A
|
3 out of 5 stars
|
|
Total Number of Residents
|
85 |
54 |
69 |
Total, Licensed Nurse Staff Hours per Resident per Day
|
15 hours 26 minutes |
14 hours 34 minutes |
1 hour 58 minutes |
RN Hours per Resident per Day
|
14 hours 37 minutes |
13 hours 48 minutes |
31 minutes |
LPN/LVN Hours per Resident per Day
|
14 hours 52 minutes |
13 hours 47 minutes |
1 hour 27 minutes |
CNA Hours per Resident per Day
|
16 hours 21 minutes |
15 hours 34 minutes |
2 hours 39 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: 12/27/2011
|
Automatic Sprinkler Systems in all required areas
|
Yes |
|
Date of last standard fire safety inspection:
|
12/27/2011
|
|
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 NE:
|
0 |
|
Average number of Fire Safety Deficiencies in US:
|
2 |
|
Range of Fire Safety Deficiencies in NE:
|
0 -
0 |
Inspection, 02/07/2012
Corridor Walls and Doors Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Corridor and hallway doors that block smoke.
|
02/07/2012
|
00/04/2001
|
2
|
Some
|
Electrical Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Properly installed electrical wiring and equipment.
|
02/07/2012
|
02/00/2001
|
2
|
Few
|
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.
|
02/07/2012
|
00/09/2001
|
2
|
Many
|
Exits and Egress Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Exits that are accessible at all times.
|
02/07/2012
|
01/03/2001
|
2
|
Some
|
Fire Alarm Systems Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
An approved installation, maintenance and testing program for fire alarm systems.
|
02/07/2012
|
02/05/2001
|
2
|
Many
|
Furnishings and Decorations Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Restrictions on the use of highly flammable decorations.
|
02/07/2012
|
02/08/2001
|
2
|
Some
|
Inspection, 03/00/2008
Building Service Equipment Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Properly protected cooking facilities.
|
03/00/2008
|
01/00/2010
|
2
|
Many
|
Corridor Walls and Doors Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Corridor and hallway doors that block smoke.
|
03/00/2008
|
02/00/2009
|
2
|
Some
|
|
Signs that state that exit doors are to be kept closed.
|
03/00/2008
|
01/00/2010
|
2
|
Few
|
Electrical Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Properly installed electrical wiring and equipment.
|
03/00/2008
|
02/00/2009
|
2
|
Many
|
Illumination and Emergency Power Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Proper backup exit lighting.
|
03/00/2008
|
02/00/2009
|
2
|
Few
|
|
Emergency lighting that can last at least 1 1/2 hours.
|
03/00/2008
|
01/00/2010
|
2
|
Few
|
Inspection, 01/04/2002
Automatic Sprinkler Systems Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Automatic sprinkler systems that have been maintained in working order.
|
01/04/2002
|
00/00/0000
|
2
|
Few
|
Electrical Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Properly installed electrical wiring and equipment.
|
01/04/2002
|
00/00/0000
|
2
|
Few
|
Furnishings and Decorations Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Restrictions on the use of flammable curtains.
|
01/04/2002
|
00/00/0000
|
2
|
Some
|
Hazardous Area Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
|
01/04/2002
|
00/00/0000
|
2
|
Some
|
Vertical Openings Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Proper stairway enclosures and vertical shafts.
|
01/04/2002
|
00/00/0000
|
2
|
Few
|