SMITH MEDICAL NURSING CARE 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 Georgia 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

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 05/19/2011.

Administration

Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 10/01/2008 Correction Date: 11/15/2008
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 11/11/2009 Correction Date: 01/05/2010
Train All Employees on What to Do in an Emergency. Inspection Date: 05/19/2011 Correction Date: 07/03/2011

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 10/01/2008 Correction Date: 11/15/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 10/01/2008 Correction Date: 11/15/2008
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 11/11/2009 Correction Date: 01/05/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 11/11/2009 Correction Date: 01/05/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 11/11/2009 Correction Date: 01/05/2010
Keep All Essential Equipment Working Safely. Inspection Date: 11/11/2009 Correction Date: 01/05/2010
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 11/11/2009 Correction Date: 02/11/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 05/19/2011 Correction Date: 07/03/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/19/2011 Correction Date: 07/03/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 05/19/2011 Correction Date: 07/03/2011
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 05/19/2011 Correction Date: 07/03/2011

Mistreatment

1) Hire Only People Who Have 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. Inspection Date: 05/19/2011 Correction Date: 07/03/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 11/11/2009 Correction Date: 01/05/2010
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 05/19/2011 Correction Date: 07/03/2011
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served. Inspection Date: 05/19/2011 Correction Date: 07/03/2011
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/19/2011 Correction Date: 07/03/2011

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 10/01/2008 Correction Date: 11/15/2008

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 10/01/2008 Correction Date: 11/15/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 10/01/2008 Correction Date: 11/15/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 10/01/2008 Correction Date: 11/15/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 11/11/2009 Correction Date: 01/05/2010
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 05/19/2011 Correction Date: 07/03/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 10/01/2008 Correction Date: 11/15/2008
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Inspection Date: 10/01/2008 Correction Date: 11/15/2008
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Inspection Date: 05/19/2011 Correction Date: 07/03/2011

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 11/11/2009 Correction Date: 01/05/2010
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 05/19/2011 Correction Date: 07/03/2011

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

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

Resident Assessment

1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Complaint Filed: 04/06/2010 Correction Date: 04/15/2010

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 Smith Medical Nursing Care 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 05/19/2011.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 05/19/2011 Correction Date: 07/03/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/19/2011 Correction Date: 07/03/2011

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 05/19/2011 Correction Date: 07/03/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 05/19/2011 Correction Date: 07/03/2011

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 05/19/2011 Correction Date: 07/03/2011

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 05/19/2011 Correction Date: 07/03/2011