THE PILLARS OF NORTH COUNTY HEALTH & REHAB CENTER

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by The Pillars of North County Health & Rehab Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care Low

Reduced Physical Function

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

Short-Term Stay Preventive Actions

Short-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 08/31/2010.

Administration

Post Nurse Staffing Information. Inspection Date: 08/27/2009 Correction Date: 10/05/2009

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 08/27/2009 Correction Date: 10/05/2009
Keep Sound Levels Comfortable. Inspection Date: 08/27/2009 Correction Date: 10/05/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/27/2009 Correction Date: 10/05/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 08/27/2009 Correction Date: 10/05/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 08/27/2009 Correction Date: 10/05/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 08/31/2010 Correction Date: 10/28/2010
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 08/31/2010 Correction Date: 10/28/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 08/27/2009 Correction Date: 10/05/2009

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 08/27/2009 Correction Date: 10/05/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/27/2009 Correction Date: 10/05/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/31/2010 Correction Date: 10/28/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 07/25/2008 Correction Date: 08/25/2008
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 08/27/2009 Correction Date: 10/16/2009
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 08/27/2009 Correction Date: 10/05/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 07/25/2008 Correction Date: 08/25/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/27/2009 Correction Date: 10/05/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/27/2009 Correction Date: 10/05/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 08/27/2009 Correction Date: 10/05/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 08/27/2009 Correction Date: 10/05/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 08/27/2009 Correction Date: 10/05/2009
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible. Inspection Date: 08/27/2009 Correction Date: 10/05/2009
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 08/27/2009 Correction Date: 10/05/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/31/2010 Correction Date: 10/28/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 08/31/2010 Correction Date: 10/28/2010

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: 08/27/2009 Correction Date: 10/05/2009

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 08/27/2009 Correction Date: 10/05/2009
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 08/27/2009 Correction Date: 10/05/2009
Try to Resolve Each Resident's Complaints Quickly. Inspection Date: 08/27/2009 Correction Date: 10/05/2009
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 08/27/2009 Correction Date: 10/05/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 08/27/2009 Correction Date: 10/05/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 08/31/2010 Correction Date: 10/28/2010

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

The table below lists incident reports by the nursing staff or administration for The Pillars of North County Health & Rehab Center, 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: 07/25/2008 Correction Date: 08/25/2008

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 Pillars of North County Health & Rehab 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 08/31/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 07/25/2008 Correction Date: 08/25/2008
Portable Fire Extinguishers. Inspection Date: 08/31/2010 Correction Date: 10/28/2010
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 08/31/2010 Correction Date: 10/28/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 08/31/2010 Correction Date: 10/28/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/27/2009 Correction Date: 10/05/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/31/2010 Correction Date: 10/28/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 08/31/2010 Correction Date: 10/28/2010

Fire Alarm Systems

An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 08/31/2010 Correction Date: 10/28/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 07/25/2008 Correction Date: 08/25/2008

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 07/25/2008 Correction Date: 08/25/2008