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Governor Bacon Health Center

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About Governor Bacon Health Center

General Information

Legal Business NameLegal Business Name Not Available
Ownership TypeGovernment - State
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareApril 1, 1978 (39 years)
Capacity86
Residents71
Percent Occupied83%
Program ParticipationMedicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Governor Bacon Health Center

Governor Bacon Health Center
was reviewed by Medicare to have a rating of 4 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Delaware Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

October 29, 2015 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionProtected exits that allow the resident to escape the building.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
DFewPotential for HarmFire Safety InspectionOther fire safety features required by fire safety codes.

October 28, 2015 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaint+InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
ESomePotential for HarmComplaint+InspectionMake sure that a working call system is available in each resident's room or bathroom and bathing area.
ESomePotential for HarmComplaint+InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmComplaint+InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmComplaint+InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmComplaint+InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmComplaint+InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmComplaint+InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmComplaint+InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmComplaint+InspectionAllow residents the right to participate in the planning or revision of care and treatment.

November 26, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmComplaintMake sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.
DFewPotential for HarmComplaintProtect each resident from mistreatment, neglect and misappropriation of personal property.
DFewPotential for HarmComplaintProtect each resident from all abuse, physical punishment, and involuntary separation from others.

November 6, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.

October 28, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionEnsure that residents receive proper treatment and assistive devices to maintain their vision and hearing.
DFewPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionProvide adequate and comfortable lighting levels in all areas.

June 24, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmComplaint1) 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.

March 6, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Governor Bacon Health Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 30min
2hr 10min
ReportedExpected
CNA
60min
35min
ReportedExpected
LPN
1hr 30min
45min
ReportedExpected
RN
5hr
3hr 30min
ReportedExpected
Total Nursing

This facility also provides approximately 15min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
97.4%
Q1 2015Q2 2015Q3 2015DE
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
100.0%
96.4%
Q1 2015Q2 2015Q3 2015DE
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
48.2%
Q1 2015Q2 2015Q3 2015DE
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
39.0%
46.2%
44.4%
14.0%
Q1 2015Q2 2015Q3 2015DE
Received an Antipsychotic Medication
2.2%
5.3%
6.8%
15.6%
Q1 2015Q2 2015Q3 2015DE
Need for Help with ADLs has Increased
1.9%
10.0%
3.9%
6.5%
Q1 2015Q2 2015Q3 2015DE
Self Report Moderate to Severe Pain
1.9%
7.5%
13.0%
6.3%
Q1 2015Q2 2015Q3 2015DE
Lose Too Much Weight
-
10.8%
5.4%
4.3%
Q1 2015Q2 2015Q3 2015DE
* The data for this facility for some quarters is unavailable.
High Risk Residents With Pressure Ulcers
2.0%
6.2%
7.8%
2.4%
Q1 2015Q2 2015Q3 2015DE
Have Depressive Symptoms
0.0%
1.5%
1.4%
6.4%
Q1 2015Q2 2015Q3 2015DE
With a Urinary Tract Infection
3.7%
3.0%
1.4%
3.3%
Q1 2015Q2 2015Q3 2015DE
Experiencing One or More Falls with Major Injury
0.0%
1.6%
2.8%
1.8%
Q1 2015Q2 2015Q3 2015DE
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.4%
Q1 2015Q2 2015Q3 2015DE
Were Physically Restrained

Quality Measures for Short Stay Residents

100.0%
-
-
86.3%
Q1 2015Q2 2015Q3 2015DE
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Pneumococcal Vaccine
-
75.0%
75.0%
85.9%
Q1 2015Q2 2015Q3 2015DE
* The data for this facility for some quarters is unavailable.
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
-
13.2%
Q1 2015Q2 2015Q3 2015DE
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
1.8%
Q1 2015Q2 2015Q3 2015DE
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
-
-
-
1.0%
Q1 2015Q2 2015Q3 2015DE
* The data for this facility for some quarters is unavailable.
With Pressure Ulcers That Are New or Worsened