HOSPICE OF SAINT JOHN - LONG TERM CARE

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 Colorado 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 05/26/2011.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/11/2009 Correction Date: 04/28/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/10/2010 Correction Date: 04/16/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 05/26/2011 Correction Date: 07/08/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 02/11/2009 Correction Date: 04/13/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/10/2010 Correction Date: 04/16/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/26/2011 Correction Date: 07/08/2011

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: 02/11/2009 Correction Date: 04/13/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 05/26/2011 Correction Date: 07/08/2011

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 02/11/2009 Correction Date: 04/13/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 02/11/2009 Correction Date: 04/13/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 02/11/2009 Correction Date: 04/13/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 03/10/2010 Correction Date: 04/16/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 05/26/2011 Correction Date: 07/08/2011
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 05/26/2011 Correction Date: 07/08/2011
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 05/26/2011 Correction Date: 07/08/2011

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: 02/11/2009 Correction Date: 04/13/2009
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: 02/11/2009 Correction Date: 04/13/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 03/10/2010 Correction Date: 04/16/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 05/26/2011 Correction Date: 07/08/2011

Resident Rights

Let Residents Give Themselves Their Drugs if They Are Able. Inspection Date: 03/10/2010 Correction Date: 04/16/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 05/26/2011 Correction Date: 07/08/2011

The table below lists incident reports by the nursing staff or administration for Hospice of Saint John - Long Term Care, as well as complaints by residents or their family in the previous three years.

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 11/24/2009 Correction Date: 12/29/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 11/24/2009 Correction Date: 12/29/2009

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. Complaint Filed: 11/24/2009 Correction Date: 12/24/2009

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 Hospice of Saint John - Long Term Care 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 06/13/2011.

Automatic Sprinkler Systems

Have an Adequate Water Supply for the Sprinkler System. Inspection Date: 02/24/2009 Correction Date: 04/16/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 03/23/2010 Correction Date: 04/06/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/23/2010 Correction Date: 04/06/2010
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 06/13/2011 Correction Date: 07/23/2011
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 06/13/2011 Correction Date: 07/23/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 06/13/2011 Correction Date: 07/23/2011

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 03/23/2010 Correction Date: 04/12/2010
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 06/13/2011 Correction Date: 07/23/2011
Properly Installed Electrical Wiring and Equipment. Inspection Date: 06/13/2011 Correction Date: 07/23/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 06/13/2011 Correction Date: 07/23/2011

Furnishings and Decorations

Restrictions on the Use of Highly Flammable Materials. Inspection Date: 02/24/2009 Correction Date: 04/05/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 02/24/2009 Correction Date: 03/19/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 03/23/2010 Correction Date: 04/07/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 06/13/2011 Correction Date: 07/23/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 02/24/2009 Correction Date: 04/05/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 03/23/2010 Correction Date: 03/23/2010
Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 06/13/2011 Correction Date: 07/23/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 02/24/2009 Correction Date: 02/24/2009
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 06/13/2011 Correction Date: 07/23/2011