OTTAWA COUNTY HEALTH CENTER LONG TERM CARE UNIT

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 Kansas 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 01/06/2011.

Administration

Get Proof That a Nurse Aide Has the Training and Skills That the State Requires. Inspection Date: 07/24/2008 Correction Date: 08/23/2008
Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person. Inspection Date: 07/24/2008 Correction Date: 08/23/2008

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/24/2008 Correction Date: 08/23/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 07/24/2008 Correction Date: 08/23/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 10/07/2009 Correction Date: 11/06/2009

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 07/24/2008 Correction Date: 08/23/2008
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 10/07/2009 Correction Date: 11/06/2009
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: 10/07/2009 Correction Date: 11/06/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/24/2008 Correction Date: 08/23/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/07/2009 Correction Date: 11/06/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 01/06/2011 Correction Date: 01/30/2011
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/06/2011 Correction Date: 01/30/2011

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: 10/07/2009 Correction Date: 11/06/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 10/07/2009 Correction Date: 11/06/2009

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 07/24/2008 Correction Date: 08/23/2008
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 07/24/2008 Correction Date: 08/23/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 10/07/2009 Correction Date: 11/06/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 10/07/2009 Correction Date: 11/06/2009
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 10/07/2009 Correction Date: 11/06/2009

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 07/24/2008 Correction Date: 08/23/2008
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: 07/24/2008 Correction Date: 08/23/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 10/07/2009 Correction Date: 11/06/2009
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 10/07/2009 Correction Date: 11/06/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 10/07/2009 Correction Date: 11/06/2009
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: 10/07/2009 Correction Date: 11/06/2009

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 Ottawa County Health Center Long Term Care Unit 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 09/15/2010.

Building Construction

Approved Construction Type or Materials. Inspection Date: 05/28/2008 Correction Date: 06/26/2008
Approved Construction Type or Materials. Inspection Date: 07/22/2009 Correction Date: 08/20/2009

Corridor Walls and Doors

Signs That State That Exit Doors Are to Be Kept Closed. Inspection Date: 09/15/2010 Correction Date: 10/15/2010

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 07/22/2009 Correction Date: 07/23/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 09/15/2010 Correction Date: 10/15/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 09/15/2010 Correction Date: 10/15/2010

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 07/22/2009 Correction Date: 08/20/2009

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains. Inspection Date: 05/28/2008 Correction Date: 06/25/2008
Properly Sized and Located Linen or Trash Receptacles. Inspection Date: 05/28/2008 Correction Date: 06/25/2008
Restrictions on the Use of Flammable Curtains. Inspection Date: 07/22/2009 Correction Date: 08/20/2009
Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 09/15/2010 Correction Date: 09/15/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 05/28/2008 Correction Date: 06/25/2008
Proper Backup Exit Lighting. Inspection Date: 09/15/2010 Correction Date: 10/15/2010

Interior Finish

Fire-Resistant Interior Walls. Inspection Date: 09/15/2010 Correction Date: 10/15/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 05/28/2008 Correction Date: 06/02/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 09/15/2010 Correction Date: 09/15/2010

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors. Inspection Date: 05/28/2008 Correction Date: 06/02/2008