MARY LEE DEPUGH NURSING HOME ASSOCIATION INC

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 "Ultra-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 Mary Lee Depugh Nursing Home Association Inc. 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

Medium Rehabilitation

Clinically Complex

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 Florida 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 06/17/2011.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 05/01/2009 Correction Date: 06/15/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 06/17/2011 Correction Date: 07/11/2011

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 05/13/2010 Correction Date: 06/24/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 06/17/2011 Correction Date: 07/11/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 06/17/2011 Correction Date: 07/11/2011
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 06/17/2011 Correction Date: 07/11/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 05/13/2010 Correction Date: 06/24/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/01/2009 Correction Date: 06/15/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/13/2010 Correction Date: 06/24/2010

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: 05/13/2010 Correction Date: 06/24/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 06/17/2011 Correction Date: 07/11/2011
Properly Mark Drugs and Other Similar Products. Inspection Date: 06/17/2011 Correction Date: 07/11/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 05/13/2010 Correction Date: 06/24/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 05/13/2010 Correction Date: 06/24/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 05/13/2010 Correction Date: 06/24/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 05/13/2010 Correction Date: 06/24/2010
Give or Get Dental Care for Each Resident. Inspection Date: 05/13/2010 Correction Date: 06/24/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 06/17/2011 Correction Date: 07/11/2011
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 06/17/2011 Correction Date: 07/11/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 06/17/2011 Correction Date: 07/11/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 05/01/2009 Correction Date: 06/15/2009
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: 05/01/2009 Correction Date: 06/15/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 05/13/2010 Correction Date: 06/24/2010
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 06/17/2011 Correction Date: 07/11/2011
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: 06/17/2011 Correction Date: 07/11/2011

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: 05/01/2009 Correction Date: 06/15/2009
Try to Resolve Each Resident's Complaints Quickly. Inspection Date: 05/01/2009 Correction Date: 06/15/2009
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: 05/13/2010 Correction Date: 06/24/2010
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: 06/17/2011 Correction Date: 07/11/2011

The table below lists incident reports by the nursing staff or administration for Mary Lee Depugh Nursing Home Association Inc, as well as complaints by residents or their family in the previous three years.

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: 03/02/2011 Correction Date: 04/04/2011

Resident Rights

Provide Enough Notice Before Discharging or Transferring a Resident. Complaint Filed: 04/11/2011 Correction Date: 05/12/2011

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 Mary Lee Depugh Nursing Home Association Inc 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 06/14/2011.

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 05/10/2010 Correction Date: 06/21/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/30/2009 Correction Date: 06/15/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 05/10/2010 Correction Date: 06/21/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/30/2009 Correction Date: 06/15/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 06/14/2011 Correction Date: 07/14/2011

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 06/14/2011 Correction Date: 07/14/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 06/14/2011 Correction Date: 07/14/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 04/30/2009 Correction Date: 06/15/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 05/10/2010 Correction Date: 06/21/2010

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: 04/30/2009 Correction Date: 06/15/2009