VETERANS VICTORY HOUSE

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 South Carolina 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

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 02/16/2011.

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 01/28/2009 Correction Date: 02/28/2009
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Inspection Date: 01/28/2009 Correction Date: 02/28/2009
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 01/28/2009 Correction Date: 02/28/2009
Give Lab Tests Only when the Attending Doctor Ordered Them. Inspection Date: 01/28/2009 Correction Date: 02/28/2009
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 01/28/2009 Correction Date: 02/28/2009

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 01/28/2009 Correction Date: 02/28/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 11/17/2009 Correction Date: 12/13/2009

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: 01/28/2009 Correction Date: 02/28/2009

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 01/28/2009 Correction Date: 02/28/2009
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 01/28/2009 Correction Date: 02/28/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 01/28/2009 Correction Date: 02/28/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 11/17/2009 Correction Date: 12/13/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 02/16/2011 Correction Date: 03/18/2011

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 01/28/2009 Correction Date: 02/28/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 01/28/2009 Correction Date: 02/28/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 01/28/2009 Correction Date: 02/28/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 11/17/2009 Correction Date: 12/13/2009
Make Sure That Each Residents' Abilities to Take Care of Themselves Does Not Lessen, Unless a Change Cannot Be Avoided. Inspection Date: 11/17/2009 Correction Date: 12/13/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 11/17/2009 Correction Date: 12/13/2009
Give 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. Inspection Date: 11/17/2009 Correction Date: 12/13/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 11/17/2009 Correction Date: 12/13/2009
Give 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. Inspection Date: 02/16/2011 Correction Date: 03/18/2011

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 02/16/2011 Correction Date: 03/18/2011

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 01/28/2009 Correction Date: 02/28/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 01/28/2009 Correction Date: 02/28/2009
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 02/16/2011 Correction Date: 03/18/2011

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

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Complaint Filed: 08/04/2009 Correction Date: 08/28/2009
Set Up or Keep a Group of People to Review and Ensure Quality. Complaint Filed: 08/04/2009 Correction Date: 08/28/2009

Environmental

Have a Program to Keep Infection from Spreading. Complaint Filed: 02/16/2011 Correction Date: 03/18/2011

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. Complaint Filed: 08/04/2009 Correction Date: 08/28/2009

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Complaint Filed: 08/04/2009 Correction Date: 08/28/2009
Make Sure That Residents Are Safe from Serious Medication Errors. Complaint Filed: 02/16/2011 Correction Date: 03/18/2011