HAMILTON COUNTY HOSPITAL 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 07/01/2010.

Administration

Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 06/24/2008 Correction Date: 08/14/2008
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 07/01/2010 Correction Date: 08/02/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 06/24/2008 Correction Date: 08/14/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 06/24/2008 Correction Date: 08/14/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 06/24/2008 Correction Date: 09/18/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 03/12/2009 Correction Date: 04/06/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 07/01/2010 Correction Date: 08/02/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/01/2010 Correction Date: 08/02/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 07/01/2010 Correction Date: 08/02/2010
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 07/01/2010 Correction Date: 08/02/2010

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. Inspection Date: 06/24/2008 Correction Date: 08/14/2008
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: 03/12/2009 Correction Date: 04/06/2009
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: 07/01/2010 Correction Date: 08/02/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 07/01/2010 Correction Date: 08/02/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 06/24/2008 Correction Date: 08/14/2008
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 07/01/2010 Correction Date: 08/02/2010

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: 03/12/2009 Correction Date: 04/06/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 03/12/2009 Correction Date: 04/06/2009
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: 07/01/2010 Correction Date: 08/02/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 07/01/2010 Correction Date: 08/02/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 06/24/2008 Correction Date: 08/14/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 06/24/2008 Correction Date: 08/14/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 06/24/2008 Correction Date: 08/14/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 06/24/2008 Correction Date: 08/14/2008
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 06/24/2008 Correction Date: 09/18/2008
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 06/24/2008 Correction Date: 08/14/2008
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Inspection Date: 06/24/2008 Correction Date: 08/14/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 03/12/2009 Correction Date: 04/06/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 03/12/2009 Correction Date: 04/06/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 03/12/2009 Correction Date: 04/06/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 03/12/2009 Correction Date: 04/06/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 03/12/2009 Correction Date: 04/06/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 07/01/2010 Correction Date: 08/02/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 07/01/2010 Correction Date: 08/02/2010
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 07/01/2010 Correction Date: 08/02/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 06/24/2008 Correction Date: 08/14/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 06/24/2008 Correction Date: 08/14/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 03/12/2009 Correction Date: 04/06/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 03/12/2009 Correction Date: 04/06/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 07/01/2010 Correction Date: 08/02/2010
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: 07/01/2010 Correction Date: 08/02/2010

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 06/24/2008 Correction Date: 09/18/2008
Send and Promptly Deliver Unopened Mail to Residents. Inspection Date: 06/24/2008 Correction Date: 08/14/2008
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 06/24/2008 Correction Date: 08/14/2008
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Inspection Date: 03/12/2009 Correction Date: 04/06/2009

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 Hamilton County Hospital 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 03/04/2010.

Automatic Sprinkler Systems

Portable Fire Extinguishers. Inspection Date: 03/03/2009 Correction Date: 03/06/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/03/2009 Correction Date: 04/02/2009

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 03/12/2008 Correction Date: 03/13/2008
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 03/03/2009 Correction Date: 03/31/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/03/2009 Correction Date: 04/02/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 03/04/2010 Correction Date: 03/04/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/04/2010 Correction Date: 04/04/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 03/03/2009 Correction Date: 03/31/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 03/04/2010 Correction Date: 03/04/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 03/03/2009 Correction Date: 03/04/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 03/03/2009 Correction Date: 03/05/2009

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 03/03/2009 Correction Date: 04/02/2009
Restrictions on the Use of Flammable Curtains. Inspection Date: 03/03/2009 Correction Date: 04/02/2009

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 03/12/2008 Correction Date: 04/10/2008
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 03/12/2008 Correction Date: 04/10/2008
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 03/03/2009 Correction Date: 04/02/2009
Properly Located and Lighted "Exit" Signs. Inspection Date: 03/03/2009 Correction Date: 03/04/2009

Interior Finish

Fire-Resistant Room Wall Surfaces. Inspection Date: 03/12/2008 Correction Date: 04/10/2008
Fire-Resistant Room Wall Surfaces. Inspection Date: 03/03/2009 Correction Date: 04/02/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 03/12/2008 Correction Date: 04/10/2008
Proper Medical Gas Storage and Administration Areas. Inspection Date: 03/03/2009 Correction Date: 03/03/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 03/12/2008 Correction Date: 04/10/2008
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 03/12/2008 Correction Date: 04/10/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 03/03/2009 Correction Date: 04/02/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 03/04/2010 Correction Date: 04/04/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 03/12/2008 Correction Date: 04/10/2008
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 03/03/2009 Correction Date: 04/02/2009
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 03/04/2010 Correction Date: 03/31/2010