GARFIELD 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 Washington 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 02/11/2011.

Administration

Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 12/30/2009 Correction Date: 02/12/2010
Get Proof That a Nurse Aide Has the Training and Skills That the State Requires. Inspection Date: 02/11/2011 Correction Date: 03/28/2011
Keep Accurate and Appropriate Medical Records. Inspection Date: 02/11/2011 Correction Date: 03/28/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 12/03/2008 Correction Date: 01/17/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 12/30/2009 Correction Date: 02/12/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 12/30/2009 Correction Date: 02/12/2010
Have Enough Backup Water Supply for Important Areas of the Nursing Home. Inspection Date: 12/30/2009 Correction Date: 02/12/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/11/2011 Correction Date: 03/28/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 02/11/2011 Correction Date: 03/28/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 02/11/2011 Correction Date: 03/28/2011

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: 12/03/2008 Correction Date: 01/17/2009
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: 12/30/2009 Correction Date: 02/12/2010
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: 02/11/2011 Correction Date: 03/28/2011
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 02/11/2011 Correction Date: 03/28/2011
Properly Mark Drugs and Other Similar Products. Inspection Date: 02/11/2011 Correction Date: 03/28/2011

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 12/03/2008 Correction Date: 01/17/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 12/30/2009 Correction Date: 02/12/2010
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 02/11/2011 Correction Date: 03/28/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 12/30/2009 Correction Date: 02/12/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 12/30/2009 Correction Date: 02/12/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 02/11/2011 Correction Date: 03/28/2011

Resident Rights

Send and Promptly Deliver Unopened Mail to Residents. Inspection Date: 12/30/2009 Correction Date: 02/12/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 12/30/2009 Correction Date: 02/12/2010
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: 02/11/2011 Correction Date: 03/28/2011

The table below lists incident reports by the nursing staff or administration for Garfield County Hospital, Long Term Care Unit, as well as complaints by residents or their family in the previous three years.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 02/22/2010 Correction Date: 03/31/2010

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. Complaint Filed: 06/05/2008 Correction Date: 07/18/2008
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. Complaint Filed: 10/02/2008 Correction Date: 11/14/2008
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. Complaint Filed: 02/22/2010 Correction Date: 03/31/2010

Resident Assessment

Make Sure That All Needed Doctor Visits Are Made Personally by a Doctor, As Required. Complaint Filed: 07/23/2008 Correction Date: 08/31/2008
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record. Complaint Filed: 06/28/2011 Correction Date: 07/15/2011

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 Garfield 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 02/08/2011.

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 02/08/2011 Correction Date: 03/24/2011

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 02/08/2011 Correction Date: 03/24/2011