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Hallmark Manor

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About Hallmark Manor

General Information

Legal Business NameConsolidated Resources Health Care Fund I, L.P.
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMay 28, 1987 (30 years)
Capacity147
Residents117
Percent Occupied80%
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 Hallmark Manor

Hallmark Manor
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Washington 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

May 4, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential 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.

March 5, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
BSomePotential for Minimal HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
BSomePotential for Minimal HarmFire Safety InspectionExit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

March 4, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
ESomePotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
ESomePotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmComplaint+InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
ESomePotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
ESomePotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
ESomePotential for HarmHealth InspectionTry to resolve each resident's complaints quickly.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionTell the resident or the residentís representative in writing how long the nursing home will hold the residentís bed in cases of transfer to a hospital or therapeutic leave.
DFewPotential for HarmHealth InspectionOperate and provide services according to Federal, State, and local laws and professional standards.
DFewPotential for HarmHealth InspectionProvide or obtain dental services for each resident.
DFewPotential 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 HarmHealth InspectionGive residents a notice of rights, rules, services and charges.
DFewPotential for HarmHealth InspectionGive or get specialized rehabilitative services per the patient's assessment or plan of care.
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 InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionEnsure that residents are fully informed and understand their health status, care and treatments.
DFewPotential for HarmHealth InspectionDevelop policies and procedures for influenza and pneumococcal immunizations.
DFewPotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.

February 7, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
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 InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential 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.
ESomePotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmHealth InspectionHire a qualified full-time social worker in a facility with more than 120 beds.
ESomePotential for HarmHealth InspectionProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
ESomePotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
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 InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth Inspection1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day.
DFewPotential for HarmHealth InspectionGive residents a notice of rights, rules, services and charges.
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 InspectionProvide care by qualified persons according to each resident's written plan of care.

January 31, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
DFewPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
DFewPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
DFewPotential for HarmFire Safety InspectionApproved construction type or materials.

January 7, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintTrain all employees on what to do in an emergency, and carry out unannounced staff drills.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Hallmark Manor 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 15min
2hr 30min
ReportedExpected
CNA
55min
40min
ReportedExpected
LPN
40min
1hr 5min
ReportedExpected
RN
3hr 50min
4hr 15min
ReportedExpected
Total Nursing

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

Quality Measures for Long Stay Residents

94.5%
95.2%
95.2%
94.9%
Q1 2015Q2 2015Q3 2015WA
Assessed and Appropriately Given the Seasonal Influenza Vaccine
98.9%
98.9%
100.0%
95.1%
Q1 2015Q2 2015Q3 2015WA
Assessed and Appropriately Given the Pneumococcal Vaccine
64.7%
70.7%
57.1%
52.2%
Q1 2015Q2 2015Q3 2015WA
Low Risk Residents Who Lose Control of Their Bowel or Bladder
16.9%
14.6%
7.5%
16.8%
Q1 2015Q2 2015Q3 2015WA
Received an Antipsychotic Medication
4.9%
8.6%
23.1%
13.7%
Q1 2015Q2 2015Q3 2015WA
Need for Help with ADLs has Increased
10.3%
5.8%
6.3%
9.5%
Q1 2015Q2 2015Q3 2015WA
Self Report Moderate to Severe Pain
4.4%
5.6%
5.7%
7.0%
Q1 2015Q2 2015Q3 2015WA
Lose Too Much Weight
13.5%
9.7%
9.0%
4.9%
Q1 2015Q2 2015Q3 2015WA
High Risk Residents With Pressure Ulcers
2.2%
3.5%
2.4%
9.9%
Q1 2015Q2 2015Q3 2015WA
Have Depressive Symptoms
4.4%
6.7%
6.9%
5.5%
Q1 2015Q2 2015Q3 2015WA
With a Urinary Tract Infection
3.3%
2.2%
1.1%
2.8%
Q1 2015Q2 2015Q3 2015WA
Experiencing One or More Falls with Major Injury
3.8%
4.0%
2.7%
3.1%
Q1 2015Q2 2015Q3 2015WA
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.8%
Q1 2015Q2 2015Q3 2015WA
Were Physically Restrained

Quality Measures for Short Stay Residents

99.4%
99.5%
99.5%
85.7%
Q1 2015Q2 2015Q3 2015WA
Assessed and Appropriately Given the Pneumococcal Vaccine
100.0%
99.4%
99.4%
85.8%
Q1 2015Q2 2015Q3 2015WA
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
1.4%
4.3%
3.2%
19.5%
Q1 2015Q2 2015Q3 2015WA
Self Report Moderate to Severe Pain
0.0%
0.0%
0.0%
1.6%
Q1 2015Q2 2015Q3 2015WA
Newly Received an Antipsychotic Medication
0.3%
0.5%
0.0%
0.9%
Q1 2015Q2 2015Q3 2015WA
With Pressure Ulcers That Are New or Worsened