SULLIVAN COUNTY MEMORIAL HOSPITAL
Address
630 W THIRD STREET
MILAN, MO 63556
(660) 265-4212
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
100%Number of Residents and Certified Beds
- Residents: 14
- Certified Beds: 14
This Facility Accepts
- Medicaid
Operational Details
- Operated By Government - County
- Offers Only Resident Counseling
- Located Inside of a Hospital Facility
- This Facility is Not Part of a Chain or Franchise
Rating Details For Sullivan County Memorial Hospital
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 | 34 Minutes | 36 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 1 Hour and 48 Minutes | 30 Minutes |
| Certified Nursing Assistant (CNA) Hours | 1 Hour and 48 Minutes | 1 Hour and 42 Minutes |
| Total Licensed Nurse Hours | 2 Hours and 22 Minutes | 1 Hour and 6 Minutes |
| Total Nurse Hours | 4 Hours and 10 Minutes | 2 Hours and 48 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 Missouri are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
| This Facility | Missouri Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 93% |
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 88% |
Long-Term Stay Deficiencies
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 3% | 3% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 18% | 9% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 3% | 9% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 3% | 5% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 50% | 38% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 6% | 4% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 8% | 11% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | - | 3% |
| Percent of Long-Stay Residents Who Were Physically Restrained | 13% | 4% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 5% | 7% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 5% | 11% |
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 03/02/2011.
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.
|  |  |
Set Up or Keep a Group of People to Review and Ensure Quality.
| | |
Mistreatment
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
| |  |
Nutrition and Dietary
Make Sure That Residents Are Well Nourished.
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Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day.
| | |
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.
| |  |
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
| | |
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
| | |
Quality Care
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
|  | |
Make Sure That Each Resident's Nutritional Needs Were Met.
| | |
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.
| | |
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
| | |
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
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Resident Rights
Provide Services to Meet the Needs and Preferences of Each Resident.
| | |
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.
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Fire Safety
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 Sullivan County Memorial Hospital 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 03/02/2011.
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 |
Automatic Sprinkler Systems
Portable Fire Extinguishers.
| | |
Corridor Walls and Doors
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
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Emergency Plans and Fire Drills
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Exits and Egress
Exits That Are Accessible at All Times.
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Fire Alarm Systems
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
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An Approved Back-Up Procedure for a Faulty Fire Alarm System.
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A Fire Alarm System That Can Be Heard Throughout the Facility.
| | |
Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
| | |
Illumination and Emergency Power
Proper Backup Exit Lighting.
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