SCOTLAND COUNTY CARE CENTER
Address
434 E SIGLER AVENUE
MEMPHIS, MO 63555
(660) 465-7221
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
52%Number of Residents and Certified Beds
- Residents: 62
- Certified Beds: 120
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By Government - County
- Offers Only Resident Counseling
- This Facility is Not Part of a Chain or Franchise
Resident Services
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 "Ultra-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 Scotland County Care Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
| Resident Services | Resident Conditions | Percent of Service Days |
Ultra-High Rehabilitation
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
| ADL Index Range: 11-16 | 4.4% |
| ADL Index Range: 0-5 | 44.2% |
| Total Percent: | 48.6% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 17.4% |
| ADL Index Range: 6-10 | 1.3% |
| ADL Index Range: 0-5 | 12.6% |
| Total Percent: | 31.2% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 9.1% |
| Total Percent: | 9.1% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 11-16 | 1.6% |
| ADL Index Range: 0-5 | 9.5% |
| Total Percent: | 11.0% |
Rating Details For Scotland County Care Center
Nursing Staff - 
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.
| Nursing Hours Per Resident Per Day | Reported | Expected |
| Registered Nurse (RN) Hours | 22 Minutes | 1 Hour |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 24 Minutes | 37 Minutes |
| Certified Nursing Assistant (CNA) Hours | 3 Hours and 24 Minutes | 2 Hours and 17 Minutes |
| Total Licensed Nurse Hours | 45 Minutes | 1 Hour and 37 Minutes |
| Total Nurse Hours | 4 Hours and 10 Minutes | 3 Hours and 54 Minutes |
Quality of Care - 
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.
| This Facility | Missouri Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 88% |
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 93% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 11% | 11% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 4% | 4% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 2% | 3% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 6% | 10% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 40% | 38% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 9% | 5% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 6% | 7% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 11% | 9% |
| Percent of Long-Stay Residents Who Were Physically Restrained | 4% | 4% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 1% | 3% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 10% | 9% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 9% | 11% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 88% | 87% |
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 88% | 83% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Delirium | 3% | 4% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 27% | 20% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 10% | 11% |
Health Inspection Details - 
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 02/10/2011.
Degree of Harm
- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health
Residents Affected
- Isolated
- Some Residents
- Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Administration
Follow All Laws and Professional Standards.
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Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Have a Program to Keep Infection from Spreading.
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Mistreatment
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
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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.
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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.
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Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
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Quality Care
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
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Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
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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.
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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.
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Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Scotland County Care Center, as well as complaints by residents or their family in the previous three years.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Formal Complaints | Degree of Harm | Residents Affected |
Quality Care
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
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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.
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