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Carolyn Boone Lewis Health Care Center

Details

Type of Ownership Non profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 183
Continuing Care? No
Resident Council? Yes
Family Council? Yes
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: 09/02/2011

Date of last standard health inspection: 09/02/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 4
Average number of Health Deficiencies in DC: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in DC: 0 - 4
Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 01/04/2012 02/06/2001 Few complete and organized clinical records on each re
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. 01/04/2012 02/06/2001 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 01/04/2012 02/06/2001 Few with timetables and actions that can be measured.
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 01/04/2012 02/06/2001 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 01/01/2009

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. 01/01/2009 00/02/2011 2 Many
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 01/01/2009 00/02/2011 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/01/2009 00/02/2011 2 Some
Have a program that investigates, controls and keeps infection from spreading. 01/01/2009 00/02/2011 2 Few
Keep all essential equipment working safely. 01/01/2009 00/02/2011 2 Few
Make sure that a working call system is available in each resident's room or bathroom and bathing area. 01/01/2009 00/02/2011 2 Few
Put firmly secured handrails on each side of hallways. 01/01/2009 00/02/2011 2 Few
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 01/01/2009 00/02/2011 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. 01/01/2009 00/02/2011 2 Some
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. 01/01/2009 00/02/2011 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. 01/01/2009 00/02/2011 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/01/2009 00/02/2011 2 Some
Ensure residents maintain acceptable nutritional status. 01/01/2009 00/02/2011 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. 01/01/2009 00/02/2011 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/01/2009 00/02/2011 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 01/01/2009 00/02/2011 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. 01/01/2009 00/02/2011 2 Few

Inspection, 00/02/2009

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. 00/02/2009 00/04/2011 2 Few
Dispose of garbage and refuse properly. 00/02/2009 00/04/2011 2 Few
Have a program that investigates, controls and keeps infection from spreading. 00/02/2009 00/04/2011 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. 00/02/2009 00/04/2011 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. 00/02/2009 00/04/2011 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. 00/02/2009 00/04/2011 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. 00/02/2009 00/04/2011 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 00/02/2009 00/04/2011 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. 00/02/2009 00/04/2011 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 00/02/2009 00/04/2011 2 Some
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. 00/02/2009 00/04/2011 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Try to resolve each resident's complaints quickly. 00/02/2009 00/04/2011 2 Few
Allow residents to easily view the results of the nursing home's most recent inspection. 00/02/2009 00/04/2011 1 Many
Allow residents to self-administer drugs if determined safe. 00/02/2009 00/04/2011 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/02/2009 00/04/2011 2 Few

Inspection, 01/01/2008

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. 01/01/2008 00/04/2011 2 Few
Operate and provide services according to Federal, State, and local laws and professional standards. 01/01/2008 00/04/2011 2 Few
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility 01/01/2008 00/04/2011 2 Few
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. 01/01/2008 00/04/2011 2 Many
Provide or obtain laboratory services only when ordered by the attending physician. 01/01/2008 00/04/2011 2 Few
Quickly tell the resident's doctor the results of laboratory tests. 01/01/2008 00/04/2011 2 Few
Keep signed and dated reports of x-rays and other diagnostic services. 01/01/2008 00/04/2011 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/01/2008 00/04/2011 2 Some
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 01/01/2008 00/04/2011 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/01/2008 00/04/2011 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/01/2008 00/04/2011 3 Few
Have a program that investigates, controls and keeps infection from spreading. 01/01/2008 00/04/2011 3 Some
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 01/01/2008 00/04/2011 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. 01/01/2008 00/04/2011 3 Few
Protect each resident from all abuse, physical punishment, and involuntary separation from others. 01/01/2008 00/04/2011 3 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. 01/01/2008 00/04/2011 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. 01/01/2008 00/04/2011 2 Many
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. 01/01/2008 00/04/2011 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. 01/01/2008 00/04/2011 2 Some
Ensure that residents are safe from serious medication errors. 01/01/2008 00/04/2011 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/01/2008 00/04/2011 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/01/2008 00/04/2011 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. 01/01/2008 00/04/2011 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 01/01/2008 00/04/2011 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/01/2008 00/04/2011 3 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/01/2008 00/04/2011 2 Few
Ensure residents maintain acceptable nutritional status. 01/01/2008 00/04/2011 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 01/01/2008 00/04/2011 2 Few
Provide routine and 24-hour emergency dental care for each resident. 01/01/2008 00/04/2011 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. 01/01/2008 01/01/2011 2 Some
Assess in a timely manner the resident when the resident enters the nursing home. 01/01/2008 00/04/2011 2 Few
Review or revise the resident's care plan after any major change in physical or mental health. 01/01/2008 00/04/2011 2 Few
Assure that each resident 01/01/2008 00/04/2011 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 01/01/2008 00/04/2011 2 Some
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/01/2008 00/04/2011 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 01/01/2008 00/04/2011 2 Some
Maintain 15 months of resident assessments in the resident's active clinical record. 01/01/2008 00/04/2011 2 Few
Encode each resident 01/01/2008 00/04/2011 2 Few
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. 01/01/2008 00/04/2011 2 Few
Make sure that doctors visit residents regularly, as required. 01/01/2008 00/04/2011 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 01/01/2008 00/04/2011 2 Few
Try to resolve each resident's complaints quickly. 01/01/2008 00/04/2011 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/01/2008 00/04/2011 2 Few
Reasonably accommodate the needs and preferences of each resident. 01/01/2008 00/04/2011 2 Few

