GOVERNOR BACON HEALTH CENTER

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.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

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 06/09/2010.

Administration

Get Services Outside the Nursing Home That Meet Professional Standards. Inspection Date: 05/14/2009 Correction Date: 07/31/2009
Train All Employees on What to Do in an Emergency. Inspection Date: 05/14/2009 Correction Date: 07/31/2009

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 07/29/2008 Correction Date: 09/12/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 07/29/2008 Correction Date: 09/12/2008
Provide at Least One Room to Use As a Dining Room and for Activities, That is a Good Size, with Good Lighting, Airflow and Furniture. Inspection Date: 07/29/2008 Correction Date: 09/12/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 07/29/2008 Correction Date: 09/12/2008
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 05/14/2009 Correction Date: 07/31/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 05/14/2009 Correction Date: 07/31/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/14/2009 Correction Date: 07/31/2009
Get Rid of Garbage Properly. Inspection Date: 05/14/2009 Correction Date: 07/31/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 05/14/2009 Correction Date: 07/31/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 05/14/2009 Correction Date: 07/31/2009
Have Enough Outside Airflow. Inspection Date: 05/14/2009 Correction Date: 07/31/2009

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 07/29/2008 Correction Date: 09/12/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/14/2009 Correction Date: 07/31/2009

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 05/14/2009 Correction Date: 07/31/2009

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 07/29/2008 Correction Date: 09/12/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 07/29/2008 Correction Date: 09/12/2008
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 05/14/2009 Correction Date: 07/31/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 05/14/2009 Correction Date: 07/31/2009
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 05/14/2009 Correction Date: 07/31/2009

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: 05/14/2009 Correction Date: 07/31/2009

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 07/29/2008 Correction Date: 09/12/2008

The table below lists incident reports by the nursing staff or administration for Governor Bacon Health Center, as well as complaints by residents or their family in the previous three years.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 07/29/2008 Correction Date: 09/12/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 06/09/2010 Correction Date: 09/03/2010

Mistreatment

Keep Each Resident Free from Drugs That Restrain Them, Unless Needed for Medical Treatment. Complaint Filed: 07/29/2008 Correction Date: 09/12/2008
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: 07/29/2008 Correction Date: 09/12/2008

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Complaint Filed: 07/29/2008 Correction Date: 09/12/2008
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Complaint Filed: 06/09/2010 Correction Date: 09/03/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Complaint Filed: 07/29/2008 Correction Date: 09/12/2008
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Complaint Filed: 07/29/2008 Correction Date: 09/12/2008
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Complaint Filed: 06/09/2010 Correction Date: 09/03/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Complaint Filed: 06/09/2010 Correction Date: 09/03/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Complaint Filed: 06/09/2010 Correction Date: 09/03/2010

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 Governor Bacon Health Center 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 06/10/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 08/06/2008 Correction Date: 12/31/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/06/2008 Correction Date: 09/15/2008
Portable Fire Extinguishers. Inspection Date: 08/06/2008 Correction Date: 09/15/2008

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 08/06/2008 Correction Date: 09/15/2008
Properly Protected Cooking Facilities. Inspection Date: 08/06/2008 Correction Date: 09/15/2008

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 08/06/2008 Correction Date: 09/15/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 06/10/2010 Correction Date: 07/05/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 06/10/2010 Correction Date: 07/05/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 08/06/2008 Correction Date: 09/15/2008
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 08/06/2008 Correction Date: 09/15/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 08/06/2008 Correction Date: 09/15/2008

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 08/06/2008 Correction Date: 09/15/2008

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors. Inspection Date: 08/06/2008 Correction Date: 09/15/2008