EMERALD POINTE HEALTH & REHABILITATION 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 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

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 08/25/2010.

Administration

Get Proof That a Nurse Aide Has the Training and Skills That the State Requires. Inspection Date: 04/03/2008 Correction Date: 05/03/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 04/03/2008 Correction Date: 05/03/2008
Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person. Inspection Date: 04/03/2008 Correction Date: 05/03/2008
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 04/29/2009 Correction Date: 05/29/2009
Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person. Inspection Date: 08/25/2010 Correction Date: 09/24/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 04/03/2008 Correction Date: 05/03/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 04/29/2009 Correction Date: 05/29/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 08/25/2010 Correction Date: 09/24/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 08/25/2010 Correction Date: 09/24/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 08/25/2010 Correction Date: 09/24/2010

Mistreatment

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: 04/03/2008 Correction Date: 05/03/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 04/03/2008 Correction Date: 05/03/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 08/25/2010 Correction Date: 09/24/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 04/29/2009 Correction Date: 05/29/2009
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served. Inspection Date: 04/29/2009 Correction Date: 05/29/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/29/2009 Correction Date: 05/29/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/25/2010 Correction Date: 09/24/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 04/03/2008 Correction Date: 05/03/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 04/03/2008 Correction Date: 05/03/2008
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: 04/29/2009 Correction Date: 05/29/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/29/2009 Correction Date: 05/29/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 08/25/2010 Correction Date: 09/24/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 04/03/2008 Correction Date: 05/03/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/03/2008 Correction Date: 07/14/2008
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: 04/03/2008 Correction Date: 05/03/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 04/29/2009 Correction Date: 05/29/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/29/2009 Correction Date: 05/29/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 08/25/2010 Correction Date: 09/24/2010
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: 08/25/2010 Correction Date: 09/24/2010

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: 04/03/2008 Correction Date: 05/03/2008
Tell the Resident or the Resident's Representative in Writing How Long the Nursing Home Will Hold the Resident's Bed when the Resident Temporarily Leaves the Facility. Inspection Date: 04/29/2009 Correction Date: 05/29/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 04/29/2009 Correction Date: 05/29/2009
Give Enough Notice to the Resident Before Changing the Resident's Room or Roommate. Inspection Date: 08/25/2010 Correction Date: 09/24/2010

The table below lists incident reports by the nursing staff or administration for Emerald Pointe Health & Rehabilitation Center, as well as complaints by residents or their family in the previous three years.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 04/03/2008 Correction Date: 04/24/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 10/29/2008 Correction Date: 11/21/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 04/29/2009 Correction Date: 01/01/1900
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 04/20/2011 Correction Date: 04/27/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Complaint Filed: 11/18/2009 Correction Date: 12/18/2009

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 04/03/2008 Correction Date: 04/30/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Complaint Filed: 04/29/2009 Correction Date: 01/01/1900
Provide Activities to Meet the Needs of Each Resident. Complaint Filed: 04/29/2009 Correction Date: 01/01/1900
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 04/29/2009 Correction Date: 01/01/1900

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. Complaint Filed: 11/18/2009 Correction Date: 12/18/2009

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 Emerald Pointe Health & Rehabilitation 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 04/22/2010.

Building Construction

Approved Construction Type or Materials. Inspection Date: 02/06/2008 Correction Date: 03/04/2008

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 02/06/2008 Correction Date: 03/04/2008
Properly Protected Cooking Facilities. Inspection Date: 02/06/2008 Correction Date: 03/04/2008
Properly Protected Cooking Facilities. Inspection Date: 04/07/2009 Correction Date: 05/01/2009
Properly Protected Cooking Facilities. Inspection Date: 04/22/2010 Correction Date: 05/22/2010

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 04/22/2010 Correction Date: 05/22/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/22/2010 Correction Date: 05/22/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 02/06/2008 Correction Date: 03/04/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/22/2010 Correction Date: 05/22/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 04/22/2010 Correction Date: 05/22/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 02/06/2008 Correction Date: 03/04/2008
Properly Maintained Smoke Detectors. Inspection Date: 04/22/2010 Correction Date: 05/22/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 02/06/2008 Correction Date: 03/04/2008

Hazardous Area

Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 04/22/2010 Correction Date: 05/22/2010

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 02/06/2008 Correction Date: 03/04/2008
Properly Located and Lighted "Exit" Signs. Inspection Date: 04/07/2009 Correction Date: 05/01/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 04/22/2010 Correction Date: 05/22/2010
Properly Located and Lighted "Exit" Signs. Inspection Date: 04/22/2010 Correction Date: 05/22/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 02/06/2008 Correction Date: 03/04/2008

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 02/06/2008 Correction Date: 03/04/2008