SATANTA DISTRICT HOSPITAL LONG TERM CARE UNIT

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 Kansas 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 11/05/2010.

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 07/10/2008 Correction Date: 08/12/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 07/10/2008 Correction Date: 09/18/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/20/2009 Correction Date: 10/20/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 07/20/2009 Correction Date: 08/20/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 07/20/2009 Correction Date: 08/20/2009

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 07/20/2009 Correction Date: 10/20/2009

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 07/10/2008 Correction Date: 08/12/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/10/2008 Correction Date: 09/18/2008
Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 07/20/2009 Correction Date: 08/20/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/20/2009 Correction Date: 08/20/2009

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: 07/10/2008 Correction Date: 08/12/2008
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 07/10/2008 Correction Date: 09/18/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 07/10/2008 Correction Date: 08/12/2008
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: 07/20/2009 Correction Date: 08/20/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 07/20/2009 Correction Date: 08/20/2009
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: 11/05/2010 Correction Date: 11/30/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 11/05/2010 Correction Date: 11/30/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 11/05/2010 Correction Date: 11/30/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 07/10/2008 Correction Date: 09/18/2008
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 07/20/2009 Correction Date: 10/20/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 07/20/2009 Correction Date: 08/20/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 07/20/2009 Correction Date: 11/30/2009
Prevent a Loss in Range of Motion Among Residents Who Entered the Nursing Home with a Full Range of Motion. Inspection Date: 07/20/2009 Correction Date: 08/20/2009
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting. Inspection Date: 07/20/2009 Correction Date: 08/20/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 07/20/2009 Correction Date: 08/20/2009
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Inspection Date: 07/20/2009 Correction Date: 08/20/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 11/05/2010 Correction Date: 11/30/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 11/05/2010 Correction Date: 11/30/2010
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible. Inspection Date: 11/05/2010 Correction Date: 11/30/2010
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 11/05/2010 Correction Date: 11/30/2010
Give or Get Dental Care for Each Resident. Inspection Date: 11/05/2010 Correction Date: 11/30/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 07/10/2008 Correction Date: 08/12/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 07/10/2008 Correction Date: 08/12/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 07/20/2009 Correction Date: 11/30/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 07/20/2009 Correction Date: 11/30/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 11/05/2010 Correction Date: 11/30/2010

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 07/20/2009 Correction Date: 08/20/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 07/20/2009 Correction Date: 08/20/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 07/20/2009 Correction Date: 08/20/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 11/05/2010 Correction Date: 11/30/2010

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 Satanta District Hospital Long Term Care Unit 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 04/20/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 07/22/2009 Correction Date: 08/21/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 04/20/2010 Correction Date: 05/19/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 07/31/2008 Correction Date: 08/30/2008
Approved Construction Type or Materials. Inspection Date: 07/22/2009 Correction Date: 08/21/2009

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 07/31/2008 Correction Date: 08/30/2008
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 07/22/2009 Correction Date: 08/21/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 07/22/2009 Correction Date: 08/01/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/20/2010 Correction Date: 04/27/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 07/22/2009 Correction Date: 08/21/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 04/20/2010 Correction Date: 05/15/2010

Exits and Egress

Exit Stairways and Towers That Are Smoke Proof. Inspection Date: 07/31/2008 Correction Date: 08/30/2008
Exits That Are Accessible at All Times. Inspection Date: 07/31/2008 Correction Date: 08/30/2008

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 07/31/2008 Correction Date: 08/30/2008

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 07/31/2008 Correction Date: 08/30/2008
Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 04/20/2010 Correction Date: 05/05/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 07/31/2008 Correction Date: 08/30/2008

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 04/20/2010 Correction Date: 05/05/2010

Laboratories

Emergency Showers. Inspection Date: 07/31/2008 Correction Date: 08/30/2008

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 07/22/2009 Correction Date: 08/21/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 07/31/2008 Correction Date: 08/30/2008
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 07/31/2008 Correction Date: 08/30/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 07/22/2009 Correction Date: 08/21/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 04/20/2010 Correction Date: 05/14/2010