ELMWOOD NURSING CENTER

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Texas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 09/15/2010.

Administration

1) Set Up a Group That is Legally Responsible for Writing and Setting Up Policies for Leading and Running the Nursing Home; or 2) Hire a Properly Licensed Administrator. Inspection Date: 06/11/2008 Correction Date: 07/11/2008
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 08/06/2009 Correction Date: 09/06/2009
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Inspection Date: 09/15/2010 Correction Date: 10/15/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 08/06/2009 Correction Date: 09/06/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/06/2009 Correction Date: 09/06/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 08/06/2009 Correction Date: 09/06/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/15/2010 Correction Date: 10/15/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 09/15/2010 Correction Date: 10/15/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 06/11/2008 Correction Date: 07/11/2008
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 08/06/2009 Correction Date: 09/06/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/15/2010 Correction Date: 10/15/2010

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 08/06/2009 Correction Date: 09/06/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/06/2009 Correction Date: 09/06/2009
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Inspection Date: 08/06/2009 Correction Date: 09/06/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 09/15/2010 Correction Date: 10/15/2010
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Inspection Date: 09/15/2010 Correction Date: 10/15/2010

Resident Assessment

Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home. Inspection Date: 09/15/2010 Correction Date: 10/15/2010

The table below lists incident reports by the nursing staff or administration for Elmwood Nursing Center, as well as complaints by residents or their family in the previous three years.

Administration

Have Licensed, Certified, or Registered Staff to Give Needed Services. Complaint Filed: 09/15/2010 Correction Date: 10/15/2010
Set Up or Keep a Group of People to Review and Ensure Quality. Complaint Filed: 03/23/2011 Correction Date: 05/31/2011
1) Set Up a Group That is Legally Responsible for Writing and Setting Up Policies for Leading and Running the Nursing Home; or 2) Hire a Properly Licensed Administrator. Complaint Filed: 03/23/2011 Correction Date: 05/31/2011

Quality Care

Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Complaint Filed: 03/23/2011 Correction Date: 05/31/2011

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Complaint Filed: 03/23/2011 Correction Date: 05/31/2011

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Elmwood Nursing Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 09/15/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 08/07/2009 Correction Date: 09/01/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/07/2009 Correction Date: 09/01/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 09/15/2010 Correction Date: 09/16/2010

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 06/19/2008 Correction Date: 07/18/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 08/07/2009 Correction Date: 09/20/2009

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 06/19/2008 Correction Date: 06/30/2008
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 08/07/2009 Correction Date: 09/01/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 08/07/2009 Correction Date: 08/14/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 09/15/2010 Correction Date: 09/22/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/07/2009 Correction Date: 08/27/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 09/15/2010 Correction Date: 10/07/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 06/19/2008 Correction Date: 08/11/2008
Exits That Are Accessible at All Times. Inspection Date: 09/15/2010 Correction Date: 11/12/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 09/15/2010 Correction Date: 09/16/2010
Properly Maintained Smoke Detectors. Inspection Date: 09/15/2010 Correction Date: 10/31/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 08/07/2009 Correction Date: 09/20/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 09/15/2010 Correction Date: 11/12/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 06/19/2008 Correction Date: 07/30/2008

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 08/07/2009 Correction Date: 09/20/2009

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 08/07/2009 Correction Date: 09/20/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 09/15/2010 Correction Date: 10/22/2010