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Charles Cole Memorial Hospital

Details

Type of Ownership Non profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 49
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: 11/17/2011

Date of last standard health inspection: 11/17/2011
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 PA: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in PA: 0 - 5

Inspection, 02/02/2012

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. 02/02/2012 01/06/2002 2 Many
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. 02/02/2012 01/06/2002 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure residents maintain acceptable nutritional status. 02/02/2012 01/06/2002 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that doctors visit residents regularly, as required. 02/02/2012 01/06/2002 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. 02/02/2012 01/06/2002 2 Few

Inspection, 00/06/2012

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. 00/06/2012 00/09/2001 2 Some
Provide or obtain laboratory services only when ordered by the attending physician. 00/06/2012 00/09/2001 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/06/2012 00/09/2001 2 Some
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 00/06/2012 00/09/2001 2 Some
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. 00/06/2012 00/09/2001 3 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. 00/06/2012 00/09/2001 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. 00/06/2012 00/09/2001 2 Few
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 00/06/2012 00/09/2001 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. 00/06/2012 00/09/2001 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. 00/06/2012 00/09/2001 2 Some
Provide or obtain dental services for each resident. 00/06/2012 00/09/2001 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. 00/06/2012 00/09/2001 2 Some
Keep residents' personal and medical records private and confidential. 00/06/2012 00/09/2001 2 Few
Allow residents to self-administer drugs if determined safe. 00/06/2012 00/09/2001 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/06/2012 00/09/2001 2 Some

Inspection, 01/07/2011

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. 01/07/2011 03/01/2012 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/07/2011 03/01/2012 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/07/2011 03/01/2012 2 Some
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. 01/07/2011 03/01/2012 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. 01/07/2011 03/01/2012 2 Few
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 01/07/2011 00/03/2002 2 Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/07/2011 00/03/2002 2 Few
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. 01/07/2011 03/01/2012 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/07/2011 03/01/2012 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 01/07/2011 03/01/2012 2 Some
Allow residents to self-administer drugs if determined safe. 01/07/2011 00/03/2002 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 PA Golden Living Center, Asheville
RN Staff Only1 N/A N/A 3 out of 5 stars
Total Number of Residents 86 112 49
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 8 hours 16 minutes 1 hour 47 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 7 hours 26 minutes 45 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 7 hours 31 minutes 1 hour 1 minute
CNA Hours
per Resident per Day
17 hours 46 minutes 8 hours 56 minutes 1 hour 44 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: 11/17/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 11/17/2011
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 PA: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in PA: 0 - 0
 

1001 East Second Street
Coudersport, PA 16915

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