SALEM 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 Missouri 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 09/23/2010.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/18/2008 Correction Date: 10/30/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 09/18/2008 Correction Date: 10/30/2008
Have Enough Backup Water Supply for Important Areas of the Nursing Home. Inspection Date: 09/18/2008 Correction Date: 10/30/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 09/03/2009 Correction Date: 10/18/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 09/03/2009 Correction Date: 10/18/2009

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 09/18/2008 Correction Date: 10/30/2008
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 09/03/2009 Correction Date: 10/18/2009

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 09/18/2008 Correction Date: 10/30/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/18/2008 Correction Date: 10/30/2008
Provide Food in a Way That Meets a Resident's Needs. Inspection Date: 09/03/2009 Correction Date: 10/18/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/18/2008 Correction Date: 10/30/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 09/18/2008 Correction Date: 10/30/2008
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 09/18/2008 Correction Date: 10/30/2008
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 09/18/2008 Correction Date: 10/30/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/03/2009 Correction Date: 10/18/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 09/23/2010 Correction Date: 10/20/2010

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: 09/18/2008 Correction Date: 10/30/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/18/2008 Correction Date: 10/30/2008
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: 09/18/2008 Correction Date: 10/30/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/03/2009 Correction Date: 10/18/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/23/2010 Correction Date: 10/20/2010

Resident Rights

Have a Private Telephone Available for Use. Inspection Date: 09/18/2008 Correction Date: 10/30/2008
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 09/18/2008 Correction Date: 10/30/2008

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 Salem 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 09/23/2010.

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 09/23/2010 Correction Date: 10/20/2010

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 09/03/2009 Correction Date: 10/18/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 09/23/2010 Correction Date: 10/20/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 09/18/2008 Correction Date: 10/30/2008
Exits That Are Accessible at All Times. Inspection Date: 09/23/2010 Correction Date: 10/20/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 09/18/2008 Correction Date: 10/30/2008
Properly Maintained Smoke Detectors. Inspection Date: 09/23/2010 Correction Date: 10/20/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 09/23/2010 Correction Date: 10/20/2010