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Wrangell Medical Center Ltc
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P.o. Box 1081
Wrangell, AK 99929
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0 Recommendations
Details
| Type of Ownership | Government - City |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 14 |
| Continuing Care? | No |
| Resident Council? | No |
| 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: 08/11/2011
| Date of last standard health inspection: | 08/11/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Health Deficiencies for this nursing home: | 5 |
| Average number of Health Deficiencies in AK: | 6 |
| Average number of Health Deficiencies in US: | 8 |
| Range of Health Deficiencies in AK: | 0 - 15 |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have a program to keep infection from spreading. | 08/11/2011 | 09/25/2011 | Minimal harm or potential for actual harm | Widespread |
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. | 08/11/2011 | 09/25/2011 | 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. | 08/11/2011 | 09/25/2011 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
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| 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. | 08/11/2011 | 09/25/2011 | Minimal harm or potential for actual harm | Isolated |
| Provide services to meet the needs and preferences of each resident. | 08/11/2011 | 09/25/2011 | Minimal harm or potential for actual harm | Pattern |
Inspection, 09/18/2010
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| post nurse staffing information. | 09/18/2010 | 12/18/2010 | Minimal harm or potential for actual harm | Widespread |
| Be administered in a way that leads to the highest possible level of well being for each resident. | 09/18/2010 | 12/18/2010 | Minimal harm or potential for actual harm | Widespread |
| Keep accurate and appropriate medical records. | 09/18/2010 | 12/18/2010 | Minimal harm or potential for actual harm | Pattern |
| Keep clinical information safe, so that it will not be lost, destroyed or used by the wrong person. | 09/18/2010 | 12/18/2010 | Minimal harm or potential for actual harm | Pattern |
| Set up or keep a group of people to review and ensure quality. | 09/18/2010 | 11/02/2010 | Minimal harm or potential for actual harm | Widespread |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the nursing home area is free of dangers that cause accidents. | 09/18/2010 | 12/18/2010 | Immediate jeopardy to resident health or safety | Isolated |
| Have a program to keep infection from spreading. | 09/18/2010 | 12/18/2010 | Minimal harm or potential for actual harm | Widespread |
| Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. | 09/18/2010 | 12/18/2010 | Minimal harm or potential for actual harm | Widespread |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 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. | 09/18/2010 | 11/02/2010 | Immediate jeopardy to resident health or safety | Isolated |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | 09/18/2010 | 12/18/2010 | Minimal harm or potential for actual harm | Widespread |
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. | 09/18/2010 | 11/02/2010 | Minimal harm or potential for actual harm | Isolated |
| Store, cook, and give out food in a safe and clean way. | 09/18/2010 | 11/02/2010 | Immediate jeopardy to resident health or safety | Pattern |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly mark drugs and other similar products. | 09/18/2010 | 11/02/2010 | Minimal harm or potential for actual harm | Isolated |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give professional services that meet a professional standard of quality. | 09/18/2010 | 12/18/2010 | Minimal harm or potential for actual harm | Isolated |
| Give professional services that follow each resident's written care plan. | 09/18/2010 | 12/18/2010 | Minimal harm or potential for actual harm | Isolated |
| Give each resident care and services to get or keep the highest quality of life possible. | 09/18/2010 | 12/18/2010 | Actual harm | Isolated |
| Make sure that each resident gets help to keep vision and hearing. | 09/18/2010 | 12/18/2010 | Minimal harm or potential for actual harm | Isolated |
| Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. | 09/18/2010 | 11/02/2010 | Minimal harm or potential for actual harm | Pattern |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | 09/18/2010 | 12/18/2010 | Minimal harm or potential for actual harm | Widespread |
| Use a registered nurse at least 8 hours a day, 7 days a week. | 09/18/2010 | 11/02/2010 | Minimal harm or potential for actual harm | Widespread |
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. | 09/18/2010 | 11/02/2010 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help. | 09/18/2010 | 11/02/2010 | Minimal harm or potential for actual harm | Widespread |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | 09/18/2010 | 12/18/2010 | Minimal harm or potential for actual harm | Isolated |
