BUCHANAN COUNTY HEALTH CENTER

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 Iowa 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 05/14/2010.

Administration

Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person. Inspection Date: 05/22/2009 Correction Date: 06/22/2009
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 05/22/2009 Correction Date: 06/22/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/02/2008 Correction Date: 05/27/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 05/22/2009 Correction Date: 06/22/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 05/22/2009 Correction Date: 06/22/2009

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 05/02/2008 Correction Date: 05/27/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 05/14/2010 Correction Date: 06/08/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/02/2008 Correction Date: 05/27/2008
Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 05/22/2009 Correction Date: 06/22/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/22/2009 Correction Date: 06/22/2009

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 05/22/2009 Correction Date: 06/22/2009

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 05/02/2008 Correction Date: 05/27/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 05/02/2008 Correction Date: 05/27/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 05/22/2009 Correction Date: 06/22/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 05/14/2010 Correction Date: 06/08/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 05/02/2008 Correction Date: 05/27/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 05/02/2008 Correction Date: 05/27/2008
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 05/22/2009 Correction Date: 06/22/2009

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 05/02/2008 Correction Date: 05/27/2008
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 05/22/2009 Correction Date: 06/22/2009

The table below lists incident reports by the nursing staff or administration for Buchanan County Health Center, 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: 08/07/2009 Correction Date: 08/08/2009

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 Buchanan County Health 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 05/17/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 05/07/2008 Correction Date: 05/30/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 05/17/2010 Correction Date: 05/21/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/27/2009 Correction Date: 06/09/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 05/17/2010 Correction Date: 05/20/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/17/2010 Correction Date: 06/01/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 05/17/2010 Correction Date: 06/17/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 05/07/2008 Correction Date: 05/30/2008
Properly Maintained Smoke Detectors. Inspection Date: 05/27/2009 Correction Date: 06/26/2009
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 05/17/2010 Correction Date: 05/20/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 05/07/2008 Correction Date: 05/30/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 05/17/2010 Correction Date: 05/25/2010
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 05/17/2010 Correction Date: 05/20/2010