GREENE COUNTY MEDICAL CENTER

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 Iowa 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 11/10/2010.

Administration

Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 08/21/2008 Correction Date: 09/30/2008
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 09/23/2009 Correction Date: 10/31/2009
Post Nurse Staffing Information. Inspection Date: 11/10/2010 Correction Date: 11/11/2010
Follow All Laws and Professional Standards. Inspection Date: 11/10/2010 Correction Date: 11/13/2010
Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person. Inspection Date: 11/10/2010 Correction Date: 11/11/2010

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 08/21/2008 Correction Date: 09/30/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 08/21/2008 Correction Date: 09/30/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 09/23/2009 Correction Date: 10/31/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 11/10/2010 Correction Date: 11/17/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 11/10/2010 Correction Date: 12/10/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/21/2008 Correction Date: 09/15/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/23/2009 Correction Date: 10/31/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 11/10/2010 Correction Date: 12/01/2010

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 09/23/2009 Correction Date: 10/07/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/21/2008 Correction Date: 09/30/2008
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 08/21/2008 Correction Date: 09/30/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 08/21/2008 Correction Date: 09/30/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/23/2009 Correction Date: 10/23/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 09/23/2009 Correction Date: 10/14/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 11/10/2010 Correction Date: 12/07/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 11/10/2010 Correction Date: 11/17/2010
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 11/10/2010 Correction Date: 11/17/2010

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: 11/10/2010 Correction Date: 11/11/2010
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: 11/10/2010 Correction Date: 12/01/2010

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 Greene County Medical Center 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 11/18/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 08/22/2008 Correction Date: 09/22/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/22/2008 Correction Date: 09/22/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 09/08/2009 Correction Date: 10/19/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 11/18/2010 Correction Date: 12/01/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 08/22/2008 Correction Date: 09/22/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 08/22/2008 Correction Date: 09/22/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/08/2009 Correction Date: 10/08/2009

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 08/22/2008 Correction Date: 09/22/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 09/08/2009 Correction Date: 10/08/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 11/18/2010 Correction Date: 11/30/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/22/2008 Correction Date: 09/22/2008
Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 11/18/2010 Correction Date: 12/03/2010
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 11/18/2010 Correction Date: 12/18/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 11/18/2010 Correction Date: 12/01/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 08/22/2008 Correction Date: 09/22/2008
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 09/08/2009 Correction Date: 10/08/2009
Properly Maintained Smoke Detectors. Inspection Date: 11/18/2010 Correction Date: 12/01/2010

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains. Inspection Date: 08/22/2008 Correction Date: 09/22/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 08/22/2008 Correction Date: 09/22/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 09/08/2009 Correction Date: 10/19/2009

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 08/22/2008 Correction Date: 09/22/2008
Properly Located and Lighted "Exit" Signs. Inspection Date: 08/22/2008 Correction Date: 09/22/2008
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 11/18/2010 Correction Date: 12/02/2010
Properly Located and Lighted "Exit" Signs. Inspection Date: 11/18/2010 Correction Date: 12/01/2010

Interior Finish

Fire-Resistant Interior Walls. Inspection Date: 11/18/2010 Correction Date: 12/01/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 08/22/2008 Correction Date: 09/22/2008
No-Smoking Signs Where Oxygen is Used. Inspection Date: 08/22/2008 Correction Date: 09/22/2008
Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen. Inspection Date: 11/18/2010 Correction Date: 12/18/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 08/22/2008 Correction Date: 09/22/2008
Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 09/08/2009 Correction Date: 10/08/2009
Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 11/18/2010 Correction Date: 12/18/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 08/22/2008 Correction Date: 09/22/2008