JACOB'S DWELLING NURSING HOME

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 Ohio 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 11/05/2010.

Administration

Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 09/11/2008 Correction Date: 10/31/2008
Quickly Tell the Resident's Doctor the Results of Lab Tests. Inspection Date: 11/05/2009 Correction Date: 01/21/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 11/05/2009 Correction Date: 01/21/2010
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 11/05/2010 Correction Date: 12/25/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 11/05/2010 Correction Date: 12/25/2010

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 11/05/2010 Correction Date: 12/25/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 11/05/2009 Correction Date: 01/21/2010
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: 11/05/2010 Correction Date: 12/25/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 11/05/2010 Correction Date: 12/25/2010

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 09/11/2008 Correction Date: 10/31/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 11/05/2010 Correction Date: 12/25/2010

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 11/05/2010 Correction Date: 12/25/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/11/2008 Correction Date: 10/31/2008
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 09/11/2008 Correction Date: 10/31/2008
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 09/11/2008 Correction Date: 10/31/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 11/05/2009 Correction Date: 01/21/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 11/05/2009 Correction Date: 01/21/2010
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 11/05/2009 Correction Date: 01/21/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 11/05/2010 Correction Date: 12/25/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 11/05/2010 Correction Date: 12/25/2010
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 11/05/2010 Correction Date: 12/25/2010
Give or Get Dental Care for Each Resident. Inspection Date: 11/05/2010 Correction Date: 12/25/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/11/2008 Correction Date: 10/31/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 11/05/2009 Correction Date: 01/21/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 11/05/2009 Correction Date: 01/21/2010

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: 09/11/2008 Correction Date: 10/31/2008
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: 11/05/2009 Correction Date: 01/21/2010
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: 11/05/2010 Correction Date: 12/25/2010
Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure. Inspection Date: 11/05/2010 Correction Date: 12/25/2010

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

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 Jacob's Dwelling Nursing Home 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 11/08/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 09/10/2008 Correction Date: 10/31/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 11/04/2009 Correction Date: 01/21/2010
Portable Fire Extinguishers. Inspection Date: 11/04/2009 Correction Date: 01/21/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 11/04/2009 Correction Date: 01/21/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 11/04/2009 Correction Date: 01/21/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 09/10/2008 Correction Date: 10/31/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 11/04/2009 Correction Date: 01/21/2010

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 11/04/2009 Correction Date: 01/21/2010
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 11/04/2009 Correction Date: 01/21/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 11/04/2009 Correction Date: 01/21/2010