SCHUYLER COUNTY NURSING HOME

The information listed below provides an in-depth look into the type and quality of care offered at Schuyler County Nursing Home. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

SCHUYLER COUNTY NURSING HOME
HIGHWAY 63 NORTH, ROUTE 1, BOX 212
QUEEN CITY, MO 63561
(660) 766-2291

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

75%

Number of Residents and Certified Beds

  • Residents: 45
  • Certified Beds: 60

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Government - County
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Van Buren

Resident Services

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 "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 Schuyler County Nursing Home. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 6-1012.6%
ADL Index Range: 0-53.4%
Total Percent:16.0%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-106.7%
ADL Index Range: 0-59.2%
Total Percent:16.0%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1622.7%
ADL Index Range: 6-1015.5%
ADL Index Range: 0-518.9%
Total Percent:57.1%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-168.4%
Total Percent:8.4%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- Signs of depression
1.7%
Total Percent:1.7%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 6-10
- Less restorative nursing
0.8%
Total Percent:0.8%
 

Rating Details For Schuyler County Nursing Home

Nursing Staff -

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.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours41 Minutes1 Hour and 7 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours22 Minutes41 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 43 Minutes2 Hours and 21 Minutes
Total Licensed Nurse Hours1 Hour and 3 Minutes1 Hour and 48 Minutes
Total Nurse Hours3 Hours and 45 Minutes4 Hours and 9 Minutes

Quality of Care -

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.

This FacilityMissouri Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season88%93%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%88%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection8%9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse8%9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%4%
Percent of Long-Stay Residents Who Lose Too Much Weight7%7%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair3%3%
Percent of Long-Stay Residents Who Are More Depressed or Anxious4%11%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased13%11%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder7%5%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder38%38%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores1%10%
Percent of Long-Stay Residents Who Were Physically Restrained6%4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%87%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain23%20%
Percent of Short-Stay Residents Who Have Pressure Sores-11%
Percent of Short-Stay Residents Who Have Delirium5%4%

Health Inspection Details -

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 04/13/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Post Nurse Staffing Information.
  • Inspection Date: 04/13/2011
  • Correction Date: 05/20/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/20/2009
  • Correction Date: 06/04/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/20/2009
  • Correction Date: 06/04/2009
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 02/23/2010
  • Correction Date: 04/05/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 02/23/2010
  • Correction Date: 03/24/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 02/23/2010
  • Correction Date: 03/31/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 02/23/2010
  • Correction Date: 03/31/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/13/2011
  • Correction Date: 05/20/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 04/20/2009
  • Correction Date: 06/04/2009
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 02/23/2010
  • Correction Date: 03/24/2010
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: 04/13/2011
  • Correction Date: 05/20/2011

Nutrition and Dietary

Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served.
  • Inspection Date: 04/20/2009
  • Correction Date: 06/04/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 02/23/2010
  • Correction Date: 04/01/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 02/23/2010
  • Correction Date: 03/31/2010
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day.
  • Inspection Date: 04/13/2011
  • Correction Date: 05/20/2011

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 04/13/2011
  • Correction Date: 05/20/2011
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 04/13/2011
  • Correction Date: 05/20/2011
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 04/13/2011
  • Correction Date: 05/20/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 04/20/2009
  • Correction Date: 06/04/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 04/20/2009
  • Correction Date: 06/04/2009
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting.
  • Inspection Date: 04/20/2009
  • Correction Date: 06/04/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 02/23/2010
  • Correction Date: 03/24/2010
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 04/13/2011
  • Correction Date: 05/20/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 04/13/2011
  • Correction Date: 05/20/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 04/13/2011
  • Correction Date: 05/20/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 04/13/2011
  • Correction Date: 05/20/2011

Resident Assessment

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: 02/23/2010
  • Correction Date: 03/19/2010

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 04/20/2009
  • Correction Date: 06/04/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 02/23/2010
  • Correction Date: 03/31/2010
Honor All of the Resident's Rights As a Resident of the Nursing Home and As a Citizen or Resident of the United States.
  • Inspection Date: 04/13/2011
  • Correction Date: 05/20/2011
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Inspection Date: 04/13/2011
  • Correction Date: 05/20/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Schuyler County Nursing Home, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 04/13/2011
  • Correction Date: 05/20/2011

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 02/15/2011
  • Correction Date: 03/15/2011

Fire Safety

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 Schuyler County Nursing Home 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 04/13/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 02/23/2010
  • Correction Date: 02/24/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 02/23/2010
  • Correction Date: 03/31/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 04/13/2011
  • Correction Date: 05/20/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 02/23/2010
  • Correction Date: 03/31/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 04/13/2011
  • Correction Date: 05/20/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 04/13/2011
  • Correction Date: 05/20/2011

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 04/13/2011
  • Correction Date: 05/20/2011

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 02/23/2010
  • Correction Date: 02/24/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 02/23/2010
  • Correction Date: 04/05/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 04/13/2011
  • Correction Date: 05/20/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 04/13/2011
  • Correction Date: 05/20/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 02/23/2010
  • Correction Date: 03/24/2010
Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 04/13/2011
  • Correction Date: 05/20/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 02/23/2010
  • Correction Date: 04/05/2010
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 02/23/2010
  • Correction Date: 04/05/2010
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 04/13/2011
  • Correction Date: 05/20/2011

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors.
  • Inspection Date: 02/23/2010
  • Correction Date: 04/05/2010
Source: Medicare Nursing Home Compare; Missouri Department of Health & Senior Services - Retrieved 2011