FOWLER RESIDENTIAL CARE

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 Kansas 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 01/11/2011.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 09/11/2008 Correction Date: 10/20/2008
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 09/11/2008 Correction Date: 10/20/2008

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 09/11/2008 Correction Date: 10/20/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/11/2008 Correction Date: 11/25/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 08/27/2009 Correction Date: 09/27/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/27/2009 Correction Date: 09/27/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 08/27/2009 Correction Date: 09/27/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 01/11/2011 Correction Date: 02/09/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 01/11/2011 Correction Date: 02/09/2011

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: 09/11/2008 Correction Date: 10/20/2008
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: 08/27/2009 Correction Date: 09/27/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/11/2011 Correction Date: 02/09/2011

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 09/11/2008 Correction Date: 11/25/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 09/11/2008 Correction Date: 10/20/2008
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: 01/11/2011 Correction Date: 02/09/2011
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 01/11/2011 Correction Date: 02/09/2011

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/11/2008 Correction Date: 11/25/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 09/11/2008 Correction Date: 10/20/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 08/27/2009 Correction Date: 09/27/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 01/11/2011 Correction Date: 02/09/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 09/11/2008 Correction Date: 10/20/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/11/2008 Correction Date: 10/20/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/11/2011 Correction Date: 02/09/2011

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 08/27/2009 Correction Date: 09/27/2009

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

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Complaint Filed: 08/27/2009 Correction Date: 09/25/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 08/27/2009 Correction Date: 09/25/2009

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 08/27/2009 Correction Date: 09/25/2009

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 Fowler Residential Care 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 08/16/2010.

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 07/29/2008 Correction Date: 08/26/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 07/29/2008 Correction Date: 08/26/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/15/2009 Correction Date: 10/14/2009

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 07/29/2008 Correction Date: 08/26/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 09/15/2009 Correction Date: 10/14/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 09/15/2009 Correction Date: 10/14/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/16/2010 Correction Date: 08/26/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 07/29/2008 Correction Date: 08/26/2008

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 07/29/2008 Correction Date: 08/26/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 09/15/2009 Correction Date: 10/14/2009