DELHAVEN 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 "Medium 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 Delhaven Manor. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Extensive Services

Clinically Complex

Behavioral Symptoms and Cognitive Performance

Reduced Physical Function

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 Missouri 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 08/13/2010.

Administration

Follow All Laws and Professional Standards. Inspection Date: 09/10/2009 Correction Date: 10/23/2009
Post Nurse Staffing Information. Inspection Date: 08/13/2010 Correction Date: 09/30/2010
Get Services Outside the Nursing Home That Meet Professional Standards. Inspection Date: 08/13/2010 Correction Date: 09/30/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 09/10/2009 Correction Date: 10/23/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/10/2009 Correction Date: 10/23/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/13/2010 Correction Date: 09/30/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 08/13/2010 Correction Date: 09/30/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 08/07/2008 Correction Date: 09/19/2008
Make Sure That Residents Are Well Nourished. Inspection Date: 09/10/2009 Correction Date: 10/23/2009
Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 09/10/2009 Correction Date: 10/23/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/10/2009 Correction Date: 10/23/2009
Make Sure That Residents Are Well Nourished. Inspection Date: 08/13/2010 Correction Date: 09/30/2010
Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 08/13/2010 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: 08/13/2010 Correction Date: 09/30/2010
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 08/13/2010 Correction Date: 09/30/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 08/13/2010 Correction Date: 09/30/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/10/2009 Correction Date: 10/23/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/13/2010 Correction Date: 09/30/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 08/13/2010 Correction Date: 09/30/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 08/13/2010 Correction Date: 09/30/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 08/13/2010 Correction Date: 09/30/2010
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: 08/13/2010 Correction Date: 09/30/2010
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 08/13/2010 Correction Date: 09/30/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 09/10/2009 Correction Date: 10/23/2009
Do an Assessment of the Resident Every Year. Inspection Date: 09/10/2009 Correction Date: 10/23/2009
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 09/10/2009 Correction Date: 10/23/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/10/2009 Correction Date: 10/23/2009
Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress. Inspection Date: 09/10/2009 Correction Date: 10/23/2009
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record. Inspection Date: 08/13/2010 Correction Date: 09/30/2010

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 08/13/2010 Correction Date: 09/30/2010
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 08/13/2010 Correction Date: 09/30/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 08/13/2010 Correction Date: 09/30/2010

The table below lists incident reports by the nursing staff or administration for Delhaven Manor, as well as complaints by residents or their family in the previous three years.

Environmental

Provide Needed Housekeeping and Maintenance. Complaint Filed: 08/07/2008 Correction Date: 09/19/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 08/07/2008 Correction Date: 09/19/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Complaint Filed: 08/07/2008 Correction Date: 09/19/2008

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 08/07/2008 Correction Date: 09/18/2008

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Complaint Filed: 08/07/2008 Correction Date: 09/19/2008

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 08/07/2008 Correction Date: 09/19/2008
Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 01/11/2011 Correction Date: 02/11/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 01/11/2011 Correction Date: 02/11/2011

Resident Rights

Have a Private Telephone Available for Use. Complaint Filed: 05/03/2010 Correction Date: 05/25/2010
Provide Enough Notice Before Discharging or Transferring a Resident. Complaint Filed: 05/03/2010 Correction Date: 05/25/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 01/11/2011 Correction Date: 02/11/2011

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 Delhaven 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 08/13/2010.

Automatic Sprinkler Systems

Properly Working Alarms on Sprinkler Valves. Inspection Date: 09/10/2009 Correction Date: 10/23/2009
Properly Working Alarms on Sprinkler Valves. Inspection Date: 08/13/2010 Correction Date: 09/30/2010

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 09/10/2009 Correction Date: 10/23/2009
Properly Constructed Linen or Trash Chutes. Inspection Date: 09/10/2009 Correction Date: 10/23/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/10/2009 Correction Date: 10/23/2009

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 09/10/2009 Correction Date: 10/23/2009
A Separate and Independent Backup Electrical Power Source. Inspection Date: 09/10/2009 Correction Date: 10/23/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 09/10/2009 Correction Date: 10/23/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 08/13/2010 Correction Date: 09/30/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/07/2008 Correction Date: 09/19/2008
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/13/2010 Correction Date: 11/03/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 08/13/2010 Correction Date: 09/30/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 09/10/2009 Correction Date: 10/23/2009

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 08/07/2008 Correction Date: 09/19/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 09/10/2009 Correction Date: 10/23/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 08/13/2010 Correction Date: 09/30/2010

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 08/07/2008 Correction Date: 09/19/2008
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 09/10/2009 Correction Date: 10/23/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 08/07/2008 Correction Date: 09/19/2008
Proper Medical Gas Storage and Administration Areas. Inspection Date: 09/10/2009 Correction Date: 10/23/2009
No-Smoking Signs Where Oxygen is Used. Inspection Date: 09/10/2009 Correction Date: 10/23/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 09/10/2009 Correction Date: 10/23/2009
Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 08/13/2010 Correction Date: 09/30/2010