NESS COUNTY HOSPITAL LONG TERM CARE UNIT (CEDAR VILLAGE)

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 11/17/2010.

Administration

Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 07/31/2009 Correction Date: 09/17/2009
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 11/17/2010 Correction Date: 12/22/2010
Train All Employees on What to Do in an Emergency. Inspection Date: 11/17/2010 Correction Date: 12/22/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/31/2009 Correction Date: 09/17/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 11/17/2010 Correction Date: 12/22/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 11/17/2010 Correction Date: 12/22/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 11/17/2010 Correction Date: 02/15/2011

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: 07/31/2009 Correction Date: 09/17/2009
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: 11/17/2010 Correction Date: 02/15/2011

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 11/17/2010 Correction Date: 12/22/2010

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: 07/31/2009 Correction Date: 09/17/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 07/31/2009 Correction Date: 09/17/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 07/31/2009 Correction Date: 09/17/2009
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: 11/17/2010 Correction Date: 12/22/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 11/17/2010 Correction Date: 12/22/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 11/17/2010 Correction Date: 02/15/2011

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 07/31/2009 Correction Date: 09/17/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 07/31/2009 Correction Date: 11/12/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 07/31/2009 Correction Date: 09/17/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 11/17/2010 Correction Date: 12/22/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 11/17/2010 Correction Date: 12/22/2010
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 11/17/2010 Correction Date: 12/22/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 07/31/2009 Correction Date: 09/17/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 07/31/2009 Correction Date: 11/12/2009
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: 11/17/2010 Correction Date: 12/22/2010

Resident Rights

Honor All of the Resident's Rights As a Resident of the Nursing Home and As a Citizen or Resident of the United States. Inspection Date: 07/31/2009 Correction Date: 09/17/2009
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 07/31/2009 Correction Date: 09/17/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 07/31/2009 Correction Date: 09/17/2009
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 11/17/2010 Correction Date: 12/22/2010

The table below lists incident reports by the nursing staff or administration for Ness County Hospital Long Term Care Unit (Cedar Village), as well as complaints by residents or their family in the previous three years.

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 01/13/2010 Correction Date: 01/19/2010

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 Ness County Hospital Long Term Care Unit (Cedar Village) 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 07/12/2010.

Automatic Sprinkler Systems

Portable Fire Extinguishers. Inspection Date: 07/17/2008 Correction Date: 07/17/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 07/17/2008 Correction Date: 08/15/2008

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 07/17/2008 Correction Date: 08/15/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 07/17/2008 Correction Date: 07/21/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 07/15/2009 Correction Date: 07/16/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 07/17/2008 Correction Date: 08/15/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 07/17/2008 Correction Date: 08/15/2008

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 07/17/2008 Correction Date: 08/15/2008
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 07/12/2010 Correction Date: 07/15/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 07/17/2008 Correction Date: 08/15/2008
Proper Medical Gas Storage and Administration Areas. Inspection Date: 07/15/2009 Correction Date: 07/16/2009