HEGG MEMORIAL HEALTH 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 Iowa 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 08/06/2010.

Administration

Get Proof That a Nurse Aide Has the Training and Skills That the State Requires. Inspection Date: 09/25/2009 Correction Date: 10/25/2009

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 10/23/2008 Correction Date: 11/28/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 10/23/2008 Correction Date: 11/28/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 10/23/2008 Correction Date: 11/28/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/25/2009 Correction Date: 10/25/2009
Keep All Essential Equipment Working Safely. Inspection Date: 09/25/2009 Correction Date: 10/25/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 08/06/2010 Correction Date: 08/31/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 10/23/2008 Correction Date: 11/28/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 08/06/2010 Correction Date: 08/31/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/23/2008 Correction Date: 11/28/2008
Make Sure That Residents Are Well Nourished. Inspection Date: 09/25/2009 Correction Date: 10/25/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/25/2009 Correction Date: 10/25/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/06/2010 Correction Date: 08/31/2010

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: 10/23/2008 Correction Date: 11/28/2008

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 10/23/2008 Correction Date: 11/28/2008
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 10/23/2008 Correction Date: 11/28/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 10/23/2008 Correction Date: 11/28/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 10/23/2008 Correction Date: 11/28/2008
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Inspection Date: 10/23/2008 Correction Date: 11/28/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 09/25/2009 Correction Date: 10/25/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 09/25/2009 Correction Date: 10/25/2009
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Inspection Date: 09/25/2009 Correction Date: 10/25/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/06/2010 Correction Date: 08/31/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 08/06/2010 Correction Date: 08/31/2010

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Inspection Date: 10/23/2008 Correction Date: 11/28/2008
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 09/25/2009 Correction Date: 10/25/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 08/06/2010 Correction Date: 08/31/2010

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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 08/31/2009 Correction Date: 10/01/2009

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 Hegg Memorial Health 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 08/09/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 10/27/2008 Correction Date: 11/05/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 09/29/2009 Correction Date: 10/29/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 08/09/2010 Correction Date: 09/13/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/09/2010 Correction Date: 09/13/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 10/27/2008 Correction Date: 11/27/2008
A Two-Hour-Resistant Firewall in Common Walls. Inspection Date: 09/29/2009 Correction Date: 10/06/2009

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 10/27/2008 Correction Date: 10/29/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 09/29/2009 Correction Date: 10/09/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/09/2010 Correction Date: 09/13/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 09/29/2009 Correction Date: 10/07/2009

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 10/27/2008 Correction Date: 11/27/2008
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 08/09/2010 Correction Date: 09/13/2010
Properly Maintained Smoke Detectors. Inspection Date: 08/09/2010 Correction Date: 09/13/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 10/27/2008 Correction Date: 10/27/2008
Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 09/29/2009 Correction Date: 10/08/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 10/27/2008 Correction Date: 11/27/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 08/09/2010 Correction Date: 09/13/2010

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs. Inspection Date: 09/29/2009 Correction Date: 10/29/2009

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 08/09/2010 Correction Date: 09/13/2010