CLARA MANOR 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 Missouri 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 04/01/2011.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/16/2009 Correction Date: 05/30/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 04/16/2009 Correction Date: 05/30/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 06/04/2010 Correction Date: 07/19/2010
Keep Sound Levels Comfortable. Inspection Date: 04/01/2011 Correction Date: 05/15/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 04/01/2011 Correction Date: 05/15/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 04/16/2009 Correction Date: 05/30/2009
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: 04/01/2011 Correction Date: 05/15/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 06/04/2010 Correction Date: 07/19/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/01/2011 Correction Date: 05/15/2011

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 04/16/2009 Correction Date: 05/30/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 06/04/2010 Correction Date: 07/19/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 04/01/2011 Correction Date: 05/15/2011
Properly Mark Drugs and Other Similar Products. Inspection Date: 04/01/2011 Correction Date: 05/15/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/16/2009 Correction Date: 05/30/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 04/16/2009 Correction Date: 05/30/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/16/2009 Correction Date: 05/30/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 04/16/2009 Correction Date: 05/30/2009
Give or Get Special Rehabilitation if in the Patient's Plan of Care. Inspection Date: 04/16/2009 Correction Date: 05/30/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 06/04/2010 Correction Date: 07/19/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 06/04/2010 Correction Date: 07/19/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 06/04/2010 Correction Date: 07/19/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 06/04/2010 Correction Date: 07/19/2010
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 04/01/2011 Correction Date: 05/15/2011
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/01/2011 Correction Date: 05/15/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/01/2011 Correction Date: 05/15/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 04/01/2011 Correction Date: 05/15/2011

Resident Assessment

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: 04/16/2009 Correction Date: 05/30/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/16/2009 Correction Date: 05/30/2009
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: 04/16/2009 Correction Date: 05/30/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 04/01/2011 Correction Date: 05/15/2011
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 04/01/2011 Correction Date: 05/15/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/01/2011 Correction Date: 05/15/2011
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record. Inspection Date: 04/01/2011 Correction Date: 05/15/2011
Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress. Inspection Date: 04/01/2011 Correction Date: 05/15/2011

Resident Rights

Tell the Resident Completely About His or Her Health Status. Inspection Date: 04/01/2011 Correction Date: 05/15/2011
Let Each Resident Choose a Personal Doctor. Inspection Date: 04/01/2011 Correction Date: 05/15/2011
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 04/01/2011 Correction Date: 05/15/2011

The table below lists incident reports by the nursing staff or administration for Clara Manor Nursing Home, as well as complaints by residents or their family in the previous three years.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 04/25/2008 Correction Date: 07/22/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 07/09/2009 Correction Date: 08/19/2009

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: 07/09/2009 Correction Date: 08/19/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 07/09/2009 Correction Date: 08/19/2009
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting. Complaint Filed: 07/09/2009 Correction Date: 08/19/2009

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 Clara Manor 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 04/01/2011.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 04/16/2009 Correction Date: 05/30/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/01/2011 Correction Date: 05/15/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/01/2011 Correction Date: 05/15/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 04/01/2011 Correction Date: 05/15/2011

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 04/01/2011 Correction Date: 05/15/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 04/16/2009 Correction Date: 05/30/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 06/04/2010 Correction Date: 07/19/2010
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 04/01/2011 Correction Date: 05/15/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 04/01/2011 Correction Date: 05/15/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 06/04/2010 Correction Date: 07/19/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 04/01/2011 Correction Date: 05/15/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 04/01/2011 Correction Date: 05/15/2011

Vertical Openings

Proper Stairway Enclosures and Vertical Shafts. Inspection Date: 04/01/2011 Correction Date: 05/15/2011