PILGRIM MANOR GUEST CARE CENTER, LLC
Address
1524 DOCTORS DRIVE
BOSSIER CITY, LA 71111
(318) 742-1623
Nursing Home Ratings
Health Inspections | |
Quality Measures | |
Nursing Staff | |
R.N. Staff Only | |
Overall Rating |
Percent of Beds Occupied
Number of Residents and Certified Beds
- Residents: 138
- Certified Beds: 153
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Corporation
- Offers Only Resident Counseling
- This Facility is Part of a Chain or Franchise
Resident Services
The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Pilgrim Manor Guest Care Center, LLC. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
Resident Services | Resident Conditions | Percent of Service Days |
Ultra-High Rehabilitation
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
ADL Index Range: 11-16 | 5.9% |
ADL Index Range: 6-10 | 11.5% |
ADL Index Range: 0-5 | 23.6% |
Total Percent: | 41.0% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 11.3% |
ADL Index Range: 6-10 | 7.0% |
ADL Index Range: 0-5 | 13.1% |
Total Percent: | 31.3% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 10.7% |
ADL Index Range: 6-10 | 2.0% |
ADL Index Range: 0-5 | 2.1% |
Total Percent: | 14.9% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-16 | 6.7% |
ADL Index Range: 6-10 | 1.0% |
Total Percent: | 7.7% |
Special Care High
- Comatose
- Septicemia
- Diabetes with daily injections and a change of order two or more days
- Quadriplegia with ADL score greater or equal to 5
- Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
- Fever with pneumonia, or vomiting, or weight loss, or feeding tube
- Parenteral/IV feedings
- Respiratory therapy for 7 days
- Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16 - No Signs of depression | 0.9% |
ADL Index Range: 2-5 - Signs of depression | 1.5% |
ADL Index Range: 2-5 - No Signs of depression | 0.9% |
Total Percent: | 3.3% |
Special Care Low
- Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
- Respiratory failure and oxygen therapy while a resident
- Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
- Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
- Ulcers: 2 or more venous or arterial ulcers
- Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
- Foot infection/diabetic foot ulcer/open lesions of foot with treatment
- Radiation therapy while a resident
- Dialysis while a resident
- Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16 - No Signs of depression | 1.9% |
Total Percent: | 1.9% |
Rating Details For Pilgrim Manor Guest Care Center, LLC
Nursing Staff -
The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.
Nursing Hours Per Resident Per Day | Reported | Expected |
Registered Nurse (RN) Hours | 12 Minutes | 1 Hour and 14 Minutes |
Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 41 Minutes | 46 Minutes |
Certified Nursing Assistant (CNA) Hours | 2 Hours and 13 Minutes | 2 Hours and 26 Minutes |
Total Licensed Nurse Hours | 53 Minutes | 1 Hour and 59 Minutes |
Total Nurse Hours | 3 Hours and 5 Minutes | 4 Hours and 25 Minutes |
Quality of Care -
Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Louisiana are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
This Facility | Louisiana Average |
Long-Term Stay Preventive Actions
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 91% |
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 87% |
Long-Term Stay Deficiencies
Percent of Long-Stay Residents Who Are More Depressed or Anxious | 14% | 15% |
Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 2% | 4% |
Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 18% | 10% |
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 41% | 42% |
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 1% | 2% |
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 8% | 8% |
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 6% | 5% |
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 16% | 15% |
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 5% | 10% |
Percent of Long-Stay Residents Who Were Physically Restrained | 8% | 8% |
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 22% | 20% |
Percent of Long-Stay Residents Who Lose Too Much Weight | 8% | 9% |
Short-Term Stay Preventive Actions
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 82% | 80% |
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 79% | 83% |
Short-Term Stay Deficiencies
Percent of Short-Stay Residents Who Have Pressure Sores | 16% | 12% |
Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 13% | 14% |
Percent of Short-Stay Residents Who Have Delirium | 1% | 4% |
Health Inspection Details -
All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 01/14/2011.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Administration
Train All Employees on What to Do in an Emergency.
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Set Up or Keep a Group of People to Review and Ensure Quality.
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Post Nurse Staffing Information.
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Environmental
Provide Needed Housekeeping and Maintenance.
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Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
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Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
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Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
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Pharmacy Service
Properly Mark Drugs and Other Similar Products.
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Quality Care
Give Professional Services That Follow Each Resident's Written Care Plan.
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Develop/Implement Required Procedures for the Administration of Immunizations.
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Give Professional Services That Meet a Professional Standard of Quality.
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Resident Assessment
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
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Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
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Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home.
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Resident Rights
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
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Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
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Give Enough Notice to the Resident Before Changing the Resident's Room or Roommate.
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Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Pilgrim Manor Guest Care Center, LLC, as well as complaints by residents or their family in the previous three years.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
Formal Complaints | Degree of Harm | Residents Affected |
Administration
Keep Accurate and Appropriate Medical Records.
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1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
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Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
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Mistreatment
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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Quality Care
Give Professional Services That Follow Each Resident's Written Care Plan.
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Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
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Give Professional Services That Follow Each Resident's Written Care Plan.
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Resident Assessment
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
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Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
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1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
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Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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Resident Rights
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
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Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.
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Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
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Fire Safety
Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Pilgrim Manor Guest Care Center, LLC had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 01/14/2011.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
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Exits and Egress
Rooms That Can Be Unlocked from Inside Without a Key.
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Fire Alarm Systems
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
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Illumination and Emergency Power
Proper Backup Exit Lighting.
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