GREGORY WING OF ST ANDREWS 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 Maine 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 08/20/2010.

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 08/20/2010 Correction Date: 10/04/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/20/2010 Correction Date: 10/04/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/21/2009 Correction Date: 10/05/2009

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: 08/21/2009 Correction Date: 10/05/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 08/21/2009 Correction Date: 10/05/2009
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: 08/20/2010 Correction Date: 10/04/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/11/2008 Correction Date: 10/26/2008
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 09/11/2008 Correction Date: 10/26/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/21/2009 Correction Date: 09/17/2009
Give or Get Dental Care for Each Resident. Inspection Date: 08/21/2009 Correction Date: 10/05/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 08/20/2010 Correction Date: 10/04/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 08/20/2010 Correction Date: 10/04/2010
Give or Get Special Rehabilitation if in the Patient's Plan of Care. Inspection Date: 08/20/2010 Correction Date: 10/04/2010

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: 09/11/2008 Correction Date: 10/26/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 08/21/2009 Correction Date: 09/01/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 08/21/2009 Correction Date: 10/05/2009
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: 08/21/2009 Correction Date: 10/05/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 08/20/2010 Correction Date: 10/04/2010
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: 08/20/2010 Correction Date: 10/04/2010

Resident Rights

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: 08/21/2009 Correction Date: 10/05/2009

The table below lists incident reports by the nursing staff or administration for Gregory Wing of St Andrews Village, as well as complaints by residents or their family in the previous three years.

Administration

Keep Signed and Dated Reports of X-Rays and Other Tests. Complaint Filed: 09/11/2008 Correction Date: 10/26/2008

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Complaint Filed: 09/11/2008 Correction Date: 10/26/2008

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 09/11/2008 Correction Date: 10/26/2008
Give Professional Services That Follow Each Resident's Written Care Plan. Complaint Filed: 07/21/2010 Correction Date: 08/24/2010

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 Gregory Wing of St Andrews 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 09/02/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/21/2009 Correction Date: 11/05/2009

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 08/21/2009 Correction Date: 11/05/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/02/2010 Correction Date: 01/01/1900

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 09/02/2010 Correction Date: 01/01/1900

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 09/09/2008 Correction Date: 01/01/1900

Vertical Openings

Proper Stairway Enclosures and Vertical Shafts. Inspection Date: 09/09/2008 Correction Date: 01/01/1900