TIMBERLAKE CARE CENTER

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Timberlake Care Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Very High Rehabilitation Plus Extensive Services

Medium Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Low Rehabilitation

Extensive Services

Special Care High

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 Missouri 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

Short-Term Stay Preventive Actions

Short-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 03/29/2011.

Administration

Follow All Laws and Professional Standards. Inspection Date: 04/30/2009 Correction Date: 06/14/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/30/2009 Correction Date: 06/14/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 04/30/2009 Correction Date: 06/14/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 04/30/2009 Correction Date: 06/14/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 05/12/2010 Correction Date: 05/21/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 05/12/2010 Correction Date: 06/25/2010
Have Enough Outside Airflow. Inspection Date: 05/12/2010 Correction Date: 05/13/2010
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 03/29/2011 Correction Date: 05/12/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 03/29/2011 Correction Date: 05/12/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/30/2009 Correction Date: 06/14/2009
Provide Food in a Way That Meets a Resident's Needs. Inspection Date: 05/12/2010 Correction Date: 05/27/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/12/2010 Correction Date: 05/31/2010

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 04/30/2009 Correction Date: 06/14/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 04/30/2009 Correction Date: 06/14/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 03/29/2011 Correction Date: 05/12/2011

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 04/30/2009 Correction Date: 06/14/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 04/30/2009 Correction Date: 06/14/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/30/2009 Correction Date: 06/14/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/30/2009 Correction Date: 06/14/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 05/12/2010 Correction Date: 06/25/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 05/12/2010 Correction Date: 06/25/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 05/12/2010 Correction Date: 06/25/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 03/29/2011 Correction Date: 04/29/2011
Give or Get Dental Care for Each Resident. Inspection Date: 03/29/2011 Correction Date: 05/12/2011

Resident Assessment

Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 04/30/2009 Correction Date: 05/06/2009
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: 04/30/2009 Correction Date: 06/14/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/30/2009 Correction Date: 06/14/2009
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: 04/30/2009 Correction Date: 06/14/2009
Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress. Inspection Date: 04/30/2009 Correction Date: 06/14/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 03/29/2011 Correction Date: 04/15/2011
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: 03/29/2011 Correction Date: 05/12/2011

Resident Rights

Give the Resident's Legal Representative the Same Rights As the Resident. Inspection Date: 04/30/2009 Correction Date: 06/14/2009
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions. Inspection Date: 04/30/2009 Correction Date: 06/14/2009
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 05/12/2010 Correction Date: 06/03/2010

The table below lists incident reports by the nursing staff or administration for Timberlake Care Center, as well as complaints by residents or their family in the previous three years.

Administration

Follow All Laws and Professional Standards. Complaint Filed: 06/30/2008 Correction Date: 08/11/2008

Environmental

Provide Needed Housekeeping and Maintenance. Complaint Filed: 10/10/2008 Correction Date: 11/04/2008
Have a Program to Keep Infection from Spreading. Complaint Filed: 03/29/2011 Correction Date: 05/12/2011

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Complaint Filed: 04/30/2009 Correction Date: 06/14/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 04/30/2009 Correction Date: 06/14/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 03/29/2011 Correction Date: 05/12/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Complaint Filed: 03/29/2011 Correction Date: 05/12/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Complaint Filed: 03/29/2011 Correction Date: 05/12/2011

Resident Rights

Provide Enough Notice Before Discharging or Transferring a Resident. Complaint Filed: 05/12/2010 Correction Date: 05/14/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 03/29/2011 Correction Date: 04/22/2011

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 Timberlake Care 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 03/29/2011.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 05/12/2010 Correction Date: 05/21/2010
Portable Fire Extinguishers. Inspection Date: 05/12/2010 Correction Date: 05/12/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/30/2009 Correction Date: 06/14/2009

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/30/2009 Correction Date: 06/14/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 03/29/2011 Correction Date: 05/12/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 05/12/2010 Correction Date: 06/03/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 03/29/2011 Correction Date: 05/12/2011

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains. Inspection Date: 04/30/2009 Correction Date: 06/14/2009
Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 05/12/2010 Correction Date: 05/12/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 04/30/2009 Correction Date: 06/14/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 05/12/2010 Correction Date: 05/27/2010

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 03/29/2011 Correction Date: 05/12/2011

Laboratories

Emergency Showers. Inspection Date: 04/30/2009 Correction Date: 06/14/2009