Using the Medicare Nursing Home Compare website, research one nursing home that displays a low level of quality as indicated by their Five Star Rating*

• The nursing home should display a low level of quality (-2 star rating)
• The nursing home should display a low level of safety

After thoroughly researching your nursing home on the Medicare Nursing Home Compare website, discuss their quality performance and life safety indicators. What types of deficiencies did this nursing home receive in its most recent survey? Discuss the scope and severity of these deficiencies. What would you do to correct some of these problems?

This is an opportunity for you to explore the practical application of quality research in healthcare. I encourage you to respond in first person, share personal experiences, and ask questions to further develop your understanding of quality performance and value in healthcare.

Resources:

http://www.medicare.gov/nursinghomecompare/search.html

https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/downloads/cms2567.pdf

http://www.cdc.gov/nchs/nnhs.htm

Using their same references in two different paragraphs give your personal 

opinion to  Dianna Adair  and Breanne Munday  

 Breanne Munday 

Cross Keys Village- Brethren Home Community: PO Box 128, 2990 Carlisle PK. New Oxford, PA 17350

• Overall rating: 1 Star- much below average
• 270 certified beds
• Health inspection rating is based on the providers current survey and the 2 prior surveys, as well as the last 3 years of complaints
  • Overall health inspection rating: 1 star- much below average
  • Within the past 3 years, 9 complaints have been citied
  • Within the past 3 years the facility has reported 6 issues which resulted in citations
  • 19 total health citations
    • Average in PA: 8.9
    • Average in U.S: 8.2

“Based on observations, review of select facility policies, and staff interviews it was determined that the facility failed to ensure that care and services were provided in a manner that enhanced residents’ dignity for four of 36 residents reviewed (Medicare, n.d).”

• Detailed Results for Survey 08/08/2019
  • 5 deficiencies: Free from Abuse, Neglect, and Exploitation
  • 3 deficiencies: Quality of Life and Care
  • 6 deficiencies: Resident Assessment and Care Planning
  • 2 deficiencies: Nursing and Physician Services
  • 1 deficiencies: Resident Rights Deficiencies
  • 2 deficiencies: Nutrition and Dietary

An example of a deficiency is during survey, it was noted throughout an entire day a residents foley could been seen from the hallway. This is considered a deficiency because a courtesy bag should be covering the foley.

Since I work in a nursing home, I know that in order to fix these problems, a plan of corrections must be submitted to the health department and approved. The plan of corrections will detail how the home plans to change/fix the problems and how they will prevent from this problem happening again.

Works Cited:

About Nursing Home Compare. (n.d.). Retrieved from https://www.medicare.gov/NursingHomeCompare/previousInspections.html?ID=395108&Inspn=HEALTH&profTab=1&cmprID=395108&lat=39.8243121&lng=-77.2175223&loc=17325&cmprDist=11.3&Distn=11.3

 Dianna Adair 

The nursing home I chose to discuss for my assignment is Hallmark Living Holland in Holland, Michigan. Hallmark Living Holland is a medium facility that is owned by a for-profit corporation with a resident council that also accepts Medicare and Medicaid. This facility is rated horrifically and has a slew of complaints, citations, and penalties (Medicare.gov, n. d.).

Hallmark Living Holland’s most recent health inspection, occurring in August of 2019, resulted in 29 health citations. To provide a comparison, the average number of health citations in Michigan are 13.3. The national average is only 8.2 (Medicare.gov, n.d.). Regardless of how you look at it, this is an abysmal number. Looking at the report, many of these citations are for more minor issues that don’t cause significant harm. However, the sheer number of small mistakes adds up to a fairly large issue that indicates this facility lacks attention to detail. Attention to detail is extremely important in healthcare, as it is the difference between giving a patient 0.5mg of a dangerous medication or 5.0mg instead, a 10-fold increase. little mistakes matter.

Some of the violations include not honoring resident’s rights to request, refuse, or discontinue treatment, such as not correctly following end of life choices such as DNRs. One resident was not given range of motion therapy, resulting in increased pain and medical issues stemming from that neglect. Other residents were given medications that were not needed, and doses were not gradually reduced to remove the patients from these unnecessary medications (Medicare.gov, 2019).

Their fire safety inspection results, at least, are much better than the health inspection results. Where the national average of fire safety citations is 3, and the Michigan average is 4.6, Hallmark Living Holland only had 1 citation in August 2019. Their overall rating is still only 1 star, but at least they take fire safety seriously, even if it is by accident.

Correcting the issues of this facility is a tall order. I would say that their medical staff needs to be retrained on proper procedures in a massive overhaul to improve quality of life for patients. Perhaps sending employees for intense training in small batches would be a good idea, so that it doesn’t stretch staff too thin at the facility while getting these staff members up to speed on what they should be doing to keep residents safe.

Regards,
Dianna

References:
Medicare.gov. (n. d.). Retrieved from: https://www.medicare.gov/NursingHomeCompare/compare.html#cmprTab=2&cmprID=235077&cmprDist=7527.7&stsltd=MI&state=MI&lat=0&lng=0
Medicare.gov. (2019). Inspection report. Retrieved from: https://www.medicare.gov/NursingHomeCompare/InspectionReportDetail.html?ID=235077&SURVEYDATE=08/07/2019&INSPTYPE=STD&cmprTab=1&cmprID=235077&cmprDist=7527.7&stsltd=MI&state=MI&lat=0&lng=0