THE REGAL ESTATE OF GLENWOOD

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 05/12/2010.

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 12/19/2007 Correction Date: 02/14/2008
1) Set Up a Group That is Legally Responsible for Writing and Setting Up Policies for Leading and Running the Nursing Home; or 2) Hire a Properly Licensed Administrator. Inspection Date: 12/19/2007 Correction Date: 02/14/2008
Get Services Outside the Nursing Home That Meet Professional Standards. Inspection Date: 12/19/2007 Correction Date: 02/14/2008
Choose a Doctor to Be the Medical Director. Inspection Date: 12/19/2007 Correction Date: 02/14/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 12/19/2007 Correction Date: 02/14/2008
Have an Agreement with at Least One Hospital Certified by Medicare or Medicaid to Make Sure Residents Can Be Moved Quickly to the Hospital when They Need Medical Care. Inspection Date: 12/19/2007 Correction Date: 02/14/2008
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 12/19/2007 Correction Date: 02/14/2008
Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person. Inspection Date: 05/12/2010 Correction Date: 08/17/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 12/19/2007 Correction Date: 02/14/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 12/19/2007 Correction Date: 03/25/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 01/22/2009 Correction Date: 02/21/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 05/12/2010 Correction Date: 08/17/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 12/19/2007 Correction Date: 02/14/2008
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: 12/19/2007 Correction Date: 02/14/2008
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 01/22/2009 Correction Date: 02/21/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 01/22/2009 Correction Date: 02/21/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 12/19/2007 Correction Date: 02/14/2008
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day. Inspection Date: 01/22/2009 Correction Date: 02/21/2009
Make Sure That Residents Are Well Nourished. Inspection Date: 05/12/2010 Correction Date: 08/17/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/12/2010 Correction Date: 08/17/2010

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: 05/12/2010 Correction Date: 07/01/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 05/12/2010 Correction Date: 08/17/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 05/12/2010 Correction Date: 07/01/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 12/19/2007 Correction Date: 02/14/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 12/19/2007 Correction Date: 02/14/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 12/19/2007 Correction Date: 03/25/2008
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 12/19/2007 Correction Date: 02/14/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 12/19/2007 Correction Date: 03/25/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 12/19/2007 Correction Date: 03/25/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 12/19/2007 Correction Date: 02/14/2008
Prevent a Loss in Range of Motion Among Residents Who Entered the Nursing Home with a Full Range of Motion. Inspection Date: 12/19/2007 Correction Date: 03/25/2008
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 12/19/2007 Correction Date: 03/25/2008
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Inspection Date: 12/19/2007 Correction Date: 02/14/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/22/2009 Correction Date: 02/21/2009
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 01/22/2009 Correction Date: 02/21/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 01/22/2009 Correction Date: 02/21/2009
Prevent a Loss in Range of Motion Among Residents Who Entered the Nursing Home with a Full Range of Motion. Inspection Date: 01/22/2009 Correction Date: 02/21/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 01/22/2009 Correction Date: 02/21/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 01/22/2009 Correction Date: 02/21/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 05/12/2010 Correction Date: 08/17/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 05/12/2010 Correction Date: 08/17/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 05/12/2010 Correction Date: 07/01/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 05/12/2010 Correction Date: 08/17/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 05/12/2010 Correction Date: 07/01/2010
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 05/12/2010 Correction Date: 08/17/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 12/19/2007 Correction Date: 02/14/2008
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 12/19/2007 Correction Date: 02/14/2008
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 12/19/2007 Correction Date: 02/14/2008
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: 12/19/2007 Correction Date: 02/14/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 12/19/2007 Correction Date: 02/14/2008
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: 12/19/2007 Correction Date: 02/14/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/22/2009 Correction Date: 02/21/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 05/12/2010 Correction Date: 07/01/2010
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: 05/12/2010 Correction Date: 07/01/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 05/12/2010 Correction Date: 07/01/2010
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: 05/12/2010 Correction Date: 07/01/2010

Resident Rights

Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure. Inspection Date: 12/19/2007 Correction Date: 02/14/2008
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 12/19/2007 Correction Date: 02/14/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 12/19/2007 Correction Date: 02/14/2008
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: 01/22/2009 Correction Date: 02/21/2009
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 01/22/2009 Correction Date: 02/21/2009
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: 05/12/2010 Correction Date: 07/01/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 05/12/2010 Correction Date: 07/01/2010

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

The table below lists incident reports by the nursing staff or administration for The Regal Estate of Glenwood, 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: 09/23/2008 Correction Date: 09/30/2008

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 08/26/2009 Correction Date: 09/25/2009

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 The Regal Estate of Glenwood 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 01/28/2010.

Automatic Sprinkler Systems

Portable Fire Extinguishers. Inspection Date: 11/30/2007 Correction Date: 11/30/2007

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 01/28/2010 Correction Date: 01/31/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 11/30/2007 Correction Date: 12/28/2007
Properly Installed Electrical Wiring and Equipment. Inspection Date: 12/16/2008 Correction Date: 12/17/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 01/28/2010 Correction Date: 01/31/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 01/28/2010 Correction Date: 01/31/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 11/30/2007 Correction Date: 12/28/2007
Exits That Are Accessible at All Times. Inspection Date: 12/16/2008 Correction Date: 12/16/2008

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 12/16/2008 Correction Date: 12/16/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 11/30/2007 Correction Date: 12/05/2007
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 01/28/2010 Correction Date: 01/28/2010

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 11/30/2007 Correction Date: 11/30/2007
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 11/30/2007 Correction Date: 12/03/2007
Properly Located and Lighted "Exit" Signs. Inspection Date: 11/30/2007 Correction Date: 12/03/2007

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 11/30/2007 Correction Date: 12/28/2007

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 11/30/2007 Correction Date: 12/28/2007