THE CEDARS

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 Indiana 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 04/21/2011.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 04/21/2011 Correction Date: 05/20/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 04/21/2011 Correction Date: 05/20/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/21/2011 Correction Date: 05/20/2011

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: 06/24/2010 Correction Date: 07/19/2010

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 06/24/2010 Correction Date: 07/19/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 04/21/2011 Correction Date: 05/20/2011
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 04/21/2011 Correction Date: 05/20/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 06/24/2010 Correction Date: 07/19/2010
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: 06/24/2010 Correction Date: 07/19/2010
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 04/21/2011 Correction Date: 05/20/2011
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: 04/21/2011 Correction Date: 05/20/2011

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 The Cedars 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 05/12/2011.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 05/12/2011 Correction Date: 06/10/2011

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 06/30/2010 Correction Date: 07/30/2010
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 05/12/2011 Correction Date: 06/10/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 06/30/2010 Correction Date: 07/30/2010

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 06/30/2010 Correction Date: 07/30/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 06/30/2010 Correction Date: 07/30/2010
Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 05/12/2011 Correction Date: 05/19/2011

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 06/30/2010 Correction Date: 07/30/2010

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors. Inspection Date: 05/12/2011 Correction Date: 05/12/2011