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Kentmere Rehabilitation And Healthcare Center

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About Kentmere Rehabilitation And Healthcare Center

General Information

Legal Business NameHome Of Merciful Rest Society Incorporated Kentmere Nursing Carecenter
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 1, 1967 ()
Capacity106
Residents97
Percent Occupied92%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Kentmere Rehabilitation And Healthcare Center

Kentmere Rehabilitation And Healthcare Center
was reviewed by Medicare to have a rating of 5 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

June 11, 2015 - 1 year ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
GFewActual HarmHealth InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
ESomePotential for HarmHealth InspectionMake sure that a working call system is available in each resident's room or bathroom and bathing area.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionProvide special eating equipment and utensils for each resident who needs them.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.

June 9, 2015 - 1 year ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionRestrictions on the use of portable space heaters.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
ESomePotential for HarmFire Safety InspectionSigns that state that exit doors are to be kept closed.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.

May 8, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionDevelop policies and procedures for influenza and pneumococcal immunizations.
CManyPotential for Minimal HarmHealth InspectionProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaint+InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
DFewPotential for HarmHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmHealth Inspection1) 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.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

May 5, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionProperly installed hallway dispensers for alcohol-based hand rub.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Kentmere Rehabilitation And Healthcare 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
2hr 20min
ReportedExpected
CNA
35min
40min
ReportedExpected
LPN
1hr 5min
1hr
ReportedExpected
RN
3hr 40min
3hr 60min
ReportedExpected
Total Nursing

This facility also provides approximately 45min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
97.7%
97.7%
97.4%
Q1 2015Q2 2015Q3 2015DE
Assessed and Appropriately Given the Seasonal Influenza Vaccine
94.9%
94.9%
95.2%
96.4%
Q1 2015Q2 2015Q3 2015DE
Assessed and Appropriately Given the Pneumococcal Vaccine
51.2%
61.4%
57.1%
48.2%
Q1 2015Q2 2015Q3 2015DE
Low Risk Residents Who Lose Control of Their Bowel or Bladder
5.1%
8.9%
8.4%
14.0%
Q1 2015Q2 2015Q3 2015DE
Received an Antipsychotic Medication
11.8%
10.8%
13.4%
15.6%
Q1 2015Q2 2015Q3 2015DE
Need for Help with ADLs has Increased
11.5%
4.3%
1.4%
6.5%
Q1 2015Q2 2015Q3 2015DE
Self Report Moderate to Severe Pain
10.7%
9.3%
8.8%
6.3%
Q1 2015Q2 2015Q3 2015DE
Lose Too Much Weight
0.0%
4.3%
4.3%
4.3%
Q1 2015Q2 2015Q3 2015DE
High Risk Residents With Pressure Ulcers
4.1%
5.3%
3.8%
2.4%
Q1 2015Q2 2015Q3 2015DE
Have Depressive Symptoms
12.0%
4.0%
2.5%
6.4%
Q1 2015Q2 2015Q3 2015DE
With a Urinary Tract Infection
5.1%
3.8%
1.2%
3.3%
Q1 2015Q2 2015Q3 2015DE
Experiencing One or More Falls with Major Injury
0.0%
0.0%
0.0%
1.8%
Q1 2015Q2 2015Q3 2015DE
With a Catheter Inserted and Left in Their Bladder
1.3%
1.3%
0.0%
0.4%
Q1 2015Q2 2015Q3 2015DE
Were Physically Restrained

Quality Measures for Short Stay Residents

97.3%
97.4%
98.1%
86.3%
Q1 2015Q2 2015Q3 2015DE
Assessed and Appropriately Given the Pneumococcal Vaccine
96.0%
85.6%
85.6%
85.9%
Q1 2015Q2 2015Q3 2015DE
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
16.3%
10.4%
2.4%
13.2%
Q1 2015Q2 2015Q3 2015DE
Self Report Moderate to Severe Pain
0.0%
0.0%
1.2%
1.8%
Q1 2015Q2 2015Q3 2015DE
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
1.0%
Q1 2015Q2 2015Q3 2015DE
With Pressure Ulcers That Are New or Worsened