FIESER NURSING 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 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

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 03/18/2010.

Administration

1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 04/10/2009 Correction Date: 05/25/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/08/2008 Correction Date: 06/01/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 05/08/2008 Correction Date: 05/28/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/10/2009 Correction Date: 05/25/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 04/10/2009 Correction Date: 05/25/2009

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: 05/08/2008 Correction Date: 05/30/2008
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 03/18/2010 Correction Date: 04/17/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 05/08/2008 Correction Date: 05/28/2008

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 05/08/2008 Correction Date: 06/01/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/10/2009 Correction Date: 05/25/2009
Make Sure That a Resident Does Not Become Withdrawn, Angry or Depressed if These Problems Did Not Exist Before. Inspection Date: 04/10/2009 Correction Date: 05/25/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 03/18/2010 Correction Date: 04/17/2010
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Inspection Date: 03/18/2010 Correction Date: 04/17/2010

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 04/10/2009 Correction Date: 05/25/2009
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care. Inspection Date: 04/10/2009 Correction Date: 05/25/2009

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

Administration

Follow All Laws and Professional Standards. Complaint Filed: 05/08/2008 Correction Date: 06/01/2008

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 10/09/2009 Correction Date: 11/02/2009

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 Fieser Nursing 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 03/18/2010.

Automatic Sprinkler Systems

Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 05/08/2008 Correction Date: 05/29/2008

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 05/08/2008 Correction Date: 05/12/2008
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 04/10/2009 Correction Date: 05/25/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 04/10/2009 Correction Date: 05/25/2009

Fire Alarm Systems

An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 05/08/2008 Correction Date: 05/29/2008

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 05/08/2008 Correction Date: 05/12/2008

Smoke Compartmentation and Control

Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage. Inspection Date: 05/08/2008 Correction Date: 05/28/2008