MITCHELL CARE 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 Nebraska 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 09/15/2010.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 08/14/2008 Correction Date: 09/25/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 08/18/2009 Correction Date: 09/18/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 09/15/2010 Correction Date: 10/22/2010

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 08/14/2008 Correction Date: 09/25/2008

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/15/2010 Correction Date: 10/22/2010

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 08/14/2008 Correction Date: 09/25/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 08/18/2009 Correction Date: 09/18/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 09/15/2010 Correction Date: 10/22/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/14/2008 Correction Date: 09/25/2008
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 08/18/2009 Correction Date: 09/18/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/15/2010 Correction Date: 10/22/2010

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: 08/14/2008 Correction Date: 09/25/2008
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: 08/14/2008 Correction Date: 09/25/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 08/18/2009 Correction Date: 09/18/2009
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: 08/18/2009 Correction Date: 09/18/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/15/2010 Correction Date: 10/22/2010

The table below lists incident reports by the nursing staff or administration for Mitchell Care Center, 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: 08/18/2009 Correction Date: 09/18/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 01/18/2011 Correction Date: 02/18/2011

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 Mitchell Care 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 09/15/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 08/17/2009 Correction Date: 09/18/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 08/17/2009 Correction Date: 09/18/2009

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 08/13/2008 Correction Date: 09/25/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 08/17/2009 Correction Date: 09/18/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/17/2009 Correction Date: 09/30/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 08/17/2009 Correction Date: 09/18/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 09/15/2010 Correction Date: 10/04/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 08/17/2009 Correction Date: 09/22/2009
No-Smoking Signs Where Oxygen is Used. Inspection Date: 08/17/2009 Correction Date: 09/22/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 08/17/2009 Correction Date: 08/26/2009

Smoke Compartmentation and Control

At Least Two Compartments on Every Floor to Protect Residents from Smoke. Inspection Date: 08/17/2009 Correction Date: 09/18/2009