MILLWAY CARE AND REHABILITATION 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 Wisconsin 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 08/24/2010.

Administration

Post Nurse Staffing Information. Inspection Date: 08/13/2008 Correction Date: 09/13/2008
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 08/24/2010 Correction Date: 09/15/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 08/13/2008 Correction Date: 09/13/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 07/08/2009 Correction Date: 08/19/2009

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. Inspection Date: 07/08/2009 Correction Date: 08/19/2009
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: 08/24/2010 Correction Date: 09/15/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 08/24/2010 Correction Date: 09/15/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/08/2009 Correction Date: 08/19/2009

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 07/08/2009 Correction Date: 08/19/2009

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 08/13/2008 Correction Date: 09/13/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 07/08/2009 Correction Date: 08/19/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 07/08/2009 Correction Date: 08/19/2009
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible. Inspection Date: 07/08/2009 Correction Date: 08/19/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 08/24/2010 Correction Date: 09/15/2010

Resident Assessment

Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing. Inspection Date: 07/08/2009 Correction Date: 08/19/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 08/24/2010 Correction Date: 09/15/2010
Make Sure That a Doctor Approves a Resident's Admission in Writing and That Each Resident Has a Doctor. Inspection Date: 08/24/2010 Correction Date: 09/15/2010

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 07/08/2009 Correction Date: 08/19/2009
Have a Private Telephone Available for Use. Inspection Date: 07/08/2009 Correction Date: 08/19/2009
Try to Resolve Each Resident's Complaints Quickly. Inspection Date: 08/24/2010 Correction Date: 09/15/2010

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

The table below lists incident reports by the nursing staff or administration for Millway Care and Rehabilitation Center, 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: 08/13/2008 Correction Date: 09/13/2008
Have a Program to Keep Infection from Spreading. Complaint Filed: 08/13/2008 Correction Date: 09/13/2008
Keep All Essential Equipment Working Safely. Complaint Filed: 07/08/2009 Correction Date: 08/19/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Complaint Filed: 07/08/2009 Correction Date: 08/19/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 07/08/2009 Correction Date: 08/19/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 08/24/2010 Correction Date: 09/15/2010

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: 04/01/2008 Correction Date: 05/01/2008

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Complaint Filed: 07/08/2009 Correction Date: 08/19/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 08/24/2010 Correction Date: 09/15/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 08/24/2010 Correction Date: 09/15/2010
Develop/Implement Required Procedures for the Administration of Immunizations. Complaint Filed: 08/24/2010 Correction Date: 09/15/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Complaint Filed: 08/24/2010 Correction Date: 09/15/2010

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident. Complaint Filed: 08/13/2008 Correction Date: 09/13/2008
Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure. Complaint Filed: 07/08/2009 Correction Date: 09/17/2009
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. Complaint Filed: 08/24/2010 Correction Date: 09/15/2010

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 Millway Care and Rehabilitation 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 10/20/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 08/12/2008 Correction Date: 09/13/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/12/2008 Correction Date: 09/13/2008
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 07/08/2009 Correction Date: 08/08/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 10/20/2010 Correction Date: 10/22/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 10/20/2010 Correction Date: 10/21/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 07/08/2009 Correction Date: 08/08/2009

Building Service Equipment

Properly Constructed Linen or Trash Chutes. Inspection Date: 07/08/2009 Correction Date: 08/08/2009
Properly Protected Cooking Facilities. Inspection Date: 10/20/2010 Correction Date: 11/12/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 08/12/2008 Correction Date: 09/13/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 07/08/2009 Correction Date: 08/08/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 10/20/2010 Correction Date: 11/08/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 10/20/2010 Correction Date: 11/05/2010

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 08/12/2008 Correction Date: 09/13/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 08/12/2008 Correction Date: 09/13/2008

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/12/2008 Correction Date: 09/13/2008
Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 07/08/2009 Correction Date: 08/08/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 07/08/2009 Correction Date: 08/08/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 10/20/2010 Correction Date: 10/22/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 07/08/2009 Correction Date: 08/08/2009
Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width. Inspection Date: 07/08/2009 Correction Date: 08/08/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 07/08/2009 Correction Date: 08/08/2009
An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 07/08/2009 Correction Date: 08/08/2009
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 10/20/2010 Correction Date: 10/21/2010
Properly Maintained Smoke Detectors. Inspection Date: 10/20/2010 Correction Date: 10/21/2010

Furnishings and Decorations

Properly Sized and Located Linen or Trash Receptacles. Inspection Date: 07/08/2009 Correction Date: 08/08/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 08/12/2008 Correction Date: 09/13/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 07/08/2009 Correction Date: 08/08/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 10/20/2010 Correction Date: 10/22/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 08/12/2008 Correction Date: 09/13/2008
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 07/08/2009 Correction Date: 08/08/2009
Properly Located and Lighted "Exit" Signs. Inspection Date: 10/20/2010 Correction Date: 10/25/2010

Medical Gases and Anesthetizing Areas

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

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 07/08/2009 Correction Date: 08/08/2009
Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 10/20/2010 Correction Date: 11/12/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 08/12/2008 Correction Date: 09/13/2008

Vertical Openings

Protected Exits That Allow the Resident to Escape the Building. Inspection Date: 08/12/2008 Correction Date: 09/13/2008
Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors. Inspection Date: 07/08/2009 Correction Date: 08/08/2009
Protected Exits That Allow the Resident to Escape the Building. Inspection Date: 07/08/2009 Correction Date: 08/08/2009
Protected Exits That Allow the Resident to Escape the Building. Inspection Date: 10/20/2010 Correction Date: 11/04/2010