PHILLIPS COUNTY RETIREMENT 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 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 11/10/2010.

Administration

Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 11/10/2010 Correction Date: 12/10/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 07/15/2009 Correction Date: 08/14/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/15/2009 Correction Date: 08/14/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 11/10/2010 Correction Date: 12/10/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 11/10/2010 Correction Date: 12/10/2010
Keep All Essential Equipment Working Safely. Inspection Date: 11/10/2010 Correction Date: 12/10/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 11/10/2010 Correction Date: 12/10/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 07/15/2009 Correction Date: 08/14/2009
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: 11/10/2010 Correction Date: 12/10/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 11/10/2010 Correction Date: 12/10/2010

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: 07/15/2009 Correction Date: 08/14/2009
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: 11/10/2010 Correction Date: 12/10/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 11/10/2010 Correction Date: 12/10/2010

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 08/07/2008 Correction Date: 09/05/2008
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 08/07/2008 Correction Date: 09/05/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 07/15/2009 Correction Date: 08/14/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 07/15/2009 Correction Date: 08/14/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 07/15/2009 Correction Date: 08/14/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 11/10/2010 Correction Date: 12/10/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 07/15/2009 Correction Date: 08/14/2009
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: 07/15/2009 Correction Date: 08/14/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 07/15/2009 Correction Date: 08/14/2009

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 07/15/2009 Correction Date: 08/14/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 07/15/2009 Correction Date: 08/14/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 11/10/2010 Correction Date: 12/10/2010

The table below lists incident reports by the nursing staff or administration for Phillips County Retirement 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: 08/07/2008 Correction Date: 09/05/2008

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 03/28/2011 Correction Date: 04/27/2011

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 Phillips County Retirement 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 07/07/2010.

Automatic Sprinkler Systems

Properly Working Alarms on Sprinkler Valves. Inspection Date: 07/16/2008 Correction Date: 08/13/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 07/16/2008 Correction Date: 08/13/2008

Building Construction

A Two-Hour-Resistant Firewall in Common Walls. Inspection Date: 07/16/2008 Correction Date: 08/13/2008

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 07/16/2008 Correction Date: 08/13/2008

Corridor Walls and Doors

Signs That State That Exit Doors Are to Be Kept Closed. Inspection Date: 07/16/2008 Correction Date: 08/13/2008

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 07/16/2008 Correction Date: 08/13/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 07/29/2009 Correction Date: 08/05/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 07/07/2010 Correction Date: 07/08/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 07/29/2009 Correction Date: 08/25/2009

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 07/16/2008 Correction Date: 08/13/2008
Two Separate Exits in Rooms of More Than 1000 Square Feet. Inspection Date: 07/16/2008 Correction Date: 08/13/2008

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 07/16/2008 Correction Date: 08/13/2008
Restrictions on the Use of Flammable Curtains. Inspection Date: 07/16/2008 Correction Date: 08/13/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 07/16/2008 Correction Date: 08/13/2008

Interior Finish

Fire-Resistant Room Wall Surfaces. Inspection Date: 07/16/2008 Correction Date: 08/13/2008

Laboratories

Emergency Showers. Inspection Date: 07/16/2008 Correction Date: 08/13/2008

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 07/29/2009 Correction Date: 08/08/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 07/16/2008 Correction Date: 08/13/2008
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 07/16/2008 Correction Date: 08/13/2008
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage. Inspection Date: 07/16/2008 Correction Date: 08/13/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 07/29/2009 Correction Date: 08/31/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 07/16/2008 Correction Date: 08/13/2008