EMILY P. BISSELL HOSPITAL

The information listed below provides an in-depth look into the type and quality of care offered at Emily P. Bissell Hospital. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

EMILY P. BISSELL HOSPITAL
3000 NEWPORT GAP PIKE
WILMINGTON, DE 19808
(302) 995-8482

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only

Overall Rating

Percent of Beds Occupied

66%

Number of Residents and Certified Beds

Residents: 66
Certified Beds: 100

This Facility Accepts

Medicare
Medicaid

Operational Details

Operated By Government - State
Offers Only Resident Counseling
This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Hockessin | Greenville | Newark

Resident Services

The information below lists services this facility has provided for residents from October through November 2010. During this period, the most common type of service provided was "Special Care Low". 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 Emily P. Bissell Hospital. 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

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 - Signs of depression	63.2%
ADL Index Range: 15-16 - No Signs of depression	36.8%
Total Percent:	100.0%

Rating Details For Emily P. Bissell Hospital

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	1 Hour and 38 Minutes	56 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	1 Hour and 16 Minutes	40 Minutes
Certified Nursing Assistant (CNA) Hours	3 Hours and 12 Minutes	2 Hours and 23 Minutes
Total Licensed Nurse Hours	2 Hours and 54 Minutes	1 Hour and 36 Minutes
Total Nurse Hours	6 Hours and 5 Minutes	3 Hours and 59 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 Delaware are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This Facility

Delaware Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	94%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	94%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	39%	52%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	14%	3%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	1%	3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	15%	9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	7%	4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	5%	5%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	12%	10%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	20%	12%
Percent of Long-Stay Residents Who Lose Too Much Weight	10%	8%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	22%	16%
Percent of Long-Stay Residents Who Were Physically Restrained	9%	9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	13%	13%

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 09/23/2009.

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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/12/2007 Correction Date: 10/12/2007
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 07/12/2007 Correction Date: 10/12/2007
Provide Needed Housekeeping and Maintenance. Inspection Date: 09/23/2009 Correction Date: 12/17/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/23/2009 Correction Date: 12/17/2009

Mistreatment

Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property. Inspection Date: 07/12/2007 Correction Date: 10/12/2007
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. Inspection Date: 07/12/2007 Correction Date: 10/12/2007
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. Inspection Date: 09/23/2009 Correction Date: 12/17/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/12/2007 Correction Date: 10/12/2007
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 09/23/2009 Correction Date: 12/17/2009

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.

Inspection Date: 09/23/2009
Correction Date: 12/17/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 07/12/2007 Correction Date: 10/12/2007
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting. Inspection Date: 09/23/2009 Correction Date: 12/17/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 09/23/2009 Correction Date: 12/17/2009
Give or Get Dental Care for Each Resident. Inspection Date: 09/23/2009 Correction Date: 12/17/2009

Resident Rights

Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.

Inspection Date: 09/30/2008
Correction Date: 12/09/2008

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action Taken	Date	Amount
Civil Money Penalty (CMP)	09/23/2009	$650
Denial of Payment for New Admission (DPNA)	09/23/2009	-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Emily P. Bissell Hospital, 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. Complaint Filed: 04/11/2008 Correction Date: 08/31/2008
Keep Accurate and Appropriate Medical Records. Complaint Filed: 05/22/2008 Correction Date: 06/30/2008
Keep Accurate and Appropriate Medical Records. Complaint Filed: 09/30/2008 Correction Date: 12/09/2008
Get Services Outside the Nursing Home That Meet Professional Standards. Complaint Filed: 09/30/2008 Correction Date: 12/09/2008
Choose a Doctor to Be the Medical Director. Complaint Filed: 09/30/2008 Correction Date: 12/09/2008
Have a Detailed, Written Plan for Disasters and Emergencies. Complaint Filed: 09/30/2008 Correction Date: 12/09/2008
Train All Employees on What to Do in an Emergency. Complaint Filed: 09/30/2008 Correction Date: 12/09/2008
Have an Agreement with at Least One Hospital Certified by Medicare or Medicaid to Make Sure Residents Can Be Moved Quickly to the Hospital when They Need Medical Care. Complaint Filed: 09/30/2008 Correction Date: 12/09/2008
Keep Accurate and Appropriate Medical Records. Complaint Filed: 10/12/2010 Correction Date: 01/03/2011