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CADBURY AT LEWES - LEWES, DE

 



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Address
17028 CADBURY CIRCLE
LEWES, DE, 19958
Phone (make sure to verify first before calling): (302) 645-6400

Number of Certified Beds: 40
Total Number of Residents: 33
Percent of Occupied Beds: 83%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Resident
Continuing Care Retirement Community?: Yes
Quality Indicator Survey?: Yes
Special Focus Facility?: No

Overall Star Rating: 5 Stars
Health Inspections Star Rating: 4 Stars
Nurse Staffing Star Rating: 5 Stars
Quality Measures Star Rating: 2 Stars
RN Only Star Rating: 5 Stars

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
This Nursing Home:

1.640
Delaware:

0.996
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Here:

1.290
State:

0.918
Total Number of Licensed Staff Hours Per Resident Per Day
Here:

2.940
State:

1.915
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Here:

0.350
Delaware:

0.099
Number Therapy Hours Per Resident Per Day
This Nursing Home:

0.350
Delaware:

0.102

Quality Measures

Percent of short-stay residents who self-report moderate to severe pain
Here:

11.7%
Delaware:

20.2%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

96.1%
Delaware:

91.6%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

94.1%
Delaware:

90.4%
Percent of short-stay residents who newly received an antipsychotic medication
This Nursing Home:

2.4%
State:

3.4%

Complaint Deficiency

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Minimal harm or potential for actual harm)

Provide doctors orders for the resident's immediate care, at the time the resident was admitted: Few (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Few (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm)

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Few (Minimal harm or potential for actual harm)

Hire sufficient dietary support personnel: Few (Minimal harm or potential for actual harm)

Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident: Few (Minimal harm or potential for actual harm)

Keep each resident free from drugs that restrain them, unless needed for medical treatment: Few (Minimal harm or potential for actual harm)

Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Few (Minimal harm or potential for actual harm)

Provide activities to meet the interests and needs of each resident: Few (Minimal harm or potential for actual harm)

Allow the resident the right to participate in the planning or revision of the resident's care plan: Some (Minimal harm or potential for actual harm)

Make sure services provided by the nursing facility meet professional standards of quality: Few (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Some (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Minimal harm or potential for actual harm)

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Some (Minimal harm or potential for actual harm)

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses: Some (Potential for minimal harm)

Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Many (Minimal harm or potential for actual harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Some (Potential for minimal harm)

An approved installation, maintenance and testing program for fire alarm systems: Some (Potential for minimal harm)

An approved automatic sprinkler system connected to the fire alarm system: Many (Potential for minimal harm)

Properly installed electrical wiring and equipment: Some (Potential for minimal harm)

Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for: Some (Potential for minimal harm)

Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident: Few (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Some (Minimal harm or potential for actual harm)

Allow the resident the right to participate in the planning or revision of the resident's care plan: Few (Minimal harm or potential for actual harm)

Make sure services provided by the nursing facility meet professional standards of quality: Few (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Few (Immediate jeopardy to resident health or safety)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Some (Minimal harm or potential for actual harm)

1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: Few (Minimal harm or potential for actual harm)

Develop policies and procedures for influenza and pneumococcal immunizations: Many (Potential for minimal harm)

Store, cook, and serve food in a safe and clean way: Few (Minimal harm or potential for actual harm)

Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility: Few (Minimal harm or potential for actual harm)

Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property: Few (Minimal harm or potential for actual harm)

1) Hire only people with 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: Few (Minimal harm or potential for actual harm)

Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Few (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Minimal harm or potential for actual harm)

1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: Some (Minimal harm or potential for actual harm)

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor: Few (Minimal harm or potential for actual harm)

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Some (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Potential for minimal harm)

Record of quarterly fire drills for each shift under varying conditions: Some (Potential for minimal harm)

An approved installation, maintenance and testing program for fire alarm systems: Some (Potential for minimal harm)

Automatic sprinkler systems that have been maintained in working order: Some (Potential for minimal harm)

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