SITKA COMMUNITY HOSPITAL-LONG TERM 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 Alaska 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 02/17/2011.

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 03/19/2010 Correction Date: 04/02/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/19/2010 Correction Date: 04/28/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 02/17/2011 Correction Date: 03/11/2011

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 03/28/2009 Correction Date: 04/17/2009
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: 03/19/2010 Correction Date: 04/02/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 03/19/2010 Correction Date: 04/19/2010

Resident Assessment

Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing. Inspection Date: 03/28/2009 Correction Date: 04/22/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 03/19/2010 Correction Date: 04/19/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 03/19/2010 Correction Date: 04/10/2010

Resident Rights

Tell the Resident Completely About His or Her Health Status. Inspection Date: 03/19/2010 Correction Date: 04/19/2010
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 02/17/2011 Correction Date: 03/11/2011

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 Sitka Community Hospital-Long Term 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 02/23/2011.

Automatic Sprinkler Systems

Portable Fire Extinguishers. Inspection Date: 02/23/2011 Correction Date: 02/24/2011

Building Service Equipment

Properly Constructed Linen or Trash Chutes. Inspection Date: 03/27/2009 Correction Date: 04/14/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/27/2009 Correction Date: 04/15/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/16/2010 Correction Date: 05/01/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/16/2010 Correction Date: 04/01/2010
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 02/23/2011 Correction Date: 03/23/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 03/16/2010 Correction Date: 05/01/2010
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 02/23/2011 Correction Date: 02/24/2011

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 03/27/2009 Correction Date: 04/17/2009
Restrictions on the Use of Highly Flammable Materials. Inspection Date: 03/27/2009 Correction Date: 04/17/2009

Medical Gases and Anesthetizing Areas

Properly Constructed and Protected Anesthetizing Areas. Inspection Date: 02/23/2011 Correction Date: 02/24/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 03/27/2009 Correction Date: 05/12/2009