SEDGWICK COUNTY MEMORIAL NURSING HOME

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 Colorado 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 06/22/2010.

Administration

Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 10/01/2009 Correction Date: 11/03/2009
Train All Employees on What to Do in an Emergency. Inspection Date: 10/01/2009 Correction Date: 11/03/2009
Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person. Inspection Date: 06/22/2010 Correction Date: 07/30/2010

Environmental

Get Rid of Garbage Properly. Inspection Date: 08/26/2008 Correction Date: 09/30/2008
Provide Bedrooms That Don't Allow Residents to See Each Other when Privacy is Needed. Inspection Date: 08/26/2008 Correction Date: 09/30/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 08/26/2008 Correction Date: 08/27/2008
Have Enough Outside Airflow. Inspection Date: 08/26/2008 Correction Date: 08/29/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 08/26/2008 Correction Date: 09/05/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 06/22/2010 Correction Date: 07/30/2010
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 06/22/2010 Correction Date: 07/30/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 08/26/2008 Correction Date: 09/30/2008
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: 06/22/2010 Correction Date: 07/23/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 06/22/2010 Correction Date: 07/16/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/01/2009 Correction Date: 10/30/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 06/22/2010 Correction Date: 07/30/2010

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: 08/26/2008 Correction Date: 09/30/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 08/26/2008 Correction Date: 09/30/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 08/26/2008 Correction Date: 09/30/2008
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: 10/01/2009 Correction Date: 11/04/2009
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 10/01/2009 Correction Date: 11/04/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 10/01/2009 Correction Date: 11/04/2009
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: 06/22/2010 Correction Date: 07/30/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 06/22/2010 Correction Date: 07/30/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 06/22/2010 Correction Date: 07/23/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/26/2008 Correction Date: 09/30/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/26/2008 Correction Date: 09/30/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 10/01/2009 Correction Date: 11/04/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 06/22/2010 Correction Date: 07/30/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 06/22/2010 Correction Date: 07/30/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 06/22/2010 Correction Date: 07/30/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 06/22/2010 Correction Date: 07/30/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 06/22/2010 Correction Date: 07/23/2010
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Inspection Date: 06/22/2010 Correction Date: 06/22/2010

Resident Assessment

Do an Assessment of the Resident Every Year. Inspection Date: 08/26/2008 Correction Date: 09/30/2008
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: 08/26/2008 Correction Date: 09/30/2008
Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress. Inspection Date: 08/26/2008 Correction Date: 09/30/2008

Resident Rights

Give the Resident's Legal Representative the Same Rights As the Resident. Inspection Date: 08/26/2008 Correction Date: 09/30/2008
Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment. Inspection Date: 06/22/2010 Correction Date: 07/23/2010
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 06/22/2010 Correction Date: 07/23/2010

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 Sedgwick County Memorial Nursing Home 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 07/21/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 09/17/2008 Correction Date: 09/17/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 07/21/2010 Correction Date: 08/30/2010

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 09/17/2008 Correction Date: 10/01/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/17/2008 Correction Date: 10/27/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 10/27/2009 Correction Date: 10/27/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 07/21/2010 Correction Date: 08/19/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 09/17/2008 Correction Date: 10/27/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 07/21/2010 Correction Date: 08/17/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 09/17/2008 Correction Date: 10/02/2008

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 07/21/2010 Correction Date: 08/09/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 09/17/2008 Correction Date: 09/19/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 07/21/2010 Correction Date: 07/23/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 09/17/2008 Correction Date: 10/27/2008

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 07/21/2010 Correction Date: 08/05/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 09/17/2008 Correction Date: 10/07/2008
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 09/17/2008 Correction Date: 10/06/2008