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Emily P. Bissell Hospital

Details

Type of Ownership Government - State
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 85
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: 07/07/2011

Date of last standard health inspection: 07/07/2011
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 DE: 7
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in DE: 0 - 15

Inspection, 01/02/2010

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/02/2010 01/05/2012 2 Few
Keep accurate 01/02/2010 00/03/2001 Few complete and organized clinical records on each re
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/02/2010 01/05/2012 2 Few
Have a program that investigates, controls and keeps infection from spreading. 01/02/2010 01/05/2012 2 Many
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 01/02/2010 01/05/2012 2 Few
Have enough outside ventilation via a window or mechanical ventilation, or both. 01/02/2010 01/05/2012 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from all abuse, physical punishment, and involuntary separation from others. 01/02/2010 01/05/2012 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. 01/02/2010 01/05/2012 2 Few
Protect each resident from all abuse 01/02/2010 00/07/2012 and involuntary separation from others. physical punishment
1) Hire only people with no legal history of abusing 01/02/2010 00/07/2012 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
1) Hire only people with no legal history of abusing 01/02/2010 01/05/2012 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Nutrition and Dietary Deficiencies
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. 01/02/2010 01/05/2012 2 Some
Store, cook, and serve food in a safe and clean way. 01/02/2010 01/05/2012 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. 01/02/2010 01/05/2012 2 Some
Ensure that residents are safe from serious medication errors. 01/02/2010 01/05/2012 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. 01/02/2010 01/05/2012 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/02/2010 01/05/2012 2 Some
Ensure that residents are safe from serious medication errors. 01/02/2010 01/05/2012 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 01/02/2010 01/05/2012 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 01/02/2010 01/05/2012 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/02/2010 01/05/2012 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/02/2010 01/05/2012 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/02/2010 00/03/2001 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 01/02/2010 00/07/2012 and that incontinent patients receive proper servi unless medically necessary
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/02/2010 01/05/2012 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure each resident receives an accurate assessment by a qualified health professional. 01/02/2010 01/05/2012 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/02/2010 01/05/2012 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 01/02/2010 01/05/2012 2 Some
Develop a complete care plan that meets all the resident's needs 01/02/2010 00/07/2012 Few with timetables and actions that can be measured.
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 01/02/2010 01/05/2012 2 Few
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 01/02/2010 01/05/2012 2 Few
Allow residents to easily view the results of the nursing home's most recent inspection. 01/02/2010 01/05/2012 1 Many
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/02/2010 01/05/2012 2 Some
Reasonably accommodate the needs and preferences of each resident. 01/02/2010 01/05/2012 2 Few

Inspection, 02/03/2009

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/03/2009 01/07/2012 1 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/03/2009 01/07/2012 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from mistreatment, neglect and misappropriation of personal property. 02/03/2009 01/07/2012 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. 02/03/2009 01/07/2012 2 Few
Nutrition and Dietary Deficiencies
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. 02/03/2009 01/07/2012 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that residents are safe from serious medication errors. 02/03/2009 01/07/2012 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. 02/03/2009 00/01/2002 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/03/2009 00/01/2002 3 Few
Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. 02/03/2009 01/07/2012 2 Few
Ensure residents maintain acceptable nutritional status. 02/03/2009 01/07/2012 2 Few
Provide or obtain dental services for each resident. 02/03/2009 01/07/2012 2 Few

Inspection, 00/07/2007

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/07/2007 01/09/2008 2 Few
Train all employees on what to do in an emergency, and carry out unannounced staff drills. 00/07/2007 01/09/2008 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/07/2007 01/09/2008 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/07/2007 01/09/2008 2 Some
Dispose of garbage and refuse properly. 00/07/2007 01/09/2008 1 Some
Have a program that investigates, controls and keeps infection from spreading. 00/07/2007 01/09/2008 2 Some
Make sure that a working call system is available in each resident's room or bathroom and bathing area. 00/07/2007 01/09/2008 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 00/07/2007 01/09/2008 2 Few
Nutrition and Dietary Deficiencies
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. 00/07/2007 01/09/2008 2 Some
Store, cook, and serve food in a safe and clean way. 00/07/2007 01/09/2008 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 00/07/2007 01/09/2008 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 00/07/2007 01/09/2008 2 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. 00/07/2007 01/09/2008 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. 00/07/2007 01/09/2008 2 Some
Reasonably accommodate the needs and preferences of each resident. 00/07/2007 01/09/2008 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/07/2007 01/09/2008 2 Some

Inspection, 03/01/2005

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates 03/01/2005 02/04/2006 Few controls and keeps infection from spreading.
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that residents are safe from serious medication errors. 03/01/2005 02/04/2006 2 Few

Inspection, 00/04/2005

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. 00/04/2005 03/00/2006 2 Few
Have a program that investigates 00/04/2005 03/00/2006 Few controls and keeps infection from spreading.
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from all abuse 00/04/2005 03/00/2006 and involuntary separation from others. physical punishment
1) Hire only people with no legal history of abusing 00/04/2005 03/00/2006 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
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. 00/04/2005 03/00/2006 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 DE Golden Living Center, Asheville
RN Staff Only1 N/A N/A 5 out of 5 stars
Total Number of Residents 86 87 63
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 4 hours 28 minutes 6 hours 6 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 3 hours 32 minutes 2 hours 20 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 3 hours 27 minutes 3 hours 46 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 5 hours 9 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: 07/05/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 07/05/2011
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 DE: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in DE: 0 - 0

Inspection, 00/07/2010

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. 00/07/2010 01/05/2001 1 Many
Automatic sprinkler systems that have been maintained in working order. 00/07/2010 01/05/2001 1 Many
Portable fire extinguishers. 00/07/2010 01/05/2001 1 Many
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 00/07/2010 01/05/2001 1 Some
Restrictions on the use of portable space heaters. 00/07/2010 01/05/2001 2 Few
An elevator that firefighters can control in the event of a fire. 00/07/2010 01/05/2001 2 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/07/2010 01/05/2001 1 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/07/2010 01/05/2001 1 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 00/07/2010 01/05/2001 2 Many
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. 00/07/2010 01/05/2001 1 Many
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. 00/07/2010 01/05/2001 1 Many
Interior Finish Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Fire resistant room wall surfaces. 00/07/2010 01/05/2001 1 Many
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly constructed piped-in oxygen systems. 00/07/2010 01/05/2001 2 Many
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 00/07/2010 01/05/2001 2 Many

Inspection, 00/05/2007

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/05/2007 02/05/2007 1 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 00/05/2007 02/05/2007 2 Few
 

3000 Newport Gap Pike
Wilmington, DE 19808

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