LEEWAY, INC

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 Connecticut 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 09/22/2010.

Administration

Follow All Laws and Professional Standards. Inspection Date: 07/21/2009 Correction Date: 08/31/2009
Follow All Laws and Professional Standards. Inspection Date: 09/22/2010 Correction Date: 11/03/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 08/07/2008 Correction Date: 09/19/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 08/07/2008 Correction Date: 09/19/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 09/22/2010 Correction Date: 11/03/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 07/21/2009 Correction Date: 08/31/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/07/2008 Correction Date: 09/19/2008

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: 08/07/2008 Correction Date: 09/19/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 08/07/2008 Correction Date: 11/03/2008

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/07/2008 Correction Date: 11/03/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/07/2008 Correction Date: 09/19/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 07/21/2009 Correction Date: 08/31/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 07/21/2009 Correction Date: 08/31/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/22/2010 Correction Date: 11/03/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/22/2010 Correction Date: 11/03/2010

Resident Assessment

Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 08/07/2008 Correction Date: 09/19/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 08/07/2008 Correction Date: 09/19/2008
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: 08/07/2008 Correction Date: 09/19/2008
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record. Inspection Date: 08/07/2008 Correction Date: 09/19/2008
Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress. Inspection Date: 08/07/2008 Correction Date: 09/19/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 07/21/2009 Correction Date: 08/31/2009

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 08/07/2008 Correction Date: 09/19/2008
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: 09/22/2010 Correction Date: 11/03/2010

The table below lists incident reports by the nursing staff or administration for Leeway, Inc, 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: 08/07/2008 Correction Date: 09/19/2008

Resident Rights

Protect the Resident from a Transfer or Discharge That is Not Wanted or Needed. Complaint Filed: 08/07/2008 Correction Date: 09/19/2008

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 Leeway, 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 09/17/2010.

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: 09/17/2010 Correction Date: 12/13/2010