MARYHILL MANOR

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 Maryhill Manor. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care High

Clinically Complex

Behavioral Symptoms and Cognitive Performance

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 Wisconsin 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 09/10/2010.

Administration

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Inspection Date: 09/10/2010 Correction Date: 10/10/2010

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 09/10/2010 Correction Date: 10/10/2010

Nutrition and Dietary

Provide Food in a Way That Meets a Resident's Needs. Inspection Date: 09/10/2010 Correction Date: 10/10/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/10/2010 Correction Date: 10/10/2010

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 09/10/2010 Correction Date: 10/10/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 09/10/2010 Correction Date: 10/10/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 09/10/2010 Correction Date: 10/10/2010

Resident Assessment

Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 09/10/2010 Correction Date: 10/10/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/10/2010 Correction Date: 10/10/2010

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. Inspection Date: 07/28/2009 Correction Date: 08/28/2009
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: 09/10/2010 Correction Date: 10/10/2010

The table below lists incident reports by the nursing staff or administration for Maryhill Manor, 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: 06/29/2010 Correction Date: 07/29/2010

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Complaint Filed: 06/29/2010 Correction Date: 07/29/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 06/29/2010 Correction Date: 07/29/2010

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 Maryhill Manor 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 09/08/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 06/17/2008 Correction Date: 07/17/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 09/08/2010 Correction Date: 10/10/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 09/08/2010 Correction Date: 10/10/2010

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 09/08/2010 Correction Date: 10/10/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/08/2010 Correction Date: 10/10/2010

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 09/08/2010 Correction Date: 10/10/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 09/08/2010 Correction Date: 10/10/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/04/2009 Correction Date: 08/28/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 09/08/2010 Correction Date: 10/10/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 09/08/2010 Correction Date: 10/10/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 09/08/2010 Correction Date: 10/10/2010
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 09/08/2010 Correction Date: 10/10/2010
Properly Maintained Smoke Detectors. Inspection Date: 09/08/2010 Correction Date: 10/10/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 06/17/2008 Correction Date: 07/17/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 08/04/2009 Correction Date: 08/28/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 09/08/2010 Correction Date: 10/10/2010

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 09/08/2010 Correction Date: 10/10/2010
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 09/08/2010 Correction Date: 10/10/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 06/17/2008 Correction Date: 06/19/2008
Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen. Inspection Date: 09/08/2010 Correction Date: 10/10/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 09/08/2010 Correction Date: 10/10/2010
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 09/08/2010 Correction Date: 10/10/2010