|
PAVILION , THE
876 FALMOUTH ROAD
HYANNIS, MA 02601
(508) 775-6663
Size (date of last inspection: 20051207)
82 total beds available
68 current residents
83% occupied
Staff Presence
4.14 nurse hours per resident per day
1.17 with Registered Nurses
0.61 with Licensed Practical Nurses
2.36 with Certified Nurse Assistants
Medicare and Medicaid
Yes participant in Medicare
Yes participant in Medicaid
Administration Details
This home is owned by a for-profit partnership
This home is not located within a hospital
The owner does not own other homes
This home has resident and family councils
Resident Details (survey date: 20051207)
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 70% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 6% | Percent of Residents Who Were Physically Restrained |
| 10% | Percent of Residents With a Urinary Tract Infection |
| 26% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 8% | Percent of Residents Who Have Moderate to Severe Pain |
| 14% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 0% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 16% | Percent of Short-Stay Residents With Pressure Sores |
| 20% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 22% | Percent of High-Risk Residents Who Have Pressure Sores |
| 9% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 6% | Percent of Residents Who Lose Too Much Weight |
| 10% | Percent of Residents Who are More Depressed or Anxious |
| 0% | Percent of Short-Stay Residents With Delirium |
Deficiencies Found in Home Inspections
5
1...12
|
Resident Rights: Properly hold, secure and manage each resident's personal money which is deposited with the nursing home.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20051207 | Corrected By: | 20060121 |
|
5
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050128 | Corrected By: | 20050314 |
|
5
1...12
|
Resident Rights: Provide services to meet the needs and preferences of each resident.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040305 | Corrected By: | 20040412 |
|
4
1...12
|
Administration: Give or get lab tests to meet the needs of residents.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050128 | Corrected By: | 20050314 |
|
4
1...12
|
Environmental: Make sure that staff members wash their hands when needed.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050128 | Corrected By: | 20050314 |
|
4
1...12
|
Environmental: Have a program to keep infection from spreading.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050128 | Corrected By: | 20050314 |
|
4
1...12
|
Pharmacy Service: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050128 | Corrected By: | 20050314 |
|
4
1...12
|
Quality Care: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050128 | Corrected By: | 20050314 |
|
4
1...12
|
Environmental: Keep temperature levels comfortable and safe.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050128 | Corrected By: | 20050314 |
|
4
1...12
|
Administration: Give or get lab tests to meet the needs of residents.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040305 | Corrected By: | 20040412 |
|
4
1...12
|
Quality Care: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040305 | Corrected By: | 20040412 |
|
4
1...12
|
Resident Assessment: Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040305 | Corrected By: | 20040412 |
|
4
1...12
|
Resident Assessment: Check and update (if needed) each resident's assessment every 3 months.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040305 | Corrected By: | 20040412 |
|
4
1...12
|
Resident Rights: Provide care in a way that keeps or builds each resident's dignity and self respect.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040305 | Corrected By: | 20040412 |
|
4
1...12
|
Resident Rights: Keep each resident's personal and medical records private and confidential.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040305 | Corrected By: | 20040412 |
|
Hospitals in Hyannis:
CAPE COD HOSPITAL
P O BOX 640, 27 PARK STREET
HYANNIS, MA
Phone: 5087711800
|
|