AMIE HOLT 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 Wyoming 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 01/28/2011.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 01/28/2011 Correction Date: 03/14/2011
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 01/28/2011 Correction Date: 03/14/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 10/23/2008 Correction Date: 12/07/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 10/23/2008 Correction Date: 12/07/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 11/19/2009 Correction Date: 01/03/2010
Keep Sound Levels Comfortable. Inspection Date: 01/28/2011 Correction Date: 03/14/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 01/28/2011 Correction Date: 03/14/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 01/28/2011 Correction Date: 03/14/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 10/23/2008 Correction Date: 12/07/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 11/19/2009 Correction Date: 01/03/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 11/19/2009 Correction Date: 01/03/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/28/2011 Correction Date: 03/14/2011

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 10/23/2008 Correction Date: 12/07/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 11/19/2009 Correction Date: 01/03/2010
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: 01/28/2011 Correction Date: 03/14/2011
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 01/28/2011 Correction Date: 03/14/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/28/2011 Correction Date: 03/14/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 01/28/2011 Correction Date: 03/14/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 01/28/2011 Correction Date: 03/14/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 01/28/2011 Correction Date: 03/14/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 01/28/2011 Correction Date: 03/14/2011
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 01/28/2011 Correction Date: 03/14/2011
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 01/28/2011 Correction Date: 03/14/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 01/28/2011 Correction Date: 03/14/2011
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 01/28/2011 Correction Date: 03/14/2011
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: 01/28/2011 Correction Date: 03/14/2011

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 01/28/2011 Correction Date: 03/14/2011
Let Residents Give Themselves Their Drugs if They Are Able. Inspection Date: 01/28/2011 Correction Date: 03/14/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 01/28/2011 Correction Date: 03/14/2011

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 Amie Holt 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 01/25/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 10/22/2008 Correction Date: 12/01/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 01/25/2011 Correction Date: 03/14/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 11/18/2009 Correction Date: 12/31/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 01/25/2011 Correction Date: 03/01/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 10/22/2008 Correction Date: 12/01/2008

Exits and Egress

Proper Exit Design. Inspection Date: 11/18/2009 Correction Date: 12/31/2009
Exits That Are Accessible at All Times. Inspection Date: 01/25/2011 Correction Date: 02/23/2011

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 10/22/2008 Correction Date: 12/01/2008
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 01/25/2011 Correction Date: 03/14/2011

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains. Inspection Date: 11/18/2009 Correction Date: 12/31/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 01/25/2011 Correction Date: 03/04/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 11/18/2009 Correction Date: 12/31/2009