Inspection, 08/28/2009
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the nursing home area is free of dangers that cause accidents. | 08/28/2009 | 09/24/2009 | Minimal harm or potential for actual harm | Pattern |
| Have a program to keep infection from spreading. | 08/28/2009 | 09/24/2009 | Minimal harm or potential for actual harm | Pattern |
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. | 08/28/2009 | 09/24/2009 | Minimal harm or potential for actual harm | Widespread |
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. | 08/28/2009 | 09/24/2009 | Minimal harm or potential for actual harm | Isolated |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | 08/28/2009 | 09/24/2009 | 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. | 08/28/2009 | 09/24/2009 | Minimal harm or potential for actual harm | Pattern |
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 AK | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | 5 out of 5 stars |
| Total Number of Residents | 86 | 38 | 14 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
1 hour 29 minutes | 2 hours 36 minutes | 3 hours 22 minutes |
|
RN Hours per Resident per Day |
40 minutes | 1 hour 47 minutes | 3 hours 22 minutes |
|
LPN/LVN Hours per Resident per Day |
49 minutes | 53 minutes | |
|
CNA Hours per Resident per Day |
2 hours 25 minutes | 3 hours 53 minutes | 4 hours 30 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 | Not Available |
| Percent of long-stay residents given influenza vaccination during the flu season | 90+% |
| Percent of long-stay residents who are more depressed or anxious | 21% |
| Percent of long-stay residents who had a urinary tract infection | 14% |
| 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 | 0% |
| 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 | Not Available |
| Percent of long-stay residents whose need for help with daily activities has increased | 23% |
| 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 | Not Available |
Short-Term Residents
| Percent of long-stay residents who lose too much weight | 15% |
| Percent of short-stay residents given influenza vaccination during the flu season | Not Available |
| Percent of short-stay residents who had moderate to severe pain | Not Available |
| Percent of short-stay residents who have delirium | Not Available |
| Percent of short-stay residents who have pressure sores | Not Available |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | Not Available |
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: 08/10/2011
| Automatic Sprinkler Systems in all required areas | fully sprinklered |
| Date of last standard fire safety inspection: | 08/10/2011 |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Fire Safety Deficiencies for this nursing home: | 3 |
| Average number of Fire Safety Deficiencies in AK: | 4 |
| Average number of Fire Safety Deficiencies in US: | 4 |
| Range of Fire Safety Deficiencies in AK: | 0 - 5 |
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. | 08/10/2011 | 09/24/2011 | 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. | 08/10/2011 | 09/29/2011 | Minimal harm or potential for actual harm | Widespread |
Smoking Regulations Deficiencies |
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| 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. | 08/10/2011 | 09/24/2011 | Minimal harm or potential for actual harm | Pattern |
Inspection, 09/22/2010
Corridor Walls and Doors Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| corridor and hallway doors that block smoke. | 09/22/2010 | 09/24/2010 | Minimal harm or potential for actual harm | Pattern |
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. | 09/22/2010 | 09/22/2010 | Minimal harm or potential for actual harm | Widespread |
Medical Gases and Anesthetizing Areas Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| properly constructed piped-in oxygen systems. | 09/22/2010 | 10/31/2010 | 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. | 09/22/2010 | 10/15/2010 | Minimal harm or potential for actual harm | Widespread |
Inspection, 09/08/2009
Electrical Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| properly installed electrical wiring and equipment. | 09/08/2009 | 09/09/2009 | Minimal harm or potential for actual harm | Pattern |
Emergency Plans and Fire Drills Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| did not have a written emergency evacuation plan. | 09/08/2009 | 10/16/2009 | Minimal harm or potential for actual harm | Widespread |
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. | 09/08/2009 | 10/15/2009 | Minimal harm or potential for actual harm | Widespread |
| properly maintained smoke detectors. | 09/08/2009 | 10/15/2009 | Minimal harm or potential for actual harm | Widespread |
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. | 09/08/2009 | 09/28/2009 | Minimal harm or potential for actual harm | Widespread |
