MEDINA MEMORIAL HOSPITAL SKILLED NURSING FACILITY

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 New York 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 04/13/2011.

Administration

Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 04/13/2011 Correction Date: 05/13/2011

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 02/25/2010 Correction Date: 04/25/2010

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: 04/13/2011 Correction Date: 05/13/2011

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: 04/13/2011 Correction Date: 05/13/2011
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 04/13/2011 Correction Date: 05/20/2011
Properly Mark Drugs and Other Similar Products. Inspection Date: 04/13/2011 Correction Date: 05/20/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 12/31/2008 Correction Date: 02/01/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 02/25/2010 Correction Date: 04/25/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/13/2011 Correction Date: 05/20/2011
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 04/13/2011 Correction Date: 05/13/2011

Resident Assessment

Screen Residents when They Are First Admitted to Send Them to an Area with Special Care for People with Developmental Disabilities or Mental Illness, if Needed. Inspection Date: 12/31/2008 Correction Date: 01/09/2009
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing. Inspection Date: 02/25/2010 Correction Date: 04/25/2010
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 04/13/2011 Correction Date: 05/13/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/13/2011 Correction Date: 05/30/2011
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: 04/13/2011 Correction Date: 05/20/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 02/25/2010 Correction Date: 04/25/2010
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 04/13/2011 Correction Date: 05/13/2011
Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure. Inspection Date: 04/13/2011 Correction Date: 06/01/2011

The table below lists incident reports by the nursing staff or administration for Medina Memorial Hospital Skilled Nursing Facility, as well as complaints by residents or their family in the previous three years.

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 06/24/2009 Correction Date: 08/21/2009

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 Medina Memorial Hospital Skilled Nursing Facility 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 04/13/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 02/25/2010 Correction Date: 03/31/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 04/13/2011 Correction Date: 06/10/2011
Portable Fire Extinguishers. Inspection Date: 04/13/2011 Correction Date: 06/10/2011

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 04/13/2011 Correction Date: 06/10/2011

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 02/25/2010 Correction Date: 04/02/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 02/25/2010 Correction Date: 04/25/2010

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 02/25/2010 Correction Date: 04/25/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 12/31/2008 Correction Date: 01/24/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 12/31/2008 Correction Date: 01/28/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 04/13/2011 Correction Date: 06/10/2011

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains. Inspection Date: 02/25/2010 Correction Date: 05/05/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 04/13/2011 Correction Date: 05/19/2011
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 04/13/2011 Correction Date: 06/10/2011

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 02/25/2010 Correction Date: 03/11/2010

Interior Finish

Fire-Resistant Room Wall Surfaces. Inspection Date: 12/31/2008 Correction Date: 01/09/2009

Laboratories

Proper Facilities for the Use and Storage of Combustible Liquids. Inspection Date: 02/25/2010 Correction Date: 03/11/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 02/25/2010 Correction Date: 04/25/2010
Properly Constructed Piped-In Oxygen Systems. Inspection Date: 02/25/2010 Correction Date: 03/11/2010
Properly Constructed Piped-In Oxygen Systems. Inspection Date: 04/13/2011 Correction Date: 06/10/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 04/13/2011 Correction Date: 06/10/2011