WESTSIDE COMMUNITY NURSING 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 Utah 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 08/18/2010.

Administration

Hire Nurse Aides Who Have Completed Required Training and Shown That They Are Skilled. Inspection Date: 06/05/2008 Correction Date: 08/03/2008
Hire Nurse Aides Who Have Shown That They Are Skilled and Care for Residents Safely On-The-Job. Inspection Date: 08/05/2009 Correction Date: 09/25/2009
Get Proof That a Nurse Aide Has the Training and Skills That the State Requires. Inspection Date: 08/05/2009 Correction Date: 09/25/2009
Give Lab Tests Only when the Attending Doctor Ordered Them. Inspection Date: 08/05/2009 Correction Date: 09/25/2009
Keep Complete, Dated Lab Records in the Resident's File. Inspection Date: 08/05/2009 Correction Date: 09/25/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 08/05/2009 Correction Date: 09/25/2009
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 08/18/2010 Correction Date: 09/30/2010
Give Lab Tests Only when the Attending Doctor Ordered Them. Inspection Date: 08/18/2010 Correction Date: 09/30/2010

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 08/05/2009 Correction Date: 09/25/2009

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 06/05/2008 Correction Date: 08/03/2008

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/18/2010 Correction Date: 09/30/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 06/05/2008 Correction Date: 07/07/2008
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 08/05/2009 Correction Date: 09/25/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 08/18/2010 Correction Date: 09/30/2010

Quality Care

Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 06/05/2008 Correction Date: 08/03/2008
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Inspection Date: 06/05/2008 Correction Date: 06/14/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/05/2009 Correction Date: 09/25/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/05/2009 Correction Date: 09/25/2009

Resident Assessment

Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record. Inspection Date: 08/05/2009 Correction Date: 09/25/2009

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: 06/05/2008 Correction Date: 07/07/2008
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 06/05/2008 Correction Date: 07/05/2008
Quickly Give a Resident's Personal Money to the Heads of His or Her Estate After the Resident's Death. Inspection Date: 06/05/2008 Correction Date: 06/10/2008
Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure. Inspection Date: 06/05/2008 Correction Date: 06/16/2008

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 Westside Community Nursing 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 08/19/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 06/19/2008 Correction Date: 07/15/2008

Building Construction

Approved Construction Type or Materials. Inspection Date: 06/19/2008 Correction Date: 06/26/2008

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 08/19/2010 Correction Date: 09/08/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 08/20/2009 Correction Date: 09/11/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 08/19/2010 Correction Date: 09/01/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 06/19/2008 Correction Date: 07/15/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 08/19/2010 Correction Date: 09/01/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 06/19/2008 Correction Date: 07/08/2008
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/19/2010 Correction Date: 08/25/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 08/20/2009 Correction Date: 09/11/2009

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 06/19/2008 Correction Date: 06/26/2008
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 06/19/2008 Correction Date: 07/31/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 06/19/2008 Correction Date: 06/26/2008

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 06/19/2008 Correction Date: 07/01/2008
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 08/20/2009 Correction Date: 08/20/2009
Proper Backup Exit Lighting. Inspection Date: 08/19/2010 Correction Date: 09/01/2010
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 08/19/2010 Correction Date: 09/01/2010
Properly Located and Lighted "Exit" Signs. Inspection Date: 08/19/2010 Correction Date: 09/01/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 08/20/2009 Correction Date: 08/20/2009

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: 06/19/2008 Correction Date: 06/26/2008