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Governor Bacon Health Center

Details

Type of Ownership Government - State
Participates in Medicare? No
Participates in Medicaid? Yes
Certified Beds 94
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: 10/20/2011

Date of last standard health inspection: 10/20/2011
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, 02/00/2010

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. 02/00/2010 01/06/2012 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/00/2010 01/06/2012 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/00/2010 01/06/2012 2 Some
Have a program that investigates, controls and keeps infection from spreading. 02/00/2010 01/06/2012 2 Few
Make sure that a working call system is available in each resident's room or bathroom and bathing area. 02/00/2010 01/06/2012 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. 02/00/2010 01/06/2012 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. 02/00/2010 01/06/2012 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. 02/00/2010 01/06/2012 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/00/2010 01/06/2012 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. 02/00/2010 01/06/2012 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. 02/00/2010 01/06/2012 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/00/2010 01/06/2012 2 Few

Inspection, 00/09/2006

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. 00/09/2006 00/03/2009 3 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/09/2006 00/03/2009 3 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. 00/09/2006 00/03/2009 2 Some
Prepare food that is nutritional 00/09/2006 00/03/2009 tasty appetizing
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. 00/09/2006 00/03/2009 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. 00/09/2006 00/03/2009 2 Few
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. 00/09/2006 00/03/2009 2 Few
At least once a month 00/09/2006 00/03/2009 Few have a licensed pharmacist review each resident's
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. 00/09/2006 00/03/2009 2 Few
Develop a complete care plan that meets all the resident's needs 00/09/2006 00/03/2009 Few with timetables and actions that can be measured.

Inspection, 02/05/2005

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. 02/05/2005 01/08/2006 2 Few

Inspection, 02/02/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. 02/02/2003 02/00/2004 2 Some
Keep accurate 02/02/2003 02/00/2004 Few complete and organized clinical records on each re
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. 02/02/2003 02/00/2004 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 02/02/2003 02/00/2004 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/02/2003 02/00/2004 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. 02/02/2003 02/00/2004 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 02/02/2003 02/00/2004 2 Few

Inspection, 03/00/2001

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. 03/00/2001 02/04/2004 3 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 03/00/2001 02/04/2004 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 02/02/2001

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. 02/02/2001 00/03/2004 2 Some
Make sure that a working call system is available in each resident's room or bathroom and bathing area. 02/02/2001 00/03/2004 2 Few
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. 02/02/2001 00/03/2004 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/02/2001 02/04/2004 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. 02/02/2001 00/03/2004 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 02/02/2001 00/03/2004 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 02/02/2001 00/03/2004 2 Few
Try to resolve each resident's complaints quickly. 02/02/2001 00/03/2004 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 DE Golden Living Center, Asheville
RN Staff Only1 N/A N/A 5 out of 5 stars
Total Number of Residents 86 87 69
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 4 hours 28 minutes 2 hours 12 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 3 hours 32 minutes 1 hour 11 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 3 hours 27 minutes 1 hour 1 minute
CNA Hours
per Resident per Day
17 hours 46 minutes 5 hours 9 minutes 2 hours 56 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: 10/20/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 10/20/2011
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, 01/00/2006

Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/00/2006 00/05/2007 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. 01/00/2006 00/05/2007 1 Many
 

P.o. Box 559
Delaware City, DE 19706

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