TARKIO REHABILITATION & HEALTH CARE

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Tarkio Rehabilitation & Health Care. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Behavioral Symptoms and Cognitive Performance

Reduced Physical Function

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 Missouri 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

Short-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 08/25/2010.

Administration

Post Nurse Staffing Information. Inspection Date: 11/05/2009 Correction Date: 12/31/2009
Follow All Laws and Professional Standards. Inspection Date: 11/05/2009 Correction Date: 12/31/2009
Train All Employees on What to Do in an Emergency. Inspection Date: 11/05/2009 Correction Date: 12/31/2009

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 11/05/2009 Correction Date: 12/31/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 11/05/2009 Correction Date: 12/31/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 11/05/2009 Correction Date: 12/31/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 08/25/2010 Correction Date: 10/21/2010

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 05/22/2009 Correction Date: 07/10/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/22/2009 Correction Date: 07/10/2009
Make Sure That Residents Are Well Nourished. Inspection Date: 11/05/2009 Correction Date: 12/31/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 11/05/2009 Correction Date: 12/31/2009
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served. Inspection Date: 11/05/2009 Correction Date: 12/31/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 11/05/2009 Correction Date: 12/31/2009
Use Properly Trained Paid Feeding Assistants, Provide Licensed Nursing Supervision of the Feeding Assistants, or Properly Monitor the Feeding of Its Residents. Inspection Date: 11/05/2009 Correction Date: 12/31/2009

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 11/05/2009 Correction Date: 12/31/2009
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 11/05/2009 Correction Date: 12/31/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 11/05/2009 Correction Date: 12/31/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 11/05/2009 Correction Date: 12/31/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 11/05/2009 Correction Date: 12/31/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 11/05/2009 Correction Date: 12/31/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 11/05/2009 Correction Date: 12/31/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 11/05/2009 Correction Date: 12/31/2009
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Inspection Date: 11/05/2009 Correction Date: 12/31/2009
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Inspection Date: 11/05/2009 Correction Date: 12/31/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 08/25/2010 Correction Date: 10/21/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/25/2010 Correction Date: 10/21/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 08/25/2010 Correction Date: 10/21/2010

Resident Rights

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: 11/05/2009 Correction Date: 12/31/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 11/05/2009 Correction Date: 12/31/2009
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 08/25/2010 Correction Date: 10/21/2010

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 06/12/2008 Correction Date: 09/24/2008
Keep All Essential Equipment Working Safely. Complaint Filed: 08/01/2008 Correction Date: 09/24/2008

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. Complaint Filed: 02/18/2009 Correction Date: 03/06/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 02/18/2009 Correction Date: 03/06/2009

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 Tarkio Rehabilitation & Health 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 08/25/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/25/2010 Correction Date: 10/21/2010
Portable Fire Extinguishers. Inspection Date: 08/25/2010 Correction Date: 10/21/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 05/22/2009 Correction Date: 07/10/2009
Approved Construction Type or Materials. Inspection Date: 08/25/2010 Correction Date: 10/21/2010

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 05/22/2009 Correction Date: 07/10/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 05/22/2009 Correction Date: 07/10/2009

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/22/2009 Correction Date: 07/10/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 08/25/2010 Correction Date: 10/21/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 05/22/2009 Correction Date: 07/10/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 11/05/2009 Correction Date: 12/31/2009

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 05/22/2009 Correction Date: 07/10/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 11/05/2009 Correction Date: 12/31/2009
Proper Backup Exit Lighting. Inspection Date: 08/25/2010 Correction Date: 10/21/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 05/22/2009 Correction Date: 07/10/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 11/05/2009 Correction Date: 12/31/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 08/25/2010 Correction Date: 10/21/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 08/25/2010 Correction Date: 10/21/2010