HICKMAN COMMUNITY NURSING HOME

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 Tennessee 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 02/24/2011.

Administration

Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 12/02/2009 Correction Date: 12/22/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 02/24/2011 Correction Date: 03/31/2011
Train All Employees on What to Do in an Emergency. Inspection Date: 02/24/2011 Correction Date: 03/31/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/24/2011 Correction Date: 03/31/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 02/24/2011 Correction Date: 03/31/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 02/24/2011 Correction Date: 03/31/2011
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 02/24/2011 Correction Date: 03/31/2011

Nutrition and Dietary

Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 10/01/2008 Correction Date: 10/20/2008
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 02/24/2011 Correction Date: 03/31/2011
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 02/24/2011 Correction Date: 03/24/2011
Use Properly Trained Paid Feeding Assistants, Provide Licensed Nursing Supervision of the Feeding Assistants, or Properly Monitor the Feeding of Its Residents. Inspection Date: 02/24/2011 Correction Date: 03/31/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 02/24/2011 Correction Date: 03/31/2011
Properly Mark Drugs and Other Similar Products. Inspection Date: 02/24/2011 Correction Date: 03/31/2011

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 10/01/2008 Correction Date: 10/20/2008
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Inspection Date: 12/02/2009 Correction Date: 12/22/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 02/24/2011 Correction Date: 03/31/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 02/24/2011 Correction Date: 03/31/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 02/24/2011 Correction Date: 03/31/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 02/24/2011 Correction Date: 03/31/2011
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: 02/24/2011 Correction Date: 03/31/2011

Resident Assessment

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: 12/02/2009 Correction Date: 12/22/2009
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: 02/24/2011 Correction Date: 03/31/2011

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 12/02/2009 Correction Date: 12/22/2009
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: 02/24/2011 Correction Date: 03/31/2011
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 02/24/2011 Correction Date: 03/31/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 02/24/2011 Correction Date: 03/31/2011

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 Hickman Community Nursing Home 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 02/22/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 09/29/2008 Correction Date: 09/30/2008
Portable Fire Extinguishers. Inspection Date: 09/29/2008 Correction Date: 09/29/2008

Building Construction

Fire-Resistant Interior Walls. Inspection Date: 02/22/2011 Correction Date: 03/31/2011

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 09/29/2008 Correction Date: 10/01/2008

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 09/29/2008 Correction Date: 10/31/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 02/22/2011 Correction Date: 02/23/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 09/29/2008 Correction Date: 10/31/2008
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 02/22/2011 Correction Date: 03/31/2011

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 09/29/2008 Correction Date: 10/31/2008

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 09/29/2008 Correction Date: 10/31/2008
Properly Maintained Smoke Detectors. Inspection Date: 09/29/2008 Correction Date: 10/02/2008
Properly Maintained Smoke Detectors. Inspection Date: 02/22/2011 Correction Date: 03/31/2011

Medical Gases and Anesthetizing Areas

No-Smoking Signs Where Oxygen is Used. Inspection Date: 09/29/2008 Correction Date: 10/31/2008