JOHNSON MEMORIAL HOSPITAL & 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 Minnesota 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

Short-Term Stay Preventive Actions

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 03/31/2011.

Administration

Follow All Laws and Professional Standards. Inspection Date: 04/29/2010 Correction Date: 06/08/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/07/2009 Correction Date: 08/16/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 07/07/2009 Correction Date: 08/16/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 07/07/2009 Correction Date: 08/16/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/29/2010 Correction Date: 06/08/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 07/07/2009 Correction Date: 08/16/2009
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: 03/31/2011 Correction Date: 05/10/2011
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 03/31/2011 Correction Date: 05/10/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/07/2009 Correction Date: 07/29/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/29/2010 Correction Date: 06/08/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/31/2011 Correction Date: 04/21/2011

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 07/07/2009 Correction Date: 08/16/2009
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: 04/29/2010 Correction Date: 06/08/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 04/29/2010 Correction Date: 06/08/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 03/31/2011 Correction Date: 05/10/2011

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 07/07/2009 Correction Date: 08/16/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 07/07/2009 Correction Date: 08/16/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 07/07/2009 Correction Date: 08/16/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 07/07/2009 Correction Date: 08/16/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 04/29/2010 Correction Date: 06/08/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 04/29/2010 Correction Date: 06/08/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 03/31/2011 Correction Date: 05/10/2011
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 03/31/2011 Correction Date: 05/10/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 07/07/2009 Correction Date: 08/16/2009
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 07/07/2009 Correction Date: 08/16/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 07/07/2009 Correction Date: 08/16/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 04/29/2010 Correction Date: 06/08/2010

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 07/07/2009 Correction Date: 08/16/2009
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 07/07/2009 Correction Date: 08/16/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 07/07/2009 Correction Date: 08/16/2009
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Inspection Date: 04/29/2010 Correction Date: 06/08/2010

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 Johnson Memorial Hospital & 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 03/29/2011.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 07/01/2009 Correction Date: 07/31/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/29/2011 Correction Date: 04/01/2011

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 04/28/2010 Correction Date: 06/08/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/29/2011 Correction Date: 04/30/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 07/01/2009 Correction Date: 07/30/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 04/28/2010 Correction Date: 06/08/2010
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 03/29/2011 Correction Date: 04/01/2011

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 03/29/2011 Correction Date: 04/01/2011

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 03/29/2011 Correction Date: 04/01/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 03/29/2011 Correction Date: 05/10/2011