GOSHEN CARE CENTER

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 Wyoming 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 04/14/2011.

Administration

Choose a Doctor to Be the Medical Director. Inspection Date: 05/21/2009 Correction Date: 07/02/2009
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 05/21/2009 Correction Date: 07/02/2009
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 04/22/2010 Correction Date: 06/20/2010

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 05/21/2009 Correction Date: 07/02/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 04/22/2010 Correction Date: 06/20/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/21/2009 Correction Date: 07/02/2009

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: 04/22/2010 Correction Date: 06/20/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 04/22/2010 Correction Date: 06/20/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 04/22/2010 Correction Date: 06/20/2010
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: 04/14/2011 Correction Date: 06/06/2011
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 04/14/2011 Correction Date: 06/06/2011

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 05/21/2009 Correction Date: 07/02/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 05/21/2009 Correction Date: 07/02/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 05/21/2009 Correction Date: 07/02/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 05/21/2009 Correction Date: 07/02/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 04/22/2010 Correction Date: 06/20/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 04/22/2010 Correction Date: 06/20/2010
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 04/14/2011 Correction Date: 06/06/2011
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/14/2011 Correction Date: 06/06/2011
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 04/14/2011 Correction Date: 06/06/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/14/2011 Correction Date: 06/06/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 04/14/2011 Correction Date: 06/06/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 05/21/2009 Correction Date: 07/02/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 04/22/2010 Correction Date: 06/20/2010
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 04/22/2010 Correction Date: 06/20/2010
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: 04/22/2010 Correction Date: 06/20/2010
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record. Inspection Date: 04/22/2010 Correction Date: 06/20/2010
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 04/14/2011 Correction Date: 06/06/2011
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: 04/14/2011 Correction Date: 06/06/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 05/21/2009 Correction Date: 07/02/2009

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

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: 04/22/2010 Correction Date: 06/20/2010

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 12/29/2008 Correction Date: 01/22/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Complaint Filed: 04/22/2010 Correction Date: 06/20/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Complaint Filed: 04/22/2010 Correction Date: 06/20/2010
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Complaint Filed: 04/22/2010 Correction Date: 06/20/2010
Provide Activities to Meet the Needs of Each Resident. Complaint Filed: 04/22/2010 Correction Date: 06/20/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Complaint Filed: 04/22/2010 Correction Date: 06/20/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 04/22/2010 Correction Date: 06/20/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 04/22/2010 Correction Date: 06/20/2010

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 Goshen Care Center 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 04/12/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 05/21/2009 Correction Date: 07/05/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 04/22/2010 Correction Date: 06/20/2010
Portable Fire Extinguishers. Inspection Date: 04/22/2010 Correction Date: 06/20/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 04/12/2011 Correction Date: 05/29/2011

Building Construction

Approved Construction Type or Materials. Inspection Date: 04/22/2010 Correction Date: 06/20/2010
Approved Construction Type or Materials. Inspection Date: 04/12/2011 Correction Date: 05/29/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/22/2010 Correction Date: 06/20/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/21/2009 Correction Date: 05/21/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/22/2010 Correction Date: 06/20/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/12/2011 Correction Date: 05/29/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 05/21/2009 Correction Date: 07/01/2009

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains. Inspection Date: 05/21/2009 Correction Date: 07/05/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 05/21/2009 Correction Date: 05/21/2009
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 05/21/2009 Correction Date: 07/05/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 04/12/2011 Correction Date: 04/13/2011

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs. Inspection Date: 04/22/2010 Correction Date: 06/20/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 04/22/2010 Correction Date: 06/20/2010
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 04/12/2011 Correction Date: 05/29/2011