SEILING NURSING 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 Oklahoma 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 04/20/2011.

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 08/06/2009 Correction Date: 09/05/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 08/06/2009 Correction Date: 09/05/2009
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 08/06/2009 Correction Date: 09/05/2009
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Inspection Date: 06/16/2010 Correction Date: 07/14/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 08/06/2009 Correction Date: 09/05/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/06/2009 Correction Date: 09/05/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 08/06/2009 Correction Date: 09/05/2009
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 08/06/2009 Correction Date: 09/05/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 06/16/2010 Correction Date: 07/14/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 08/06/2009 Correction Date: 09/05/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 08/06/2009 Correction Date: 09/05/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 06/16/2010 Correction Date: 07/14/2010

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 08/06/2009 Correction Date: 09/05/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/06/2009 Correction Date: 09/05/2009
Make Sure That Residents Are Well Nourished. Inspection Date: 06/16/2010 Correction Date: 07/14/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/20/2011 Correction Date: 04/22/2011

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: 08/06/2009 Correction Date: 09/05/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 08/06/2009 Correction Date: 09/05/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 08/06/2009 Correction Date: 09/05/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 06/16/2010 Correction Date: 07/14/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 06/16/2010 Correction Date: 07/14/2010
Make Sure That a Resident Does Not Become Withdrawn, Angry or Depressed if These Problems Did Not Exist Before. Inspection Date: 06/16/2010 Correction Date: 07/14/2010
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Inspection Date: 06/16/2010 Correction Date: 07/14/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/20/2011 Correction Date: 04/22/2011

Resident Assessment

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: 08/06/2009 Correction Date: 09/05/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 08/06/2009 Correction Date: 09/05/2009
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 06/16/2010 Correction Date: 07/14/2010
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: 06/16/2010 Correction Date: 07/14/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 06/16/2010 Correction Date: 07/14/2010
Do an Assessment of the Resident Every Year. Inspection Date: 04/20/2011 Correction Date: 04/22/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/20/2011 Correction Date: 04/21/2011

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: 08/06/2009 Correction Date: 09/05/2009
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: 06/16/2010 Correction Date: 07/14/2010
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: 04/20/2011 Correction Date: 04/22/2011

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 Seiling Nursing 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 04/19/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/04/2009 Correction Date: 09/05/2009

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/19/2011 Correction Date: 05/02/2011

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 08/04/2009 Correction Date: 09/05/2009
Exits That Are Accessible at All Times. Inspection Date: 06/16/2010 Correction Date: 07/14/2010

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 08/04/2009 Correction Date: 09/05/2009
Properly Maintained Smoke Detectors. Inspection Date: 06/16/2010 Correction Date: 07/14/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 08/04/2009 Correction Date: 09/05/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 06/16/2010 Correction Date: 07/14/2010

Interior Finish

Fire-Resistant Room Wall Surfaces. Inspection Date: 04/19/2011 Correction Date: 05/02/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 08/04/2009 Correction Date: 09/05/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 04/19/2011 Correction Date: 05/02/2011