GREGORY RIDGE LIVING CENTER

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 Gregory Ridge Living Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

Very High Rehabilitation

Medium Rehabilitation

Clinically Complex

Behavioral Symptoms and Cognitive Performance

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 Missouri 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

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 06/09/2010.

Administration

Follow All Laws and Professional Standards. Inspection Date: 03/10/2008 Correction Date: 04/23/2008
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 03/10/2008 Correction Date: 04/23/2008
Hire a Qualified Activities Director. Inspection Date: 04/10/2009 Correction Date: 05/25/2009
Train All Employees on What to Do in an Emergency. Inspection Date: 04/10/2009 Correction Date: 05/25/2009
Get Services Outside the Nursing Home That Meet Professional Standards. Inspection Date: 06/09/2010 Correction Date: 08/03/2010

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 03/10/2008 Correction Date: 04/23/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 03/10/2008 Correction Date: 07/25/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/10/2008 Correction Date: 09/08/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 03/10/2008 Correction Date: 07/03/2008
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 03/10/2008 Correction Date: 04/23/2008
Put Firmly Secured Handrails on Each Side of Hallways. Inspection Date: 03/10/2008 Correction Date: 04/23/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/10/2009 Correction Date: 05/25/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 04/10/2009 Correction Date: 05/25/2009
Have Enough Outside Airflow. Inspection Date: 04/10/2009 Correction Date: 05/25/2009
Put Firmly Secured Handrails on Each Side of Hallways. Inspection Date: 04/10/2009 Correction Date: 05/25/2009

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 04/10/2009 Correction Date: 05/25/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/10/2008 Correction Date: 04/23/2008
Provide Food in a Way That Meets a Resident's Needs. Inspection Date: 04/10/2009 Correction Date: 05/25/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/10/2009 Correction Date: 05/25/2009

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 03/10/2008 Correction Date: 07/03/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 06/09/2010 Correction Date: 08/03/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 03/10/2008 Correction Date: 04/23/2008
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting. Inspection Date: 03/10/2008 Correction Date: 09/08/2008
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 03/10/2008 Correction Date: 04/23/2008
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 03/10/2008 Correction Date: 04/23/2008
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 04/10/2009 Correction Date: 05/25/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 04/10/2009 Correction Date: 05/25/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/10/2009 Correction Date: 05/25/2009
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting. Inspection Date: 04/10/2009 Correction Date: 05/25/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 04/10/2009 Correction Date: 05/25/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 04/10/2009 Correction Date: 05/25/2009
Give or Get Special Rehabilitation if in the Patient's Plan of Care. Inspection Date: 04/10/2009 Correction Date: 05/25/2009

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: 03/10/2008 Correction Date: 04/23/2008
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: 03/10/2008 Correction Date: 04/23/2008
Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home. Inspection Date: 03/10/2008 Correction Date: 04/23/2008
Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress. Inspection Date: 03/10/2008 Correction Date: 04/23/2008
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: 04/10/2009 Correction Date: 05/25/2009

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: 03/10/2008 Correction Date: 04/23/2008
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: 03/10/2008 Correction Date: 04/23/2008
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 03/10/2008 Correction Date: 11/13/2008
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 04/10/2009 Correction Date: 05/25/2009
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 04/10/2009 Correction Date: 05/25/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 04/10/2009 Correction Date: 05/25/2009

The table below lists incident reports by the nursing staff or administration for Gregory Ridge Living Center, as well as complaints by residents or their family in the previous three years.

Quality Care

Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting. Complaint Filed: 05/22/2008 Correction Date: 09/08/2008

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Complaint Filed: 09/08/2008 Correction Date: 11/13/2008
Protect the Resident from a Transfer or Discharge That is Not Wanted or Needed. Complaint Filed: 12/19/2008 Correction Date: 01/20/2009

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 Gregory Ridge Living 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 06/09/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 04/10/2009 Correction Date: 05/25/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 06/09/2010 Correction Date: 08/03/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 03/10/2008 Correction Date: 04/23/2008
Approved Construction Type or Materials. Inspection Date: 04/10/2009 Correction Date: 05/25/2009
Approved Construction Type or Materials. Inspection Date: 06/09/2010 Correction Date: 08/03/2010

Corridor Walls and Doors

Signs That State That Exit Doors Are to Be Kept Closed. Inspection Date: 04/10/2009 Correction Date: 05/25/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 06/09/2010 Correction Date: 08/03/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 06/09/2010 Correction Date: 08/03/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 03/10/2008 Correction Date: 04/23/2008
Exits That Are Accessible at All Times. Inspection Date: 04/10/2009 Correction Date: 05/25/2009
Exits That Are Accessible at All Times. Inspection Date: 06/09/2010 Correction Date: 08/03/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 03/10/2008 Correction Date: 04/23/2008
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 04/10/2009 Correction Date: 05/25/2009
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 06/09/2010 Correction Date: 08/03/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 04/10/2009 Correction Date: 05/25/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 03/10/2008 Correction Date: 04/23/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 04/10/2009 Correction Date: 05/25/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 06/09/2010 Correction Date: 08/03/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 03/10/2008 Correction Date: 04/23/2008
Properly Located and Lighted "Exit" Signs. Inspection Date: 03/10/2008 Correction Date: 04/23/2008

Interior Finish

Fire-Resistant Room Wall Surfaces. Inspection Date: 04/10/2009 Correction Date: 05/25/2009

Laboratories

Emergency Showers. Inspection Date: 06/09/2010 Correction Date: 08/03/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 04/10/2009 Correction Date: 05/25/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 03/10/2008 Correction Date: 04/23/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 03/10/2008 Correction Date: 04/23/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 04/10/2009 Correction Date: 05/25/2009