QUALITY LIVING, INC

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 Nebraska 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 09/14/2010.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 09/14/2010 Correction Date: 10/29/2010

Environmental

Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 04/16/2009 Correction Date: 05/24/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/14/2010 Correction Date: 10/29/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 09/14/2010 Correction Date: 10/29/2010
Have Enough Backup Water Supply for Important Areas of the Nursing Home. Inspection Date: 09/14/2010 Correction Date: 10/29/2010

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. Inspection Date: 04/16/2009 Correction Date: 05/24/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/16/2009 Correction Date: 05/24/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/17/2008 Correction Date: 06/01/2008
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: 04/17/2008 Correction Date: 06/01/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/16/2009 Correction Date: 05/24/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 04/16/2009 Correction Date: 05/24/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 04/16/2009 Correction Date: 05/24/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/14/2010 Correction Date: 10/29/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 09/14/2010 Correction Date: 10/29/2010

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: 09/14/2010 Correction Date: 10/29/2010

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: 04/16/2009 Correction Date: 05/24/2009
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 09/14/2010 Correction Date: 10/29/2010
Provide Written Records when a Resident is Transferred or Discharged. Inspection Date: 09/14/2010 Correction Date: 10/29/2010

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 Quality Living, Inc 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 10/01/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 04/15/2008 Correction Date: 06/26/2008
Portable Fire Extinguishers. Inspection Date: 04/15/2008 Correction Date: 06/02/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 06/18/2009 Correction Date: 08/02/2009

Building Construction

Approved Construction Type or Materials. Inspection Date: 06/18/2009 Correction Date: 06/18/2009

Building Service Equipment

Restrictions on the Use of Portable Space Heaters. Inspection Date: 06/18/2009 Correction Date: 08/02/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 06/18/2009 Correction Date: 08/01/2009

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/15/2008 Correction Date: 06/02/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 06/18/2009 Correction Date: 08/01/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 10/01/2010 Correction Date: 11/15/2010
A Separate and Independent Backup Electrical Power Source. Inspection Date: 10/01/2010 Correction Date: 11/15/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 10/01/2010 Correction Date: 11/15/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 04/15/2008 Correction Date: 06/02/2008

Exits and Egress

Rooms That Can Be Unlocked from Inside Without a Key. Inspection Date: 10/01/2010 Correction Date: 11/15/2010

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 04/15/2008 Correction Date: 06/26/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 04/15/2008 Correction Date: 06/02/2008

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 06/18/2009 Correction Date: 08/01/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 06/18/2009 Correction Date: 08/01/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 10/01/2010 Correction Date: 11/15/2010
Properly Located and Lighted "Exit" Signs. Inspection Date: 10/01/2010 Correction Date: 11/15/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 06/18/2009 Correction Date: 08/01/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 04/15/2008 Correction Date: 06/02/2008

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 06/18/2009 Correction Date: 08/02/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 06/18/2009 Correction Date: 08/01/2009