MANOR CARE HEALTH 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 "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 Manor Care Health Services. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation Plus Extensive Services

Very High Rehabilitation Plus Extensive Services

High Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Extensive Services

Special Care High

Special Care Low

Clinically Complex

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 Nevada 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 04/12/2010.

Administration

Post Nurse Staffing Information. Inspection Date: 04/12/2010 Correction Date: 06/08/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 04/12/2010 Correction Date: 06/08/2010

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 05/22/2008 Correction Date: 07/06/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/16/2009 Correction Date: 05/26/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 04/16/2009 Correction Date: 05/26/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 04/12/2010 Correction Date: 06/08/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 04/12/2010 Correction Date: 06/08/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/22/2008 Correction Date: 07/06/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/16/2009 Correction Date: 05/26/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/12/2010 Correction Date: 06/08/2010

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 05/22/2008 Correction Date: 07/06/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 04/16/2009 Correction Date: 05/26/2009
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: 04/12/2010 Correction Date: 06/08/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 04/12/2010 Correction Date: 06/08/2010
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 04/12/2010 Correction Date: 06/08/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 04/12/2010 Correction Date: 06/08/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 04/12/2010 Correction Date: 06/08/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 05/22/2008 Correction Date: 07/06/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 05/22/2008 Correction Date: 07/06/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 05/22/2008 Correction Date: 07/06/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 04/16/2009 Correction Date: 05/26/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/16/2009 Correction Date: 05/26/2009
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 04/16/2009 Correction Date: 05/26/2009
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Inspection Date: 04/16/2009 Correction Date: 05/26/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/12/2010 Correction Date: 06/08/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/12/2010 Correction Date: 06/08/2010
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Inspection Date: 04/12/2010 Correction Date: 06/08/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 04/12/2010 Correction Date: 06/08/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/12/2010 Correction Date: 06/08/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 05/22/2008 Correction Date: 07/06/2008
Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment. Inspection Date: 04/16/2009 Correction Date: 05/26/2009
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 04/16/2009 Correction Date: 05/26/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 04/16/2009 Correction Date: 05/26/2009
Tell the Resident Completely About His or Her Health Status. Inspection Date: 04/12/2010 Correction Date: 06/08/2010
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 04/12/2010 Correction Date: 06/08/2010

The table below lists incident reports by the nursing staff or administration for Manor Care Health Services, 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: 02/04/2011 Correction Date: 02/28/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 05/05/2011 Correction Date: 05/26/2011

Quality Care

Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Complaint Filed: 04/11/2008 Correction Date: 05/22/2008
Make Sure That Each Resident's Nutritional Needs Were Met. Complaint Filed: 11/14/2008 Correction Date: 12/26/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 02/06/2009 Correction Date: 03/16/2009

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 Manor Care Health Services 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 04/12/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 04/14/2009 Correction Date: 05/26/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 05/20/2008 Correction Date: 05/23/2008

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 05/20/2008 Correction Date: 05/23/2008