RUSH COUNTY MEMORIAL HOSPITAL LONG TERM CARE UNIT

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 Kansas 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 02/14/2011.

Administration

Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 10/29/2008 Correction Date: 11/27/2008
Choose a Doctor to Be the Medical Director. Inspection Date: 02/14/2011 Correction Date: 03/17/2011
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 02/14/2011 Correction Date: 03/17/2011

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 10/29/2008 Correction Date: 11/27/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 10/29/2008 Correction Date: 11/27/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 10/29/2008 Correction Date: 11/27/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 11/09/2009 Correction Date: 12/08/2009
Keep Sound Levels Comfortable. Inspection Date: 02/14/2011 Correction Date: 03/17/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/14/2011 Correction Date: 04/20/2011

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: 10/29/2008 Correction Date: 11/27/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 10/29/2008 Correction Date: 11/27/2008
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 02/14/2011 Correction Date: 03/17/2011

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: 11/09/2009 Correction Date: 12/08/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 10/29/2008 Correction Date: 11/27/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 10/29/2008 Correction Date: 11/27/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 10/29/2008 Correction Date: 11/27/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 10/29/2008 Correction Date: 11/27/2008
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Inspection Date: 10/29/2008 Correction Date: 11/27/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 11/09/2009 Correction Date: 12/08/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 11/09/2009 Correction Date: 12/08/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 02/14/2011 Correction Date: 03/17/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 02/14/2011 Correction Date: 04/20/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 02/14/2011 Correction Date: 03/17/2011
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 02/14/2011 Correction Date: 03/17/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 10/29/2008 Correction Date: 11/27/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 10/29/2008 Correction Date: 11/27/2008
Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home. Inspection Date: 11/09/2009 Correction Date: 12/08/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 02/14/2011 Correction Date: 03/17/2011
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: 02/14/2011 Correction Date: 04/20/2011

Resident Rights

Send and Promptly Deliver Unopened Mail to Residents. Inspection Date: 11/09/2009 Correction Date: 12/08/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 11/09/2009 Correction Date: 12/08/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 11/09/2009 Correction Date: 12/08/2009

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 Rush County Memorial Hospital Long Term Care Unit 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 11/16/2010.

Building Construction

Approved Construction Type or Materials. Inspection Date: 11/16/2010 Correction Date: 11/16/2010

Building Service Equipment

Restrictions on the Use of Portable Space Heaters. Inspection Date: 10/12/2009 Correction Date: 11/10/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 10/23/2008 Correction Date: 11/21/2008

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 10/12/2009 Correction Date: 11/10/2009

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 10/12/2009 Correction Date: 11/10/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 10/23/2008 Correction Date: 11/21/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 10/12/2009 Correction Date: 11/10/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 10/23/2008 Correction Date: 11/21/2008
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 10/12/2009 Correction Date: 11/10/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 10/23/2008 Correction Date: 11/21/2008
Proper Medical Gas Storage and Administration Areas. Inspection Date: 10/12/2009 Correction Date: 11/10/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 10/23/2008 Correction Date: 11/21/2008