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Pinnacle Rehabilitation & Health Center
3034 SOUTH DUPONT HIGHWAY
Smyrna, DE 19977
(302) 653-5085
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 151 |
| Number of Residents: | 149 |
| Percent of Occupied Beds: | 99% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | For profit - Corporation |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | No |
| Resident and Family Councils? | Resident |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: | |
| Nurse Staffing: |  |
| Quality Measures: |  |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20080415 | Health | Mistreatment Deficiencies | Protect each resident from all abuse, physical punishment, and being separated from others. | Isolated | Minimal harm or potential for actual harm | 20080606 |
| 20080415 | Health | Mistreatment Deficiencies | 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. | Isolated | Minimal harm or potential for actual harm | 20080606 |
| 20080415 | Health | Quality Care Deficiencies | Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | Isolated | Minimal harm or potential for actual harm | 20080606 |
| 20080415 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm | 20080606 |
| 20080415 | Health | Quality Care Deficiencies | Give the right treatment and services to residents who have mental or social problems adjusting. | Isolated | Minimal harm or potential for actual harm | 20080606 |
| 20080905 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm | 20081030 |
| 20080905 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm | 20081030 |
| 20080905 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20081030 |
| 20080905 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm | 20081030 |
| 20081126 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Minimal harm or potential for actual harm | 20090130 |
| 20081126 | Health | Nutrition and Dietary Deficiencies | Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Pattern | Minimal harm or potential for actual harm | 20090130 |
| 20081126 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Pattern | Minimal harm or potential for actual harm | 20090130 |
| 20090810 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Minimal harm or potential for actual harm | 20091016 |
| 20100215 | Health | Resident Assessment Deficiencies | Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Isolated | Minimal harm or potential for actual harm | 20100520 |
| 20100215 | Health | Pharmacy Service Deficiencies | Properly mark drugs and other similar products. | Pattern | Minimal harm or potential for actual harm | 20100425 |
| 20100215 | Health | Environmental Deficiencies | Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Isolated | Minimal harm or potential for actual harm | 20100425 |
| 20100215 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20100425 |
| 20100215 | Health | Resident Assessment Deficiencies | 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. | Isolated | Minimal harm or potential for actual harm | 20100425 |
| 20100215 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20100520 |
| 20100215 | Health | Environmental Deficiencies | Provide needed housekeeping and maintenance. | Isolated | Minimal harm or potential for actual harm | 20100425 |
| 20100215 | Health | Resident Assessment Deficiencies | Assess the resident when the resident enters the nursing home, in a timely manner. | Isolated | Minimal harm or potential for actual harm | 20100520 |
| 20100215 | Health | Resident Assessment Deficiencies | Check and update (if needed) each resident's assessment every 3 months. | Isolated | Minimal harm or potential for actual harm | 20100520 |
| 20100215 | Health | Mistreatment Deficiencies | 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. | Isolated | Minimal harm or potential for actual harm | 20100425 |
| 20100215 | Health | Resident Rights Deficiencies | Provide services to meet the needs and preferences of each resident. | Isolated | Minimal harm or potential for actual harm | 20100425 |
| 20100609 | Health | Environmental Deficiencies | Keep safe, clean and homelike surroundings. | Pattern | Minimal harm or potential for actual harm | 20100706 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 96 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 100 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 18 | |
| Percent of long-stay residents who have moderate to severe pain: | 2 | |
| Percent of high-risk long-stay residents who have pressure sores: | 12 | |
| Percent of low-risk long-stay residents who have pressure sores: | 2 | |
| Percent of long-stay residents who were physically restrained: | 1 | |
| Percent of long-stay residents who are more depressed or anxious: | 9 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 49 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 2 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 5 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 11 | |
| Percent of long-stay residents who had a urinary tract infection: | 7 | |
| Percent of long-stay residents who lose too much weight: | 9 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 88 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 89 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 11 | |
| Percent of short-stay residents who have pressure sores: | 10 | |
| # of Residents: | 149 |
| # RN Hours per Resident: | 0.67 |
| # LPN Hours per Resident: | 0.73 |
| # CNA Hours per Resident: | 1.64 |
| Total Staff Hours per Resident: | 1.4 |