Inspection, 00/05/2007

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from mistreatment 00/05/2007 03/00/2007 Few neglect and misappropriation of personal property.
Develop and implement policies for 1) screening and training employees; and the 2) prevention 00/05/2007 03/00/2007 investigation identification

Inspection, 01/04/2006

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly care for residents needing special services 01/04/2006 02/07/2007 colostomy including: injections

Inspection, 00/07/2006

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. 00/07/2006 01/04/2007 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/07/2006 01/04/2007 3 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 00/07/2006 01/04/2007 2 Few
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. 00/07/2006 01/04/2007 3 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 00/07/2006 01/04/2007 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 00/06/2005

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. 00/06/2005 02/05/2005 2 Few

Inspection, 02/08/2004

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from all abuse 02/08/2004 00/06/2006 and involuntary separation from others. physical punishment

Inspection, 00/01/2004

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. 00/01/2004 01/00/2005 3 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
At least once a month 00/01/2004 01/00/2005 Few have a licensed pharmacist review each resident's
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 00/01/2004 01/00/2005 2 Few

Inspection, 02/02/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 02/02/2003 00/02/2005 Some 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 00/02/2005 3 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. 02/02/2003 01/08/2004 2 Few
At least once a month 02/02/2003 01/08/2004 Few have a licensed pharmacist review each resident's
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. 02/02/2003 00/02/2005 3 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 02/02/2003 00/02/2005 1 Some

Inspection, 01/07/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 01/07/2003 02/07/2004 Few complete and organized clinical records on each re
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. 01/07/2003 02/07/2004 3 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 DC Golden Living Center, Asheville
RN Staff Only1 N/A N/A 4 out of 5 stars
Total Number of Residents 86 115 157
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 73 hours 9 minutes 1 hour 59 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 72 hours 6 minutes 53 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 72 hours 21 minutes 1 hour 6 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 82 hours 8 minutes 3 hours 2 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: 09/20/2011

Automatic Sprinkler Systems in all required areas Partial
Date of last standard fire safety inspection: 09/20/2011
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 DC: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in DC: 0 - 0

Inspection, 02/08/2009

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/08/2009 00/02/2011 2 Few
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 02/08/2009 00/02/2011 2 Few

Inspection, 02/00/2009

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. 02/00/2009 00/04/2011 1 Many
Corridor and hallway doors that block smoke. 02/00/2009 00/04/2011 2 Few
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. 02/00/2009 00/04/2011 2 Some
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 02/00/2009 00/04/2011 2 Few

Inspection, 00/04/2008

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. 00/04/2008 00/05/2011 2 Few
Corridor and hallway doors that block smoke. 00/04/2008 00/05/2011 2 Few
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A written emergency evacuation plan. 00/04/2008 00/05/2011 2 Many
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper backup exit lighting. 00/04/2008 00/05/2011 2 Few
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 00/04/2008 00/05/2011 2 Few
 

1380 Southern Ave Se
Washington, DC 20032

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