HERITAGE GARDENS OF SIKESTON

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 Missouri 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

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 09/02/2010.

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 08/14/2008 Correction Date: 10/01/2008
Provide Clean Bed and Bath Linens That Are in Good Condition. Inspection Date: 08/14/2008 Correction Date: 10/01/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/14/2008 Correction Date: 10/01/2008
Get Rid of Garbage Properly. Inspection Date: 08/14/2008 Correction Date: 10/01/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 08/14/2008 Correction Date: 10/01/2008
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 08/14/2008 Correction Date: 10/01/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 08/14/2008 Correction Date: 10/01/2008
Have Enough Backup Water Supply for Important Areas of the Nursing Home. Inspection Date: 08/14/2008 Correction Date: 10/01/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/24/2009 Correction Date: 09/10/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 07/24/2009 Correction Date: 09/10/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 09/02/2010 Correction Date: 10/18/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/02/2010 Correction Date: 10/18/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 09/02/2010 Correction Date: 10/18/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 09/02/2010 Correction Date: 10/18/2010

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 08/14/2008 Correction Date: 10/01/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/14/2008 Correction Date: 10/01/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/24/2009 Correction Date: 09/10/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/02/2010 Correction Date: 10/18/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/14/2008 Correction Date: 10/01/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/14/2008 Correction Date: 10/01/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 08/14/2008 Correction Date: 10/01/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 08/14/2008 Correction Date: 10/01/2008
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible. Inspection Date: 08/14/2008 Correction Date: 10/01/2008
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 08/14/2008 Correction Date: 10/01/2008
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 08/14/2008 Correction Date: 10/01/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 07/24/2009 Correction Date: 09/10/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 07/24/2009 Correction Date: 09/10/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/02/2010 Correction Date: 10/18/2010

Resident Assessment

Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner. Inspection Date: 08/14/2008 Correction Date: 10/01/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 08/14/2008 Correction Date: 10/01/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 07/24/2009 Correction Date: 09/10/2009
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 07/24/2009 Correction Date: 09/10/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 07/24/2009 Correction Date: 09/10/2009

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 08/14/2008 Correction Date: 10/01/2008
Have a Private Telephone Available for Use. Inspection Date: 08/14/2008 Correction Date: 10/01/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 08/14/2008 Correction Date: 10/01/2008
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 08/14/2008 Correction Date: 10/01/2008
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 07/24/2009 Correction Date: 09/10/2009

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 Heritage Gardens of Sikeston 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 09/02/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 07/24/2009 Correction Date: 09/10/2009
Portable Fire Extinguishers. Inspection Date: 07/24/2009 Correction Date: 09/10/2009

Building Construction

Approved Construction Type or Materials. Inspection Date: 07/24/2009 Correction Date: 09/10/2009

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 07/24/2009 Correction Date: 09/10/2009

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 08/14/2008 Correction Date: 10/01/2008

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 07/24/2009 Correction Date: 09/10/2009
Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 09/02/2010 Correction Date: 10/18/2010

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 08/14/2008 Correction Date: 10/01/2008
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 07/24/2009 Correction Date: 09/10/2009
Proper Backup Exit Lighting. Inspection Date: 09/02/2010 Correction Date: 10/18/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 08/14/2008 Correction Date: 10/01/2008

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors. Inspection Date: 07/24/2009 Correction Date: 09/10/2009