HAMMOND-HENRY DISTRICT HOSPITAL

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Hammond-Henry District Hospital. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care High

Clinically Complex

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 Illinois are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

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 11/03/2010.

Administration

Post Nurse Staffing Information. Inspection Date: 09/02/2009 Correction Date: 10/17/2009
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 09/02/2009 Correction Date: 10/17/2009

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 09/02/2009 Correction Date: 10/17/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 09/02/2009 Correction Date: 10/17/2009
Keep All Essential Equipment Working Safely. Inspection Date: 09/02/2009 Correction Date: 10/17/2009
Make Sure Each Resident Has 1) at Least One Window to the Outside in a Room; 2) a Room at or Above Ground Level; 3) an Adequate Bed; 4) Furniture That Meets the Resident's Needs; or 5) Enough Closet Space. Inspection Date: 09/02/2009 Correction Date: 10/17/2009

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: 09/02/2009 Correction Date: 10/17/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 09/02/2009 Correction Date: 10/17/2009

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 09/02/2009 Correction Date: 10/17/2009

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: 09/02/2009 Correction Date: 10/17/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/02/2009 Correction Date: 10/17/2009
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 09/02/2009 Correction Date: 10/17/2009

Resident Assessment

Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 09/02/2009 Correction Date: 10/17/2009

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 09/02/2009 Correction Date: 10/17/2009
Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure. Inspection Date: 09/02/2009 Correction Date: 10/17/2009
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 09/02/2009 Correction Date: 10/17/2009
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 09/02/2009 Correction Date: 10/17/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 09/02/2009 Correction Date: 10/17/2009

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 Hammond-Henry District Hospital 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 11/03/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 10/01/2008 Correction Date: 12/31/2008
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 10/01/2008 Correction Date: 10/14/2008

Building Construction

Approved Construction Type or Materials. Inspection Date: 11/03/2010 Correction Date: 08/31/2011

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 11/03/2010 Correction Date: 08/31/2011

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 10/01/2008 Correction Date: 10/14/2008
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 10/01/2008 Correction Date: 10/06/2008

Fire Alarm Systems

An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 10/01/2008 Correction Date: 10/14/2008

Hazardous Area

Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 11/03/2010 Correction Date: 11/03/2010