MISSION PINES NURSING & REHABILITATION 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 Nevada 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 08/13/2010.

Administration

Train All Employees on What to Do in an Emergency. Inspection Date: 08/13/2010 Correction Date: 09/24/2010

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 09/10/2009 Correction Date: 10/09/2009
Keep Sound Levels Comfortable. Inspection Date: 08/13/2010 Correction Date: 09/24/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/13/2010 Correction Date: 09/24/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 08/13/2010 Correction Date: 09/24/2010
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 08/13/2010 Correction Date: 09/24/2010

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Inspection Date: 09/10/2009 Correction Date: 12/16/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 09/10/2009 Correction Date: 12/16/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 08/13/2010 Correction Date: 09/24/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/10/2009 Correction Date: 10/09/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 08/13/2010 Correction Date: 09/24/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 09/19/2008 Correction Date: 09/19/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 09/19/2008 Correction Date: 09/19/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 09/10/2009 Correction Date: 10/09/2009
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: 08/13/2010 Correction Date: 09/24/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 08/13/2010 Correction Date: 09/24/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/19/2008 Correction Date: 01/30/2009
Give or Get Special Rehabilitation if in the Patient's Plan of Care. Inspection Date: 09/19/2008 Correction Date: 09/19/2008
Give Special Rehabilitation by Skilled Workers, when Ordered by a Doctor. Inspection Date: 09/19/2008 Correction Date: 10/06/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/10/2009 Correction Date: 11/09/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 09/10/2009 Correction Date: 11/09/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 08/13/2010 Correction Date: 09/24/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 08/13/2010 Correction Date: 09/24/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/13/2010 Correction Date: 09/24/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/13/2010 Correction Date: 09/24/2010
Make Sure That Each Resident Gets Help to Keep Vision and Hearing. Inspection Date: 08/13/2010 Correction Date: 09/24/2010

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: 09/10/2009 Correction Date: 10/09/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 08/13/2010 Correction Date: 09/24/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 08/13/2010 Correction Date: 09/24/2010

Resident Rights

Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment. Inspection Date: 09/19/2008 Correction Date: 09/30/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 09/10/2009 Correction Date: 10/09/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 09/10/2009 Correction Date: 10/09/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 08/13/2010 Correction Date: 09/24/2010

The table below lists incident reports by the nursing staff or administration for Mission Pines Nursing & Rehabilitation Center, as well as complaints by residents or their family in the previous three years.

Administration

1) Set Up a Group That is Legally Responsible for Writing and Setting Up Policies for Leading and Running the Nursing Home; or 2) Hire a Properly Licensed Administrator. Complaint Filed: 09/12/2008 Correction Date: 09/22/2008
Get Services Outside the Nursing Home That Meet Professional Standards. Complaint Filed: 09/12/2008 Correction Date: 09/22/2008
Set Up or Keep a Group of People to Review and Ensure Quality. Complaint Filed: 09/12/2008 Correction Date: 09/22/2008

Environmental

Keep Safe, Clean and Homelike Surroundings. Complaint Filed: 09/12/2008 Correction Date: 09/19/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 09/12/2008 Correction Date: 01/30/2009
Have a Program to Keep Infection from Spreading. Complaint Filed: 09/12/2008 Correction Date: 09/19/2008

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 06/23/2010 Correction Date: 07/16/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Complaint Filed: 09/12/2008 Correction Date: 01/30/2009

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 09/12/2008 Correction Date: 09/19/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 06/23/2010 Correction Date: 07/16/2010

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 Mission Pines Nursing & Rehabilitation 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 08/11/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 09/09/2008 Correction Date: 09/19/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 09/02/2009 Correction Date: 10/22/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/09/2008 Correction Date: 09/19/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/02/2009 Correction Date: 10/22/2009
Signs That State That Exit Doors Are to Be Kept Closed. Inspection Date: 09/02/2009 Correction Date: 10/22/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 08/11/2010 Correction Date: 09/24/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 09/09/2008 Correction Date: 09/19/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 09/02/2009 Correction Date: 10/22/2009

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 09/02/2009 Correction Date: 10/22/2009

Exits and Egress

Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width. Inspection Date: 09/09/2008 Correction Date: 09/19/2008

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 09/02/2009 Correction Date: 10/22/2009
Properly Maintained Smoke Detectors. Inspection Date: 08/11/2010 Correction Date: 09/24/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 09/02/2009 Correction Date: 10/22/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 09/02/2009 Correction Date: 10/22/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 08/11/2010 Correction Date: 09/24/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 09/02/2009 Correction Date: 10/22/2009
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage. Inspection Date: 08/11/2010 Correction Date: 09/24/2010