MEADE DISTRICT HOSPITAL LONG TERM CARE UNIT (LONE TREE RETIREMENT)

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 09/28/2010.

Administration

Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 06/04/2009 Correction Date: 06/30/2009

Environmental

Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 04/17/2008 Correction Date: 05/13/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 06/04/2009 Correction Date: 06/30/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 06/04/2009 Correction Date: 06/30/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 09/28/2010 Correction Date: 10/21/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/28/2010 Correction Date: 10/21/2010
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 09/28/2010 Correction Date: 10/21/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 04/17/2008 Correction Date: 05/13/2008

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 06/04/2009 Correction Date: 06/30/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 06/04/2009 Correction Date: 06/30/2009

Pharmacy Service

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: 04/17/2008 Correction Date: 05/13/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 04/17/2008 Correction Date: 05/13/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 04/17/2008 Correction Date: 05/13/2008
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 06/04/2009 Correction Date: 06/30/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 06/04/2009 Correction Date: 06/30/2009
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: 09/28/2010 Correction Date: 10/21/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 09/28/2010 Correction Date: 10/21/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 09/28/2010 Correction Date: 10/21/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/28/2010 Correction Date: 10/21/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/28/2010 Correction Date: 10/21/2010
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 09/28/2010 Correction Date: 10/21/2010
Give or Get Dental Care for Each Resident. Inspection Date: 09/28/2010 Correction Date: 10/21/2010

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: 09/28/2010 Correction Date: 10/21/2010
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: 09/28/2010 Correction Date: 10/21/2010

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 04/17/2008 Correction Date: 05/13/2008
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions. Inspection Date: 06/04/2009 Correction Date: 06/30/2009
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: 09/28/2010 Correction Date: 10/21/2010

The table below lists incident reports by the nursing staff or administration for Meade District Hospital Long Term Care Unit (Lone Tree Retirement), as well as complaints by residents or their family in the previous three years.

Environmental

Provide Needed Housekeeping and Maintenance. Complaint Filed: 04/18/2011 Correction Date: 05/17/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 04/18/2011 Correction Date: 04/26/2011

Resident Rights

Try to Resolve Each Resident's Complaints Quickly. Complaint Filed: 04/17/2008 Correction Date: 05/13/2008

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 Meade District Hospital Long Term Care Unit (Lone Tree Retirement) 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 06/03/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 04/08/2009 Correction Date: 04/13/2009

Building Construction

A Two-Hour-Resistant Firewall in Common Walls. Inspection Date: 05/28/2008 Correction Date: 06/25/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/08/2009 Correction Date: 05/08/2009

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/28/2008 Correction Date: 06/26/2008
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 04/08/2009 Correction Date: 05/08/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/08/2009 Correction Date: 04/13/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 06/03/2010 Correction Date: 06/10/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 04/08/2009 Correction Date: 04/20/2009

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 04/08/2009 Correction Date: 05/08/2009

Furnishings and Decorations

Properly Sized and Located Linen or Trash Receptacles. Inspection Date: 04/08/2009 Correction Date: 05/08/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 05/28/2008 Correction Date: 06/18/2008

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 05/28/2008 Correction Date: 06/28/2008