DECATUR COUNTY HOSPITAL LONG TERM CARE UNIT

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 Kansas 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 12/15/2010.

Administration

Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 12/15/2010 Correction Date: 02/04/2011

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 08/20/2008 Correction Date: 09/19/2008
Keep Temperature Levels Comfortable and Safe. Inspection Date: 08/20/2008 Correction Date: 09/19/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 08/27/2009 Correction Date: 09/26/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 12/15/2010 Correction Date: 02/04/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 12/15/2010 Correction Date: 03/09/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 12/15/2010 Correction Date: 02/04/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 08/20/2008 Correction Date: 09/19/2008

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: 12/15/2010 Correction Date: 02/04/2011
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 12/15/2010 Correction Date: 02/04/2011

Quality Care

Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 08/20/2008 Correction Date: 09/19/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/27/2009 Correction Date: 09/26/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 12/15/2010 Correction Date: 03/09/2011
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 12/15/2010 Correction Date: 02/04/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 12/15/2010 Correction Date: 03/09/2011
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Inspection Date: 12/15/2010 Correction Date: 02/04/2011

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: 12/15/2010 Correction Date: 03/09/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 08/27/2009 Correction Date: 09/26/2009
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions. Inspection Date: 08/27/2009 Correction Date: 09/26/2009
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. Inspection Date: 12/15/2010 Correction Date: 03/09/2011
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 12/15/2010 Correction Date: 02/04/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 12/15/2010 Correction Date: 03/09/2011

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 Decatur County Hospital Long Term Care Unit 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 08/11/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/05/2009 Correction Date: 08/21/2009

Building Construction

A Two-Hour-Resistant Firewall in Common Walls. Inspection Date: 06/26/2008 Correction Date: 07/26/2008
A Two-Hour-Resistant Firewall in Common Walls. Inspection Date: 08/05/2009 Correction Date: 08/14/2009

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 06/26/2008 Correction Date: 07/26/2008
Properly Protected Cooking Facilities. Inspection Date: 06/26/2008 Correction Date: 07/26/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 06/26/2008 Correction Date: 07/03/2008

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 06/26/2008 Correction Date: 07/26/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 06/26/2008 Correction Date: 07/07/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 08/05/2009 Correction Date: 08/21/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 08/11/2010 Correction Date: 08/11/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/05/2009 Correction Date: 08/21/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 08/05/2009 Correction Date: 08/28/2009

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains. Inspection Date: 06/26/2008 Correction Date: 07/03/2008
Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 08/05/2009 Correction Date: 08/05/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 06/26/2008 Correction Date: 07/03/2008

Laboratories

Emergency Showers. Inspection Date: 06/26/2008 Correction Date: 07/26/2008