MOUNT JOSEPH SENIOR VILLAGE LLC

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 Mount Joseph Senior Village LLC. 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

High Rehabilitation

Reduced Physical Function

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

Short-Term Stay Preventive Actions

Short-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 06/23/2011.

Administration

Post Nurse Staffing Information. Inspection Date: 01/08/2009 Correction Date: 02/05/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 04/19/2010 Correction Date: 05/17/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 01/08/2009 Correction Date: 02/05/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/19/2010 Correction Date: 05/17/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 04/19/2010 Correction Date: 05/17/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/19/2010 Correction Date: 05/17/2010

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: 04/19/2010 Correction Date: 05/17/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 04/19/2010 Correction Date: 05/17/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/08/2009 Correction Date: 02/05/2009
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: 01/08/2009 Correction Date: 02/05/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 01/08/2009 Correction Date: 02/05/2009

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 04/19/2010 Correction Date: 05/17/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/19/2010 Correction Date: 05/17/2010
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: 04/19/2010 Correction Date: 05/17/2010

Resident Rights

Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment. Inspection Date: 01/08/2009 Correction Date: 02/05/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 01/08/2009 Correction Date: 02/05/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 04/19/2010 Correction Date: 05/17/2010

The table below lists incident reports by the nursing staff or administration for Mount Joseph Senior Village LLC, as well as complaints by residents or their family in the previous three years.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 06/23/2011 Correction Date: 07/19/2011

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. Complaint Filed: 06/30/2009 Correction Date: 07/21/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Complaint Filed: 06/23/2011 Correction Date: 07/19/2011

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Complaint Filed: 12/16/2009 Correction Date: 01/15/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Complaint Filed: 12/16/2009 Correction Date: 01/15/2010

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 Mount Joseph Senior Village LLC 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: 12/03/2008 Correction Date: 12/08/2008
Properly Working Alarms on Sprinkler Valves. Inspection Date: 12/02/2009 Correction Date: 12/30/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 12/02/2009 Correction Date: 12/10/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 02/22/2011 Correction Date: 03/22/2011

Building Construction

Approved Construction Type or Materials. Inspection Date: 02/22/2011 Correction Date: 03/22/2011

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 02/22/2011 Correction Date: 01/01/1900

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 12/03/2008 Correction Date: 12/31/2008
Signs That State That Exit Doors Are to Be Kept Closed. Inspection Date: 12/02/2009 Correction Date: 12/30/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 02/22/2011 Correction Date: 03/22/2011

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 12/03/2008 Correction Date: 01/01/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 12/03/2008 Correction Date: 01/01/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 02/22/2011 Correction Date: 03/22/2011
Properly Installed Electrical Wiring and Equipment. Inspection Date: 02/22/2011 Correction Date: 03/22/2011

Emergency Plans and Fire Drills

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

Exit and Exit Access

At Least Two Remote Exits on Each Floor or Fire Section of the Building. Inspection Date: 12/02/2009 Correction Date: 12/30/2009

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 12/02/2009 Correction Date: 12/10/2009
Exits That Are Accessible at All Times. Inspection Date: 02/22/2011 Correction Date: 03/22/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 12/02/2009 Correction Date: 12/30/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 02/22/2011 Correction Date: 03/22/2011

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 02/22/2011 Correction Date: 03/22/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 12/03/2008 Correction Date: 12/05/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 12/02/2009 Correction Date: 12/30/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 12/03/2008 Correction Date: 01/01/2009
Proper Backup Exit Lighting. Inspection Date: 12/02/2009 Correction Date: 12/30/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 12/02/2009 Correction Date: 12/30/2009
Proper Backup Exit Lighting. Inspection Date: 02/22/2011 Correction Date: 03/22/2011

Medical Gases and Anesthetizing Areas

No-Smoking Signs Where Oxygen is Used. Inspection Date: 02/22/2011 Correction Date: 03/22/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 12/02/2009 Correction Date: 12/30/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 12/03/2008 Correction Date: 12/24/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 12/02/2009 Correction Date: 12/30/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 12/03/2008 Correction Date: 01/01/2009
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 12/02/2009 Correction Date: 12/30/2009