ELM CREST MANOR

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 Elm Crest Manor. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

High Rehabilitation

Medium Rehabilitation

Clinically Complex

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 North Dakota 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 07/08/2010.

Administration

Post Nurse Staffing Information. Inspection Date: 07/08/2010 Correction Date: 08/06/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/13/2009 Correction Date: 09/10/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/08/2010 Correction Date: 08/06/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 08/13/2009 Correction Date: 09/10/2009
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property. Inspection Date: 08/13/2009 Correction Date: 09/14/2009
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: 08/13/2009 Correction Date: 09/10/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 08/13/2009 Correction Date: 09/10/2009

Nutrition and Dietary

Use Properly Trained Paid Feeding Assistants, Provide Licensed Nursing Supervision of the Feeding Assistants, or Properly Monitor the Feeding of Its Residents. Inspection Date: 08/06/2008 Correction Date: 09/08/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/13/2009 Correction Date: 09/10/2009

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: 08/06/2008 Correction Date: 09/08/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 08/06/2008 Correction Date: 09/08/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 08/13/2009 Correction Date: 09/10/2009

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 08/13/2009 Correction Date: 09/10/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/13/2009 Correction Date: 09/10/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/13/2009 Correction Date: 09/03/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 07/08/2010 Correction Date: 08/06/2010

Resident Assessment

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: 08/13/2009 Correction Date: 09/10/2009

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: 08/13/2009 Correction Date: 09/10/2009

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 Elm Crest Manor 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 06/14/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 07/22/2009 Correction Date: 08/12/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 06/14/2010 Correction Date: 08/06/2010

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 06/14/2010 Correction Date: 07/09/2010

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 07/22/2009 Correction Date: 08/28/2009

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 07/22/2009 Correction Date: 09/08/2009

Medical Gases and Anesthetizing Areas

Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen. Inspection Date: 07/22/2009 Correction Date: 10/14/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 07/22/2009 Correction Date: 10/14/2009
Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 06/14/2010 Correction Date: 07/20/2010