SAXTON CARE CHATEAU

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

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 08/02/2010.

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 08/04/2008 Correction Date: 10/07/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 08/04/2008 Correction Date: 10/07/2008
Keep Adequate and Comfortable Lighting in All Areas. Inspection Date: 08/04/2008 Correction Date: 10/07/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/04/2008 Correction Date: 10/07/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 08/04/2008 Correction Date: 10/07/2008
Have Enough Outside Airflow. Inspection Date: 08/04/2008 Correction Date: 10/07/2008
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 09/02/2009 Correction Date: 10/22/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 08/02/2010 Correction Date: 09/23/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 08/02/2010 Correction Date: 09/23/2010

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents. Inspection Date: 08/04/2008 Correction Date: 10/07/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 08/04/2008 Correction Date: 10/07/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 09/02/2009 Correction Date: 10/22/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/04/2008 Correction Date: 10/07/2008

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 09/02/2009 Correction Date: 10/22/2009

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 08/04/2008 Correction Date: 10/07/2008
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 08/04/2008 Correction Date: 10/07/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 08/04/2008 Correction Date: 10/07/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/02/2009 Correction Date: 10/22/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/02/2010 Correction Date: 09/23/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 08/02/2010 Correction Date: 09/23/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 08/02/2010 Correction Date: 09/23/2010

Resident Assessment

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: 08/04/2008 Correction Date: 10/07/2008

Resident Rights

Give the Resident's Legal Representative the Same Rights As the Resident. Inspection Date: 08/04/2008 Correction Date: 10/07/2008
Quickly Give a Resident's Personal Money to the Heads of His or Her Estate After the Resident's Death. Inspection Date: 08/04/2008 Correction Date: 10/07/2008
Make Sure That Each Resident Has the Right to Join in Social, Religious, and Community Activities. Inspection Date: 08/04/2008 Correction Date: 10/07/2008
Give the Resident's Legal Representative the Same Rights As the Resident. Inspection Date: 09/02/2009 Correction Date: 10/22/2009
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 09/02/2009 Correction Date: 10/22/2009
Quickly Give a Resident's Personal Money to the Heads of His or Her Estate After the Resident's Death. Inspection Date: 09/02/2009 Correction Date: 10/22/2009

The table below lists incident reports by the nursing staff or administration for Saxton Care Chateau, 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: 01/20/2009 Correction Date: 02/25/2009

Mistreatment

Keep Each Resident Free from Drugs That Restrain Them, Unless Needed for Medical Treatment. Complaint Filed: 04/11/2008 Correction Date: 05/21/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 01/05/2009 Correction Date: 02/25/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 02/24/2010 Correction Date: 03/24/2010

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 Saxton Care Chateau 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 08/02/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/02/2010 Correction Date: 09/23/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 08/04/2008 Correction Date: 10/07/2008
Approved Construction Type or Materials. Inspection Date: 08/02/2010 Correction Date: 09/23/2010

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 08/04/2008 Correction Date: 10/07/2008

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/04/2008 Correction Date: 10/07/2008
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 09/02/2009 Correction Date: 10/22/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 08/04/2008 Correction Date: 10/07/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 08/02/2010 Correction Date: 09/23/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 08/04/2008 Correction Date: 10/07/2008

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 08/04/2008 Correction Date: 10/07/2008