APPLE RIDGE CARE 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 "Medium 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 Apple Ridge Care Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

High Rehabilitation

Medium Rehabilitation

Behavioral Symptoms and Cognitive Performance

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 10/15/2010.

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 09/19/2008 Correction Date: 10/10/2008
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 07/23/2009 Correction Date: 10/21/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 07/23/2009 Correction Date: 09/08/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 07/23/2009 Correction Date: 09/08/2009
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 10/15/2010 Correction Date: 12/07/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 07/23/2009 Correction Date: 09/08/2009
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served. Inspection Date: 07/23/2009 Correction Date: 09/08/2009

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 10/15/2010 Correction Date: 12/07/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/19/2008 Correction Date: 10/15/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 09/19/2008 Correction Date: 10/15/2008
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 07/23/2009 Correction Date: 09/08/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 07/23/2009 Correction Date: 09/08/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 07/23/2009 Correction Date: 09/08/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 10/15/2010 Correction Date: 12/07/2010

Resident Assessment

Screen Residents when They Are First Admitted to Send Them to an Area with Special Care for People with Developmental Disabilities or Mental Illness, if Needed. Inspection Date: 10/15/2010 Correction Date: 12/07/2010

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 07/23/2009 Correction Date: 09/08/2009
Have a Private Telephone Available for Use. Inspection Date: 07/23/2009 Correction Date: 09/08/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 07/23/2009 Correction Date: 09/08/2009
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care. Inspection Date: 07/23/2009 Correction Date: 09/08/2009
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 10/15/2010 Correction Date: 12/07/2010
Bill Properly: Charged Resident for Items That Medicare or Medicaid Pays For. Inspection Date: 10/15/2010 Correction Date: 12/07/2010

The table below lists incident reports by the nursing staff or administration for Apple Ridge Care 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: 07/30/2008 Correction Date: 08/14/2008

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 Apple Ridge Care 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 10/15/2010.

Building Construction

Approved Construction Type or Materials. Inspection Date: 07/23/2009 Correction Date: 10/21/2009

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 07/23/2009 Correction Date: 09/08/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 07/23/2009 Correction Date: 09/08/2009

Electrical

A Separate and Independent Backup Electrical Power Source. Inspection Date: 07/23/2009 Correction Date: 09/08/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 07/23/2009 Correction Date: 09/08/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 07/23/2009 Correction Date: 09/08/2009

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 07/23/2009 Correction Date: 09/08/2009

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 07/23/2009 Correction Date: 09/08/2009
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 10/15/2010 Correction Date: 12/07/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 07/23/2009 Correction Date: 09/08/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 09/19/2008 Correction Date: 10/21/2008

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 09/19/2008 Correction Date: 10/10/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 07/23/2009 Correction Date: 09/08/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 07/23/2009 Correction Date: 09/08/2009