WEISBROD MEMORIAL COUNTY HOSPITAL & NURSING HOME

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 Colorado 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 04/07/2011.

Administration

Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 12/10/2008 Correction Date: 12/16/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 01/20/2010 Correction Date: 02/20/2010
Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 01/20/2010 Correction Date: 02/10/2010
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 04/07/2011 Correction Date: 05/20/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 12/10/2008 Correction Date: 01/07/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 01/20/2010 Correction Date: 02/20/2010
Have Enough Backup Water Supply for Important Areas of the Nursing Home. Inspection Date: 01/20/2010 Correction Date: 02/12/2010

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. Inspection Date: 01/20/2010 Correction Date: 01/30/2010
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Inspection Date: 04/07/2011 Correction Date: 04/08/2011
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: 04/07/2011 Correction Date: 05/06/2011
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 04/07/2011 Correction Date: 04/26/2011

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 01/20/2010 Correction Date: 02/12/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/07/2011 Correction Date: 05/27/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 12/10/2008 Correction Date: 12/21/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 01/20/2010 Correction Date: 02/20/2010
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: 04/07/2011 Correction Date: 05/06/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 12/10/2008 Correction Date: 01/08/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/20/2010 Correction Date: 02/20/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 01/20/2010 Correction Date: 02/20/2010
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 01/20/2010 Correction Date: 02/12/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 04/07/2011 Correction Date: 04/13/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/07/2011 Correction Date: 05/06/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 04/07/2011 Correction Date: 04/25/2011
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Inspection Date: 04/07/2011 Correction Date: 05/06/2011
Give or Get Special Rehabilitation if in the Patient's Plan of Care. Inspection Date: 04/07/2011 Correction Date: 05/06/2011

Resident Assessment

Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home. Inspection Date: 12/10/2008 Correction Date: 12/21/2008
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 01/20/2010 Correction Date: 02/09/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/20/2010 Correction Date: 02/12/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/07/2011 Correction Date: 05/13/2011

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 01/20/2010 Correction Date: 01/22/2010
Try to Resolve Each Resident's Complaints Quickly. Inspection Date: 04/07/2011 Correction Date: 05/06/2011

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 Weisbrod Memorial County Hospital & Nursing Home 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 05/03/2011.

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 01/07/2009 Correction Date: 01/29/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 02/10/2010 Correction Date: 03/01/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 01/07/2009 Correction Date: 01/29/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 01/07/2009 Correction Date: 01/15/2009