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St Martin De Porres Multi-care Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 250
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: 04/29/2011

Date of last standard health inspection: 04/29/2011
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 LA: 4
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in LA: 0 - 14

Inspection, 01/05/2011

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 01/05/2011 01/03/2012 Few complete and organized clinical records on each re
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly 01/05/2011 01/03/2012 Some and develop corrective plans of action.
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. 01/05/2011 01/03/2012 2 Some
Provide care by qualified persons according to each resident's written plan of care. 01/05/2011 01/03/2012 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 01/05/2011 01/03/2012 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 02/07/2007

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. 02/07/2007 01/02/2008 4 Few
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. 02/07/2007 01/02/2008 4 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop and implement policies for 1) screening and training employees; and the 2) prevention 02/07/2007 01/02/2008 investigation identification

Inspection, 02/04/2006

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 02/04/2006 00/01/2008 1 Many
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/04/2006 00/01/2008 2 Some
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 02/04/2006 00/01/2008 2 Some
Keep accurate 02/04/2006 00/01/2008 Some complete and organized clinical records on each re
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly 02/04/2006 00/01/2008 Some and develop corrective plans of action.
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/04/2006 00/01/2008 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/04/2006 00/01/2008 4 Some
Have a program that investigates, controls and keeps infection from spreading. 02/04/2006 00/01/2008 2 Some
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. 02/04/2006 00/01/2008 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/04/2006 00/01/2008 4 Some
Provide at least one room set aside to use as a resident dining room and for activities 02/04/2006 00/01/2008 with good lighting that is a good size
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. 02/04/2006 00/01/2008 2 Few
Ensure that residents are safe from serious medication errors. 02/04/2006 00/01/2008 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. 02/04/2006 00/01/2008 2 Few
Ensure that residents are safe from serious medication errors. 02/04/2006 00/01/2008 2 Few
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. 02/04/2006 00/01/2008 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 02/04/2006 00/01/2008 2 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 02/04/2006 00/01/2008 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 02/04/2006 00/01/2008 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/04/2006 00/01/2008 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 02/04/2006 00/01/2008 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 02/04/2006 00/01/2008 2 Few
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 02/04/2006 00/01/2008 2 Few
Immediately tell the resident 02/04/2006 00/01/2008 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 00/08/2006

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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 00/08/2006 00/06/2007 2 Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/08/2006 03/01/2008 2 Few
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 00/08/2006 03/01/2008 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/08/2006 00/06/2007 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/08/2006 00/06/2007 2 Few
Make sure that a working call system is available in each resident's room or bathroom and bathing area. 00/08/2006 00/06/2007 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. 00/08/2006 00/06/2007 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. 00/08/2006 00/06/2007 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/08/2006 00/06/2007 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 00/08/2006 00/06/2007 2 Few
Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. 00/08/2006 00/06/2007 2 Few
Provide or obtain dental services for each resident. 00/08/2006 00/06/2007 2 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. 00/08/2006 00/06/2007 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Try to resolve each resident's complaints quickly. 00/08/2006 00/06/2007 2 Few

Inspection, 02/09/2004

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. 02/09/2004 02/04/2006 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/09/2004 01/00/2006 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/09/2004 01/00/2006 2 Few
Have a program that investigates, controls and keeps infection from spreading. 02/09/2004 01/00/2006 2 Some
Make sure that a working call system is available in each resident's room or bathroom and bathing area. 02/09/2004 01/00/2006 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. 02/09/2004 01/00/2006 2 Some
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. 02/09/2004 02/04/2006 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/09/2004 02/04/2006 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 02/09/2004 01/00/2006 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/09/2004 01/00/2006 2 Few
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. 02/09/2004 01/00/2006 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. 02/09/2004 01/00/2006 2 Some
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/09/2004 01/00/2006 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 02/09/2004 01/00/2006 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. 02/09/2004 01/00/2006 2 Few
Send unopened mail from residents and promptly deliver unopened mail to residents. 02/09/2004 00/00/0000 1 Many

Inspection, 00/08/2004

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 00/08/2004 01/00/2006 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Develop and implement policies for 1) screening and training employees; and the 2) prevention 00/08/2004 01/00/2006 investigation identification
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 00/08/2004 01/00/2006 Few with timetables and actions that can be measured.
Allow residents the right to participate in the planning or revision of care and treatment. 00/08/2004 01/00/2006 2 Few

Inspection, 02/09/2003

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/09/2003 01/03/2005 2 Some

Inspection, 02/06/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Operate and provide services according to Federal 02/06/2003 02/07/2004 and local laws and professional standards. State
Keep accurate 02/06/2003 02/07/2004 Some complete and organized clinical records on each re
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly 02/06/2003 02/07/2004 Some and develop corrective plans of action.
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. 02/06/2003 02/07/2004 4 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints 02/06/2003 02/07/2004 Few unless needed for medical treatment.
Protect each resident from mistreatment 02/06/2003 02/07/2004 Few neglect and misappropriation of personal property.
1) Hire only people with no legal history of abusing 02/06/2003 02/07/2004 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 02/06/2003 02/07/2004 2 Some
Assure that each resident 02/06/2003 02/07/2004 1 Some
Allow residents the right to participate in the planning or revision of care and treatment. 02/06/2003 02/07/2004 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Honor a residents' rights as a residents of the nursing home 02/06/2003 02/07/2004 and as citizens or residents of the United States. free of coercion and reprisal
Ensure that residents are fully informed and understand their health status 02/06/2003 02/07/2004 Some care and treatments.
Let residents refuse treatment 02/06/2003 02/07/2004 or formulate advance directives. refuse to take part in an experiment
Give residents a notice of rights 02/06/2003 02/07/2004 services and charges. rules
Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. 02/06/2003 02/07/2004 2 Some
Allow residents to have visitors. 02/06/2003 02/07/2004 2 Some
Permit residents to remain in the facility and not be transferred or discharged without adequate reason. 02/06/2003 02/07/2004 2 Some
Provide written records when a resident is transferred or discharged. 02/06/2003 02/07/2004 2 Some
Provide timely notification to the resident before transfer or discharge. 02/06/2003 02/07/2004 2 Some

Inspection, 01/09/2002

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 01/09/2002 00/02/2004 Few complete and organized clinical records on each re
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates 01/09/2002 00/02/2004 Some controls and keeps infection from spreading.
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 01/09/2002 00/02/2004 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 LA Golden Living Center, Asheville
RN Staff Only1 N/A N/A 2 out of 5 stars
Total Number of Residents 86 93 155
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 2 hours 20 minutes 1 hour 2 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 1 hour 24 minutes 16 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 1 hour 54 minutes 45 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 3 hours 10 minutes 2 hours 1 minute

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: 04/26/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 04/26/2011
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 LA: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in LA: 0 - 0

Inspection, 02/01/2006

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Signs that state that exit doors are to be kept closed. 02/01/2006 00/01/2008 2 Some
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/01/2006 00/01/2008 2 Few
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. 02/01/2006 00/01/2008 2 Some

Inspection, 00/06/2006

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. 00/06/2006 00/06/2007 2 Few
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. 00/06/2006 00/06/2007 2 Some
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes. 00/06/2006 00/06/2007 2 Few

Inspection, 02/06/2004

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/06/2004 01/00/2006 2 Some
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 02/06/2004 01/00/2006 2 Few
 

200 Teal St.
Lake Charles, LA 70615

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