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Lomond Peak Nursing And Rehabilitation, LLC

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About Lomond Peak Nursing And Rehabilitation, LLC

General Information

Legal Business NameLegal Business Name Not Available
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareApril 1, 2001 (16 years)
Capacity85
Residents55
Percent Occupied65%
Program ParticipationMedicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityYes
Auto Sprinkler System In Required AreasYes

Ratings for Lomond Peak Nursing And Rehabilitation, LLC

Lomond Peak Nursing And Rehabilitation, LLC
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 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

February 10, 2016 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
HSomeActual HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
GFewActual HarmComplaint+InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
GFewActual HarmComplaint+InspectionEnsure that residents are safe from serious medication errors.
GFewActual HarmComplaint+InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
GFewActual HarmComplaint+InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
ESomePotential for HarmComplaint+InspectionGive or get specialized rehabilitative services per the patient's assessment or plan of care.
ESomePotential for HarmComplaint+InspectionMake sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
ESomePotential for HarmComplaint+InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
ESomePotential for HarmComplaint+InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
ESomePotential for HarmComplaint+InspectionHave an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
ESomePotential for HarmComplaint+InspectionMake sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.
ESomePotential for HarmComplaint+InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
ESomePotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmComplaint+InspectionChoose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility.
ESomePotential for HarmComplaint+InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
ESomePotential for HarmComplaint+InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
ESomePotential for HarmComplaint+InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmComplaint+InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
ESomePotential for HarmComplaint+InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
ESomePotential for HarmComplaint+InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
ESomePotential for HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential 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.
ESomePotential for HarmComplaint+InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
CManyPotential for Minimal HarmComplaint+InspectionGive residents a notice of rights, rules, services and charges.
DFewPotential for HarmComplaint+InspectionQuickly tell the resident's doctor the results of laboratory tests.
DFewPotential for HarmComplaint+InspectionReasonably accommodate the needs and preferences of each resident.
DFewPotential for HarmComplaint+InspectionMake sure that a working call system is available in each resident's room or bathroom and bathing area.
DFewPotential for HarmComplaint+InspectionMake sure that doctors visit residents regularly, as required.
DFewPotential for HarmComplaint+InspectionGive proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
DFewPotential for HarmComplaint+InspectionAllow residents the right to participate in the planning or revision of care and treatment.

December 7, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintEnsure that residents are safe from serious medication errors.
GFewActual HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmComplaintSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
DFewPotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmComplaintKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
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.

September 10, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
KSomeImmediate JeopardyComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
HSomeActual HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
FManyPotential for HarmComplaint+InspectionStore, cook, and serve food in a safe and clean way.
GFewActual HarmComplaint+InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
GFewActual HarmComplaint+InspectionEnsure residents maintain acceptable nutritional status.
GFewActual HarmComplaint+InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
ESomePotential for HarmComplaint+InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmComplaint+Inspection1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.
ESomePotential for HarmComplaint+InspectionEnsure that residents are safe from serious medication errors.
ESomePotential for HarmComplaint+InspectionHave a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents.
ESomePotential for HarmComplaint+InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
ESomePotential for HarmComplaint+InspectionHire sufficient dietary support personnel.
ESomePotential for HarmComplaint+InspectionMake sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
ESomePotential for HarmComplaint+InspectionMake sure that doctors visit residents regularly, as required.
ESomePotential for HarmComplaint+InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
ESomePotential for HarmHealth InspectionAllow residents to have visitors.
ESomePotential for HarmComplaint+InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
ESomePotential for HarmComplaint+InspectionOffer other nutritional food to each resident who will not eat the food served.
ESomePotential for HarmComplaint+InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
ESomePotential for HarmComplaint+InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
ESomePotential for HarmComplaint+InspectionProvide housekeeping and maintenance services.
ESomePotential 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.
ESomePotential for HarmComplaint+InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
ESomePotential for HarmComplaint+InspectionPermit residents to remain in the facility and not be transferred or discharged without adequate reason.
ESomePotential for HarmComplaint+InspectionTry to resolve each resident's complaints quickly.
ESomePotential for HarmComplaint+InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
ESomePotential for HarmHealth InspectionMake sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
ESomePotential for HarmComplaint+InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
ESomePotential for HarmComplaint+InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
ESomePotential for HarmComplaint+InspectionAssure that each residentís assessment is updated at least once every 3 months.
ESomePotential for HarmComplaint+InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmComplaint+InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
DFewPotential for HarmComplaint+InspectionKeep each resident free from drugs that restrain them, unless needed for medical treatment.
DFewPotential for HarmComplaint+InspectionEmploy or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
DFewPotential for HarmComplaint+InspectionGive or get specialized rehabilitative services per the patient's assessment or plan of care.
DFewPotential for HarmComplaint+InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmComplaint+InspectionPost nurse staffing information/data on a daily basis.
DFewPotential for HarmComplaint+InspectionProvide special eating equipment and utensils for each resident who needs them.
DFewPotential for HarmComplaint+InspectionProvide activities to meet the interests and needs of each resident.
DFewPotential for HarmComplaint+InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
DFewPotential for HarmComplaint+InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

August 10, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
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.

April 2, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaint+InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmComplaint+InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
ESomePotential 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.
ESomePotential for HarmComplaint+InspectionProvide housekeeping and maintenance services.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Lomond Peak Nursing And Rehabilitation, LLC 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 5min
2hr 25min
ReportedExpected
CNA
40min
45min
ReportedExpected
LPN
35min
1hr 35min
ReportedExpected
RN
3hr 20min
4hr 40min
ReportedExpected
Total Nursing

This facility also provides approximately 10min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

97.6%
85.1%
85.1%
85.1%
93.8%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
100.0%
100.0%
100.0%
97.1%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
47.8%
-
37.5%
-
49.6%
Q4 2015Q1 2016Q2 2016Q3 2016UT
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
51.6%
51.5%
50.0%
41.5%
30.5%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of long-stay residents who received an antianxiety or hypnotic medication
8.0%
39.7%
10.4%
7.6%
16.3%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of long-stay residents whose ability to move independently worsened
19.4%
22.9%
23.1%
24.3%
17.2%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of long-stay residents who received an antipsychotic medication
12.9%
25.8%
38.1%
21.6%
12.0%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of long-stay residents whose need for help with daily activities has increased
24.0%
30.6%
34.6%
51.9%
10.5%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of long-stay residents who self-report moderate to severe pain
7.9%
2.5%
9.1%
6.7%
6.1%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of long-stay residents who lose too much weight
4.0%
6.9%
12.1%
12.9%
4.8%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
0.0%
0.0%
9.4%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of long-stay residents who have depressive symptoms
2.6%
2.5%
0.0%
0.0%
5.4%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of long-stay residents with a urinary tract infection
0.0%
2.5%
4.2%
4.4%
2.8%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of long-stay residents experiencing one or more falls with major injury
6.3%
2.7%
3.4%
5.0%
2.6%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
5.0%
0.0%
0.0%
0.5%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

97.7%
100.0%
94.7%
96.7%
91.4%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.0%
92.3%
92.3%
92.3%
88.3%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
60.6%
Q4 2015Q1 2016Q2 2016Q3 2016UT
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
36.0%
64.5%
67.9%
59.1%
18.6%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of short-stay residents who self-report moderate to severe pain
-
-
-
-
1.6%
Q4 2015Q1 2016Q2 2016Q3 2016UT
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.0%
5.1%
5.8%
0.7%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of short-stay residents with pressure ulcers that are new or worsened