ROSE MANOR HEALTH 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 Kentucky 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 12/08/2010.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 12/08/2010 Correction Date: 12/28/2010

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 02/05/2009 Correction Date: 02/24/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/12/2010 Correction Date: 03/04/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 02/12/2010 Correction Date: 03/04/2010

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: 02/12/2010 Correction Date: 03/04/2010
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 12/08/2010 Correction Date: 12/28/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 02/05/2009 Correction Date: 02/23/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 12/08/2010 Correction Date: 12/28/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 02/05/2009 Correction Date: 02/27/2009

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 02/05/2009 Correction Date: 02/24/2009
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: 02/05/2009 Correction Date: 02/24/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 02/12/2010 Correction Date: 03/04/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 02/12/2010 Correction Date: 03/04/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 02/12/2010 Correction Date: 03/04/2010

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: 02/05/2009 Correction Date: 02/24/2009
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 02/12/2010 Correction Date: 03/04/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 02/12/2010 Correction Date: 03/04/2010
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: 02/12/2010 Correction Date: 03/04/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 12/08/2010 Correction Date: 12/28/2010

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

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: 08/13/2008 Correction Date: 09/02/2008
Provide Enough Notice Before Discharging or Transferring a Resident. Complaint Filed: 02/12/2010 Correction Date: 03/04/2010

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 Rose Manor Health 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 12/07/2010.

Automatic Sprinkler Systems

Properly Working Alarms on Sprinkler Valves. Inspection Date: 02/11/2009 Correction Date: 03/02/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 02/11/2009 Correction Date: 03/02/2009

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 02/11/2010 Correction Date: 02/16/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 02/11/2010 Correction Date: 03/01/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 02/11/2009 Correction Date: 02/16/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 02/11/2009 Correction Date: 02/23/2009

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 12/07/2010 Correction Date: 12/07/2010

Furnishings and Decorations

Restrictions on the Use of Highly Flammable Materials. Inspection Date: 12/07/2010 Correction Date: 12/16/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 12/07/2010 Correction Date: 12/08/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 02/11/2009 Correction Date: 02/13/2009