PINE KIRK CARE 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 Ohio 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 12/17/2010.

Administration

Give or Get X-Rays and Other Tests to Meet the Needs of Residents. Inspection Date: 12/17/2010 Correction Date: 02/05/2011

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 01/08/2009 Correction Date: 02/26/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 01/22/2010 Correction Date: 03/09/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 01/22/2010 Correction Date: 03/09/2010
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 12/17/2010 Correction Date: 02/05/2011
Provide Needed Housekeeping and Maintenance. Inspection Date: 12/17/2010 Correction Date: 02/05/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 12/17/2010 Correction Date: 02/05/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 12/17/2010 Correction Date: 02/05/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 01/22/2010 Correction Date: 03/09/2010
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: 01/22/2010 Correction Date: 03/09/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 01/22/2010 Correction Date: 03/09/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/22/2010 Correction Date: 03/09/2010
Make Sure That Residents Are Well Nourished. Inspection Date: 12/17/2010 Correction Date: 02/05/2011
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 12/17/2010 Correction Date: 02/05/2011

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: 12/17/2010 Correction Date: 02/05/2011

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 01/22/2010 Correction Date: 03/09/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 01/22/2010 Correction Date: 03/09/2010
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible. Inspection Date: 01/22/2010 Correction Date: 03/09/2010
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 01/22/2010 Correction Date: 03/09/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 01/22/2010 Correction Date: 03/09/2010
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 01/22/2010 Correction Date: 03/09/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/22/2010 Correction Date: 03/09/2010
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 12/17/2010 Correction Date: 02/05/2011
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 12/17/2010 Correction Date: 02/05/2011
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record. Inspection Date: 12/17/2010 Correction Date: 02/05/2011

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: 01/08/2009 Correction Date: 02/26/2009
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: 01/22/2010 Correction Date: 03/09/2010
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: 12/17/2010 Correction Date: 02/05/2011
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 12/17/2010 Correction Date: 02/05/2011

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

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Complaint Filed: 10/13/2010 Correction Date: 12/02/2010

Resident Assessment

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. Complaint Filed: 10/13/2010 Correction Date: 12/02/2010
Develop a Plan with the Resident and Family for the Resident's Care After Leaving the Nursing Home. Complaint Filed: 10/13/2010 Correction Date: 12/02/2010

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: 10/13/2010 Correction Date: 12/02/2010
Help and Prepare Each Resident for a Safe and Easy Discharge and Transfer from the Nursing Home. Complaint Filed: 10/13/2010 Correction Date: 12/02/2010

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 Pine Kirk Care 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 12/17/2010.

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 01/20/2010 Correction Date: 03/09/2010