Medicare.gov is pleased to provide information about Quality Measures, Inspection Results and Nursing Home Staffing for the nursing home you have selected.
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Quality Measures
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Percentage for BERWICK RETIREMENT VILLAGE NRS
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Average in
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National Average
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Percent of Residents Whose Need for Help With Daily Activities Has Increased
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29%
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16%
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Percent of Residents Who Have Moderate to Severe Pain
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5%
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6%
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Percent of High-Risk Residents Who Have Pressure Sores
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17%
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14%
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Percent of Low-Risk Residents Who Have Pressure Sores
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0%
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3%
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Percent of Residents Who Were Physically Restrained
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6%
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8%
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Percent of Residents Who are More Depressed or Anxious
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18%
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15%
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Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder
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51%
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47%
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Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder
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9%
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6%
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Percent of Residents Who Spend Most of Their Time in Bed or in a Chair
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24%
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4%
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Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse
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20%
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13%
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Percent of Residents With a Urinary Tract Infection
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0%
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8%
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Percent of Short-Stay Residents With Delirium
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NOT AVAILABLE
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3%
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Percent of Short-Stay Residents Who Had Moderate to Severe Pain
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NOT AVAILABLE
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22%
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Percent of Short-Stay Residents With Pressure Sores
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NOT AVAILABLE
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21%
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Date of this inspection: 06/20/2003
Complaint Investigations During: 04/01/2003 - 06/30/2004
Total number of health deficiencies for this nursing home: 17
Average number of Health Deficiencies in : 5
Average number of Health Deficiencies in the United States: 7
Range of Health Deficiencies in : 1 - 12
View Previous Inspection Results
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Mistreatment Deficiencies
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Inspectors determined that the nursing home failed to:
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Date of Correction
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Level of Harm
(Least -> Most)
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Residents Affected
(Few -> Some -> Many)
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1. 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.
(06/20/2003)
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08/15/2003
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2 = Minimal harm or potential for actual harm
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Few
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2. Keep each resident free from physical restraints, unless needed for medical treatment.
(07/09/2003)
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08/15/2003
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2 = Minimal harm or potential for actual harm
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Few
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Quality Care Deficiencies
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Inspectors determined that the nursing home failed to:
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Date of Correction
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Level of Harm
(Least -> Most)
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Residents Affected
(Few -> Some -> Many)
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3. Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
(06/20/2003)
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09/09/2003
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3 = Actual harm
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Few
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4. Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.
(06/20/2003)
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09/09/2003
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2 = Minimal harm or potential for actual harm
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Few
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5. Make sure that each resident's nutritional needs were met.
(06/20/2003)
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08/15/2003
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2 = Minimal harm or potential for actual harm
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Few
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Resident Assessment Deficiencies
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Inspectors determined that the nursing home failed to:
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Date of Correction
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Level of Harm
(Least -> Most)
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Residents Affected
(Few -> Some -> Many)
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6. Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.
(06/20/2003)
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08/15/2003
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2 = Minimal harm or potential for actual harm
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Some
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7. Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.
(06/20/2003)
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08/15/2003
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2 = Minimal harm or potential for actual harm
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Some
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Resident Rights Deficiencies
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Inspectors determined that the nursing home failed to:
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Date of Correction
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Level of Harm
(Least -> Most)
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Residents Affected
(Few -> Some -> Many)
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8. Let the resident refuse treatment or refuse to take part in an experiment.
(06/20/2003)
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08/15/2003
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2 = Minimal harm or potential for actual harm
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Few
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Pharmacy Service Deficiencies
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Inspectors determined that the nursing home failed to:
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Date of Correction
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Level of Harm
(Least -> Most)
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Residents Affected
(Few -> Some -> Many)
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9. 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.
(06/20/2003)
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08/15/2003
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2 = Minimal harm or potential for actual harm
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Few
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10. Make sure that the pharmacist reports anything unusual to the doctor on duty and the director of nursing.
(06/20/2003)
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08/15/2003
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2 = Minimal harm or potential for actual harm
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Few
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11. Provide drugs and related services needed by each resident.
(06/20/2003)
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09/09/2003
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2 = Minimal harm or potential for actual harm
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Some
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Environmental Deficiencies
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Inspectors determined that the nursing home failed to:
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Date of Correction
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Level of Harm
(Least -> Most)
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Residents Affected
(Few -> Some -> Many)
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12. Have a program to keep infection from spreading.
(06/20/2003)
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09/09/2003
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2 = Minimal harm or potential for actual harm
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Few
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13. Make sure that the nursing home area is free of dangers that cause accidents.
(06/20/2003)
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08/15/2003
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2 = Minimal harm or potential for actual harm
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Some
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14. Provide needed housekeeping and maintenance.
(06/20/2003)
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08/15/2003
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2 = Minimal harm or potential for actual harm
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Some
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Administration Deficiencies
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Inspectors determined that the nursing home failed to:
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Date of Correction
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Level of Harm
(Least -> Most)
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Residents Affected
(Few -> Some -> Many)
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15. Follow all laws and professional standards.
(06/20/2003)
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08/15/2003
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2 = Minimal harm or potential for actual harm
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Many
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16. Hold committee meetings every 3 months to review and ensure quality in the nursing home.
(06/20/2003)
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09/09/2003
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2 = Minimal harm or potential for actual harm
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Many
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17. Keep accurate and appropriate medical records.
(06/20/2003)
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08/15/2003
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2 = Minimal harm or potential for actual harm
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Many
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