HOCKING VALLEY COMMUNITY 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 Ohio 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 09/30/2010.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 09/04/2009 Correction Date: 10/24/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 09/30/2010 Correction Date: 11/19/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 09/04/2009 Correction Date: 10/24/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/04/2009 Correction Date: 10/24/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 09/04/2009 Correction Date: 10/24/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 09/30/2010 Correction Date: 11/19/2010

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: 09/30/2010 Correction Date: 11/19/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 09/30/2010 Correction Date: 11/19/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/04/2009 Correction Date: 10/24/2009
Provide Food in a Way That Meets a Resident's Needs. Inspection Date: 09/30/2010 Correction Date: 11/19/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/30/2010 Correction Date: 11/19/2010

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: 09/30/2010 Correction Date: 11/19/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 09/30/2010 Correction Date: 11/19/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/04/2009 Correction Date: 10/24/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 09/04/2009 Correction Date: 10/24/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 09/04/2009 Correction Date: 10/24/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 09/30/2010 Correction Date: 11/19/2010
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 09/30/2010 Correction Date: 11/19/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/30/2010 Correction Date: 11/19/2010

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: 09/04/2009 Correction Date: 10/24/2009
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 09/04/2009 Correction Date: 10/24/2009
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 09/04/2009 Correction Date: 10/24/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 09/04/2009 Correction Date: 10/24/2009

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

Environmental

Have a Program to Keep Infection from Spreading. Complaint Filed: 07/17/2008 Correction Date: 09/02/2008

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 Hocking Valley Community 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 10/05/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 07/16/2008 Correction Date: 09/02/2008

Building Construction

Approved Construction Type or Materials. Inspection Date: 10/05/2010 Correction Date: 11/19/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 10/05/2010 Correction Date: 11/19/2010

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 07/16/2008 Correction Date: 09/02/2008

Exits and Egress

Proper Exit Design. Inspection Date: 10/05/2010 Correction Date: 11/19/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 09/04/2009 Correction Date: 10/24/2009
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 10/05/2010 Correction Date: 11/19/2010
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 10/05/2010 Correction Date: 11/19/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 09/04/2009 Correction Date: 10/24/2009

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 07/16/2008 Correction Date: 09/02/2008
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 07/16/2008 Correction Date: 09/02/2008