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South Davis Community Care Center

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About South Davis Community Care Center

General Information

Legal Business NameSouth Davis Community Hospital Inc
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareApril 11, 1977 (40 years)
Capacity160
Residents122
Percent Occupied76%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalYes
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for South Davis Community Care Center

South Davis Community Care Center
was reviewed by Medicare to have a rating of 3 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Utah 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

August 20, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential 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 InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
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 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 InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

August 19, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
DFewPotential for HarmFire Safety InspectionCorridors or aisles that are unobstructed and are at least 8 feet in width.
DFewPotential for HarmFire Safety InspectionExits that are accessible at all times.

August 20, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
DFewPotential for HarmFire Safety InspectionProperly located and lighted "Exit" signs.
DFewPotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
BSomePotential for Minimal HarmFire Safety InspectionCorridors or aisles that are unobstructed and are at least 8 feet in width.

August 14, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
ESomePotential for HarmHealth InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
ESomePotential for HarmHealth InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
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 InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
DFewPotential for HarmHealth InspectionQuickly tell the resident's doctor the results of laboratory tests.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
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 residents are safe from serious medication errors.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of South Davis Community Care 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.

4hr 10min
2hr 40min
ReportedExpected
CNA
35min
1hr 5min
ReportedExpected
LPN
2hr 25min
1hr 35min
ReportedExpected
RN
7hr 10min
5hr 20min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 20min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
98.9%
98.9%
96.4%
Q1 2015Q2 2015Q3 2015UT
Assessed and Appropriately Given the Seasonal Influenza Vaccine
95.2%
97.4%
98.7%
96.8%
Q1 2015Q2 2015Q3 2015UT
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
50.6%
Q1 2015Q2 2015Q3 2015UT
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
15.7%
7.7%
6.5%
19.6%
Q1 2015Q2 2015Q3 2015UT
Received an Antipsychotic Medication
9.4%
12.9%
0.0%
12.3%
Q1 2015Q2 2015Q3 2015UT
Need for Help with ADLs has Increased
20.4%
19.8%
8.8%
12.2%
Q1 2015Q2 2015Q3 2015UT
Self Report Moderate to Severe Pain
3.7%
2.6%
1.4%
6.8%
Q1 2015Q2 2015Q3 2015UT
Lose Too Much Weight
9.8%
10.5%
9.7%
4.9%
Q1 2015Q2 2015Q3 2015UT
High Risk Residents With Pressure Ulcers
6.6%
11.4%
9.6%
11.7%
Q1 2015Q2 2015Q3 2015UT
Have Depressive Symptoms
8.5%
3.9%
4.1%
4.6%
Q1 2015Q2 2015Q3 2015UT
With a Urinary Tract Infection
0.0%
0.0%
0.0%
3.0%
Q1 2015Q2 2015Q3 2015UT
Experiencing One or More Falls with Major Injury
1.1%
2.9%
0.0%
2.8%
Q1 2015Q2 2015Q3 2015UT
With a Catheter Inserted and Left in Their Bladder
2.4%
1.3%
0.0%
1.1%
Q1 2015Q2 2015Q3 2015UT
Were Physically Restrained

Quality Measures for Short Stay Residents

96.5%
96.4%
96.8%
90.6%
Q1 2015Q2 2015Q3 2015UT
Assessed and Appropriately Given the Pneumococcal Vaccine
97.3%
95.0%
95.0%
89.8%
Q1 2015Q2 2015Q3 2015UT
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
33.9%
28.8%
22.4%
20.3%
Q1 2015Q2 2015Q3 2015UT
Self Report Moderate to Severe Pain
0.8%
1.9%
2.6%
2.2%
Q1 2015Q2 2015Q3 2015UT
Newly Received an Antipsychotic Medication
0.2%
0.8%
0.8%
1.0%
Q1 2015Q2 2015Q3 2015UT
With Pressure Ulcers That Are New or Worsened