TRI-COUNTY MANOR LIVING CENTER INC

The information listed below provides an in-depth look into the type and quality of care offered at Tri-County Manor Living Center Inc. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

TRI-COUNTY MANOR LIVING CENTER INC
1890 EUCLID AVE
HORTON, KS 66439
(785) 486-2697

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only

Overall Rating

Percent of Beds Occupied

47%

Number of Residents and Certified Beds

Residents: 28
Certified Beds: 59

This Facility Accepts

Medicaid

Operational Details

Operated By Non Profit - Corporation
This Facility Does Not Offer Any Resident or Family Counseling
This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Holton | Highland | Sabetha

Rating Details For Tri-County Manor Living Center Inc

Nursing Staff -

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.

Nursing Hours Per Resident Per Day	Reported	Expected
Registered Nurse (RN) Hours	20 Minutes	49 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	1 Hour	35 Minutes
Certified Nursing Assistant (CNA) Hours	1 Hour and 52 Minutes	2 Hours and 42 Minutes
Total Licensed Nurse Hours	1 Hour and 20 Minutes	1 Hour and 24 Minutes
Total Nurse Hours	3 Hours and 12 Minutes	4 Hours and 6 Minutes

Quality of Care -

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.

This Facility

Kansas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	74%	91%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	82%	93%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	16%	6%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	27%	10%
Percent of Long-Stay Residents Who Were Physically Restrained	3%	3%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	6%	3%
Percent of Long-Stay Residents Who Lose Too Much Weight	4%	8%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	18%	4%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	24%	11%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	11%	10%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	35%	14%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	44%	44%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	29%	17%

Health Inspection Details -

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 09/27/2010.

Degree of Harm

- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health

Residents Affected

- Isolated
- Some Residents
- Many Residents

Deficiencies Found By Inspectors

Degree of Harm

Residents Affected

Administration

Post Nurse Staffing Information. Inspection Date: 09/27/2010 Correction Date: 12/07/2010
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 09/27/2010 Correction Date: 03/21/2011

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 08/19/2009 Correction Date: 11/03/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 09/27/2010 Correction Date: 12/07/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/27/2010 Correction Date: 03/14/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 09/27/2010 Correction Date: 03/21/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 09/27/2010 Correction Date: 12/07/2010
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. Inspection Date: 09/27/2010 Correction Date: 12/07/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 08/19/2009 Correction Date: 11/03/2009
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: 09/27/2010 Correction Date: 03/21/2011
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 09/27/2010 Correction Date: 03/21/2011
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 09/27/2010 Correction Date: 03/14/2011

Quality Care

Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 09/27/2010 Correction Date: 12/07/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 09/27/2010 Correction Date: 12/07/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 09/27/2010 Correction Date: 03/14/2011
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 09/27/2010 Correction Date: 03/21/2011
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 09/27/2010 Correction Date: 12/07/2010
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Inspection Date: 09/27/2010 Correction Date: 03/14/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 09/27/2010 Correction Date: 03/14/2011
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: 09/27/2010 Correction Date: 12/07/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/27/2010 Correction Date: 12/07/2010
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: 09/27/2010 Correction Date: 03/21/2011

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 09/27/2010 Correction Date: 12/07/2010
Let Residents Give Themselves Their Drugs if They Are Able. Inspection Date: 09/27/2010 Correction Date: 03/14/2011
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care. Inspection Date: 09/27/2010 Correction Date: 12/07/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Tri-County Manor Living Center Inc, as well as complaints by residents or their family in the previous three years.

Degree of Harm

- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health

Residents Affected

- Isolated
- Some Residents
- Many Residents

Formal Complaints

Degree of Harm

Residents Affected