MILAN HEALTH CARE CENTER

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 Milan Health Care Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care Low

Clinically Complex

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 Missouri 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 05/25/2011.

Administration

Follow All Laws and Professional Standards. Inspection Date: 05/25/2011 Correction Date: 07/01/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/03/2009 Correction Date: 09/14/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 07/09/2010 Correction Date: 08/23/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/25/2011 Correction Date: 07/01/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 05/25/2011 Correction Date: 07/01/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 05/25/2011 Correction Date: 07/01/2011
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: 05/25/2011 Correction Date: 07/01/2011

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 08/03/2009 Correction Date: 09/14/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 08/03/2009 Correction Date: 09/14/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/03/2009 Correction Date: 09/14/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/09/2010 Correction Date: 08/23/2010
Make Sure That Residents Are Well Nourished. Inspection Date: 05/25/2011 Correction Date: 07/01/2011
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/25/2011 Correction Date: 07/01/2011

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: 08/03/2009 Correction Date: 09/14/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/03/2009 Correction Date: 09/14/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/03/2009 Correction Date: 09/14/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 08/03/2009 Correction Date: 09/14/2009
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Inspection Date: 08/03/2009 Correction Date: 09/14/2009
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 07/09/2010 Correction Date: 08/23/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 05/25/2011 Correction Date: 07/01/2011

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: 08/03/2009 Correction Date: 09/14/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 08/03/2009 Correction Date: 09/14/2009

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. Inspection Date: 08/03/2009 Correction Date: 09/14/2009
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 08/03/2009 Correction Date: 09/14/2009
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 05/25/2011 Correction Date: 07/01/2011
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 05/25/2011 Correction Date: 07/01/2011

The table below lists incident reports by the nursing staff or administration for Milan Health Care Center, as well as complaints by residents or their family in the previous three years.

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: 08/03/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 09/23/2010 Correction Date: 11/02/2010

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. Complaint Filed: 09/10/2009 Correction Date: 01/01/1900
Tell the Resident or the Resident's Representative in Writing How Long the Nursing Home Will Hold the Resident's Bed when the Resident Temporarily Leaves the Facility. Complaint Filed: 09/10/2009 Correction Date: 01/01/1900

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 Milan Health Care Center 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 05/25/2011.

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 07/09/2010 Correction Date: 08/23/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 05/25/2011 Correction Date: 07/01/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 05/25/2011 Correction Date: 07/01/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 08/03/2009 Correction Date: 09/14/2009