COMMUNITY CARE INC

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 04/14/2011.

Administration

1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 07/22/2010 Correction Date: 08/20/2010
Choose a Doctor to Be the Medical Director. Inspection Date: 07/22/2010 Correction Date: 08/20/2010
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 07/22/2010 Correction Date: 08/20/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/22/2010 Correction Date: 08/20/2010

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Inspection Date: 07/22/2010 Correction Date: 08/20/2010
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. Inspection Date: 07/22/2010 Correction Date: 08/20/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 07/22/2010 Correction Date: 08/20/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/22/2010 Correction Date: 08/20/2010
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 04/14/2011 Correction Date: 05/13/2011
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/14/2011 Correction Date: 05/13/2011

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 03/26/2009 Correction Date: 04/02/2009
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: 07/22/2010 Correction Date: 08/20/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 07/22/2010 Correction Date: 08/20/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 03/26/2009 Correction Date: 04/02/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 07/22/2010 Correction Date: 08/20/2010
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting. Inspection Date: 07/22/2010 Correction Date: 08/20/2010
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 07/22/2010 Correction Date: 08/20/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 04/14/2011 Correction Date: 05/13/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 04/14/2011 Correction Date: 05/13/2011

Resident Assessment

Do an Assessment of the Resident Every Year. Inspection Date: 03/26/2009 Correction Date: 04/02/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 03/26/2009 Correction Date: 04/02/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 07/22/2010 Correction Date: 08/20/2010
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 07/22/2010 Correction Date: 08/20/2010
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: 07/22/2010 Correction Date: 08/20/2010
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: 04/14/2011 Correction Date: 05/13/2011

Resident Rights

Try to Resolve Each Resident's Complaints Quickly. Inspection Date: 07/22/2010 Correction Date: 08/20/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 07/22/2010 Correction Date: 08/20/2010

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

Administration

1) Set Up a Group That is Legally Responsible for Writing and Setting Up Policies for Leading and Running the Nursing Home; or 2) Hire a Properly Licensed Administrator. Complaint Filed: 07/16/2008 Correction Date: 08/15/2008

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 Community Care Inc 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 03/30/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/16/2009 Correction Date: 03/20/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/15/2010 Correction Date: 03/24/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/30/2011 Correction Date: 04/12/2011

Building Construction

Approved Construction Type or Materials. Inspection Date: 03/16/2009 Correction Date: 04/16/2009

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 03/16/2009 Correction Date: 04/16/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/15/2010 Correction Date: 04/14/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/30/2011 Correction Date: 04/04/2011

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 03/30/2011 Correction Date: 04/18/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 03/16/2009 Correction Date: 03/20/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 03/16/2009 Correction Date: 03/16/2009

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains. Inspection Date: 03/16/2009 Correction Date: 03/17/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 03/16/2009 Correction Date: 03/20/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 03/15/2010 Correction Date: 03/15/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 03/15/2010 Correction Date: 04/14/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 03/16/2009 Correction Date: 03/20/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 03/16/2009 Correction Date: 04/16/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 03/30/2011 Correction Date: 04/12/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 03/16/2009 Correction Date: 03/20/2009

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: 03/15/2010 Correction Date: 03/15/2010