SAUNDERS MEDICAL CENTER

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 Nebraska 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 04/07/2011.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/03/2009 Correction Date: 03/02/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 05/13/2010 Correction Date: 06/27/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 05/13/2010 Correction Date: 06/27/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 02/03/2009 Correction Date: 03/02/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 02/03/2009 Correction Date: 03/02/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 05/13/2010 Correction Date: 06/27/2010
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible. Inspection Date: 05/13/2010 Correction Date: 06/27/2010

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

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Complaint Filed: 04/07/2011 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 Saunders Medical 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 04/06/2011.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 03/05/2009 Correction Date: 04/30/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 05/19/2010 Correction Date: 08/11/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 04/06/2011 Correction Date: 05/22/2011

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 05/19/2010 Correction Date: 06/08/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/05/2009 Correction Date: 03/25/2009
Signs That State That Exit Doors Are to Be Kept Closed. Inspection Date: 03/05/2009 Correction Date: 04/10/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 05/19/2010 Correction Date: 07/16/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/05/2009 Correction Date: 03/27/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/19/2010 Correction Date: 07/02/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/06/2011 Correction Date: 05/22/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 05/19/2010 Correction Date: 07/16/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 05/19/2010 Correction Date: 07/02/2010
Resident Room Doors of Proper Design and Width. Inspection Date: 05/19/2010 Correction Date: 05/19/2010
Exits That Are Accessible at All Times. Inspection Date: 04/06/2011 Correction Date: 05/22/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 04/06/2011 Correction Date: 05/22/2011
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 04/06/2011 Correction Date: 05/22/2011

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains. Inspection Date: 04/06/2011 Correction Date: 05/22/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 03/05/2009 Correction Date: 04/30/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 05/19/2010 Correction Date: 08/11/2010
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 04/06/2011 Correction Date: 05/22/2011
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 04/06/2011 Correction Date: 05/22/2011

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 04/06/2011 Correction Date: 05/22/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 04/06/2011 Correction Date: 05/22/2011
No-Smoking Signs Where Oxygen is Used. Inspection Date: 04/06/2011 Correction Date: 05/22/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 03/05/2009 Correction Date: 03/27/2009