FIVE STAR FOULK MANOR NORTH LLC

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.

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 Delaware are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

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 04/13/2011.

Administration

Get Services Outside the Nursing Home That Meet Professional Standards. Inspection Date: 05/01/2008 Correction Date: 08/01/2008
Train All Employees on What to Do in an Emergency. Inspection Date: 05/01/2008 Correction Date: 08/01/2008
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 06/12/2009 Correction Date: 07/30/2009
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 06/12/2009 Correction Date: 07/30/2009
Train All Employees on What to Do in an Emergency. Inspection Date: 06/12/2009 Correction Date: 07/30/2009

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 05/01/2008 Correction Date: 08/01/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/01/2008 Correction Date: 08/01/2008
Get Rid of Garbage Properly. Inspection Date: 05/01/2008 Correction Date: 08/01/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 05/01/2008 Correction Date: 08/01/2008
Have Enough Outside Airflow. Inspection Date: 05/01/2008 Correction Date: 08/01/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 06/12/2009 Correction Date: 07/30/2009

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 06/12/2009 Correction Date: 07/30/2009

Nutrition and Dietary

1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day. Inspection Date: 05/01/2008 Correction Date: 08/01/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/01/2008 Correction Date: 08/01/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/13/2011 Correction Date: 05/15/2011

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 05/01/2008 Correction Date: 08/01/2008
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 05/01/2008 Correction Date: 08/01/2008
Give or Get Dental Care for Each Resident. Inspection Date: 05/01/2008 Correction Date: 08/01/2008
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 06/12/2009 Correction Date: 07/30/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 06/12/2009 Correction Date: 07/30/2009
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Inspection Date: 06/12/2009 Correction Date: 07/30/2009

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 06/12/2009 Correction Date: 07/30/2009
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. Inspection Date: 06/12/2009 Correction Date: 07/30/2009
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 06/12/2009 Correction Date: 07/30/2009
Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress. Inspection Date: 04/13/2011 Correction Date: 05/15/2011

Resident Rights

Tell the Resident or the Resident's Representative in Writing How Long the Nursing Home Will Hold the Resident's Bed when the Resident Temporarily Leaves the Facility. Inspection Date: 05/01/2008 Correction Date: 08/01/2008

The table below lists incident reports by the nursing staff or administration for Five Star Foulk Manor North LLC, as well as complaints by residents or their family in the previous three years.

Mistreatment

1) Hire Only People Who Have 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. Complaint Filed: 01/07/2009 Correction Date: 04/20/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 01/07/2009 Correction Date: 04/20/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Complaint Filed: 01/07/2009 Correction Date: 05/12/2009

Resident Assessment

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. Complaint Filed: 01/07/2009 Correction Date: 04/20/2009

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 05/01/2008 Correction Date: 08/01/2008