COUNTRY AIRE RETIREMENT ESTATES
Address
18540 STATE HIGHWAY 16
LEWISTOWN, MO 63452
(573) 215-2216
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
58%Number of Residents and Certified Beds
- Residents: 35
- Certified Beds: 60
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By Non Profit - Corporation
- Offers Only Resident Counseling
- This Facility is Part of a Chain or Franchise
Resident Services
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 "Very High 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 Country Aire Retirement Estates. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
| Resident Services | Resident Conditions | Percent of Service Days |
Ultra-High Rehabilitation
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
| ADL Index Range: 6-10 | 9.7% |
| Total Percent: | 9.7% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 17.9% |
| ADL Index Range: 6-10 | 16.6% |
| ADL Index Range: 0-5 | 4.1% |
| Total Percent: | 38.6% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 12.4% |
| ADL Index Range: 6-10 | 15.9% |
| ADL Index Range: 0-5 | 2.8% |
| Total Percent: | 31.0% |
Special Care Low
- Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
- Respiratory failure and oxygen therapy while a resident
- Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
- Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
- Ulcers: 2 or more venous or arterial ulcers
- Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
- Foot infection/diabetic foot ulcer/open lesions of foot with treatment
- Radiation therapy while a resident
- Dialysis while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 15-16 - Signs of depression | 16.6% |
| ADL Index Range: 15-16 - No Signs of depression | 4.1% |
| Total Percent: | 20.7% |
Rating Details For Country Aire Retirement Estates
Nursing Staff - 
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.
| Nursing Hours Per Resident Per Day | Reported | Expected |
| Registered Nurse (RN) Hours | 49 Minutes | 53 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 36 Minutes | 35 Minutes |
| Certified Nursing Assistant (CNA) Hours | 3 Hours and 10 Minutes | 2 Hours and 8 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 25 Minutes | 1 Hour and 28 Minutes |
| Total Nurse Hours | 4 Hours and 35 Minutes | 3 Hours and 36 Minutes |
Quality of Care - 
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.
| This Facility | Missouri Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 93% |
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 88% |
Long-Term Stay Deficiencies
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 2% | 10% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 16% | 7% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 6% | 9% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 5% | 5% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 9% | 11% |
| Percent of Long-Stay Residents Who Were Physically Restrained | 3% | 4% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 5% | 9% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 3% | 3% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 6% | 11% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 7% | 4% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 5% | 3% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 35% | 38% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 68% | 83% |
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 85% | 87% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Pressure Sores | 2% | 11% |
| Percent of Short-Stay Residents Who Have Delirium | 2% | 4% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 32% | 20% |
Health Inspection Details - 
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 04/29/2010.
Degree of Harm
- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health
Residents Affected
- Isolated
- Some Residents
- Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Administration
Post Nurse Staffing Information.
|  |  |
Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
|  |  |
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
| | |
Mistreatment
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
| | |
Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
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Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
| |  |
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
| | |
Develop/Implement Required Procedures for the Administration of Immunizations.
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Resident Rights
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
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Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
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Have a Private Telephone Available for Use.
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Fire Safety
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 Country Aire Retirement Estates 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 04/29/2010.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Corridor Walls and Doors
Signs That State That Exit Doors Are to Be Kept Closed.
| | |
Electrical
Properly Installed Electrical Wiring and Equipment.
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Emergency Plans and Fire Drills
Did Not Have a Written Emergency Evacuation Plan.
| | |
Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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