OSTRANDER CARE AND REHAB

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 Minnesota 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 12/30/2010.

Administration

1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 06/26/2009 Correction Date: 08/05/2009
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 12/30/2010 Correction Date: 02/03/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 06/26/2009 Correction Date: 06/30/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 02/25/2010 Correction Date: 03/18/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 12/30/2010 Correction Date: 02/04/2011

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. Inspection Date: 06/26/2009 Correction Date: 08/01/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 06/26/2009 Correction Date: 08/01/2009
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 02/25/2010 Correction Date: 03/18/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 06/26/2009 Correction Date: 08/05/2009
Hire a Qualified Dietician. Inspection Date: 12/30/2010 Correction Date: 02/01/2011
Make Sure That Residents Are Well Nourished. Inspection Date: 12/30/2010 Correction Date: 01/16/2011
Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 12/30/2010 Correction Date: 01/16/2011
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 12/30/2010 Correction Date: 02/02/2011

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: 06/26/2009 Correction Date: 08/07/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 06/26/2009 Correction Date: 08/05/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 06/26/2009 Correction Date: 08/05/2009
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: 02/25/2010 Correction Date: 03/16/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 02/25/2010 Correction Date: 03/16/2010
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: 12/30/2010 Correction Date: 01/10/2011
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 12/30/2010 Correction Date: 01/31/2011

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 06/26/2009 Correction Date: 08/05/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 06/26/2009 Correction Date: 08/07/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 06/26/2009 Correction Date: 08/07/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 06/26/2009 Correction Date: 08/07/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 02/25/2010 Correction Date: 03/18/2010
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 02/25/2010 Correction Date: 03/10/2010
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 12/30/2010 Correction Date: 01/19/2011
Give or Get Dental Care for Each Resident. Inspection Date: 12/30/2010 Correction Date: 01/20/2011

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: 06/26/2009 Correction Date: 07/21/2009
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 02/25/2010 Correction Date: 03/10/2010
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 02/25/2010 Correction Date: 03/18/2010
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: 02/25/2010 Correction Date: 03/18/2010
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 12/30/2010 Correction Date: 01/20/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 12/30/2010 Correction Date: 01/20/2011

Resident Rights

Let Residents Give Themselves Their Drugs if They Are Able. Inspection Date: 06/26/2009 Correction Date: 06/27/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 06/26/2009 Correction Date: 07/16/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 02/25/2010 Correction Date: 03/18/2010
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: 12/30/2010 Correction Date: 01/04/2011

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.

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 Ostrander Care and Rehab 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 12/29/2010.

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 06/24/2009 Correction Date: 08/12/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 02/24/2010 Correction Date: 04/04/2010
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 12/29/2010 Correction Date: 01/26/2011

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 06/24/2009 Correction Date: 08/12/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 12/29/2010 Correction Date: 01/26/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 12/29/2010 Correction Date: 02/03/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 06/24/2009 Correction Date: 08/12/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 06/24/2009 Correction Date: 08/12/2009