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Delmar Gardens Of Green Valley

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About Delmar Gardens Of Green Valley

General Information

Legal Business NameDelmar Gardens Of Green Valley Operating, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJune 24, 1988 (28 years)
Capacity242
Residents200
Percent Occupied83%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Delmar Gardens Of Green Valley

Delmar Gardens Of Green Valley
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Nevada 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 1, 2015 - 14 months ago

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

May 8, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionDevelop policies and procedures for influenza and pneumococcal immunizations.
DFewPotential for HarmHealth InspectionProvide special eating equipment and utensils for each resident who needs them.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth 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 HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionMake sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
DFewPotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.

May 7, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionRestrictions on the use of flammable curtains.
FManyPotential for HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
FManyPotential for HarmFire Safety InspectionExits that are accessible at all times.
ESomePotential for HarmFire Safety InspectionProperly sized and located linen or trash receptacles.
ESomePotential for HarmFire Safety InspectionProper construction of ducts through walls designed to prevent smoke passage.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
ESomePotential for HarmFire Safety InspectionA written emergency evacuation plan.
ESomePotential for HarmFire Safety InspectionFire resistant floor finishes.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionFire resistant room wall surfaces.
DFewPotential for HarmFire Safety InspectionFire resistant interior walls.
DFewPotential for HarmFire Safety InspectionProperly maintained smoke detectors.
DFewPotential for HarmFire Safety InspectionProper backup exit lighting.

June 20, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
GFewActual HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmHealth 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 HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
DFewPotential for 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.
DFewPotential for HarmHealth InspectionMake sure that doctors visit residents regularly, as required.
DFewPotential for HarmHealth InspectionMake sure that each residents' abilities in activities of daily living do not decline, unless unavoidable.
DFewPotential for HarmHealth InspectionProtect each resident from all abuse, physical punishment, and involuntary separation from others.
DFewPotential for HarmHealth InspectionEnsure that residents are fully informed and understand their health status, care and treatments.
DFewPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
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.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

April 22, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
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 Delmar Gardens Of Green Valley 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 10min
2hr 20min
ReportedExpected
CNA
40min
35min
ReportedExpected
LPN
30min
50min
ReportedExpected
RN
3hr 20min
3hr 45min
ReportedExpected
Total Nursing

This facility also provides approximately 30min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

99.4%
97.0%
97.0%
88.7%
Q1 2015Q2 2015Q3 2015NV
Assessed and Appropriately Given the Seasonal Influenza Vaccine
95.5%
95.6%
95.1%
86.3%
Q1 2015Q2 2015Q3 2015NV
Assessed and Appropriately Given the Pneumococcal Vaccine
58.9%
52.6%
58.7%
49.3%
Q1 2015Q2 2015Q3 2015NV
Low Risk Residents Who Lose Control of Their Bowel or Bladder
20.1%
20.6%
20.1%
17.3%
Q1 2015Q2 2015Q3 2015NV
Received an Antipsychotic Medication
15.3%
18.2%
22.1%
17.6%
Q1 2015Q2 2015Q3 2015NV
Need for Help with ADLs has Increased
9.8%
15.0%
11.6%
11.5%
Q1 2015Q2 2015Q3 2015NV
Self Report Moderate to Severe Pain
8.9%
8.3%
6.2%
6.1%
Q1 2015Q2 2015Q3 2015NV
Lose Too Much Weight
3.4%
5.4%
2.6%
8.1%
Q1 2015Q2 2015Q3 2015NV
High Risk Residents With Pressure Ulcers
0.7%
0.7%
0.6%
2.4%
Q1 2015Q2 2015Q3 2015NV
Have Depressive Symptoms
1.9%
3.2%
3.7%
5.4%
Q1 2015Q2 2015Q3 2015NV
With a Urinary Tract Infection
2.5%
3.2%
3.7%
3.0%
Q1 2015Q2 2015Q3 2015NV
Experiencing One or More Falls with Major Injury
1.3%
1.6%
0.7%
4.1%
Q1 2015Q2 2015Q3 2015NV
With a Catheter Inserted and Left in Their Bladder
3.2%
3.2%
2.5%
0.8%
Q1 2015Q2 2015Q3 2015NV
Were Physically Restrained

Quality Measures for Short Stay Residents

87.7%
89.1%
89.3%
77.1%
Q1 2015Q2 2015Q3 2015NV
Assessed and Appropriately Given the Pneumococcal Vaccine
86.9%
88.2%
88.2%
79.1%
Q1 2015Q2 2015Q3 2015NV
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
18.7%
18.9%
15.8%
17.3%
Q1 2015Q2 2015Q3 2015NV
Self Report Moderate to Severe Pain
2.2%
1.0%
2.0%
2.1%
Q1 2015Q2 2015Q3 2015NV
Newly Received an Antipsychotic Medication
0.0%
0.8%
1.8%
0.6%
Q1 2015Q2 2015Q3 2015NV
With Pressure Ulcers That Are New or Worsened