NELLA'S NURSING HOME, INC.

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 West Virginia 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 03/16/2011.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 07/08/2009 Correction Date: 08/26/2009
Follow All Laws and Professional Standards. Inspection Date: 03/16/2011 Correction Date: 05/10/2011
Keep Accurate and Appropriate Medical Records. Inspection Date: 03/16/2011 Correction Date: 05/10/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/30/2008 Correction Date: 09/23/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/08/2009 Correction Date: 08/14/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 03/16/2011 Correction Date: 05/10/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 03/16/2011 Correction Date: 05/10/2011

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: 04/30/2008 Correction Date: 09/23/2008
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: 07/08/2009 Correction Date: 08/17/2009

Nutrition and Dietary

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

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 04/30/2008 Correction Date: 07/09/2008
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: 03/16/2011 Correction Date: 05/10/2011
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 03/16/2011 Correction Date: 05/10/2011
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 03/16/2011 Correction Date: 05/10/2011
Properly Mark Drugs and Other Similar Products. Inspection Date: 03/16/2011 Correction Date: 05/10/2011

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/30/2008 Correction Date: 07/09/2008
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 03/16/2011 Correction Date: 05/10/2011

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: 07/08/2009 Correction Date: 08/26/2009

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 04/30/2008 Correction Date: 09/23/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 04/30/2008 Correction Date: 07/09/2008
Try to Resolve Each Resident's Complaints Quickly. Inspection Date: 07/08/2009 Correction Date: 07/08/2009
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. Inspection Date: 03/16/2011 Correction Date: 05/10/2011
Quickly Give a Resident's Personal Money to the Heads of His or Her Estate After the Resident's Death. Inspection Date: 03/16/2011 Correction Date: 05/10/2011

The table below lists incident reports by the nursing staff or administration for Nella's Nursing Home, Inc., as well as complaints by residents or their family in the previous three years.

Environmental

Have a Program to Keep Infection from Spreading. Complaint Filed: 04/21/2010 Correction Date: 06/30/2010
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Complaint Filed: 04/21/2010 Correction Date: 06/30/2010

Quality Care

Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting. Complaint Filed: 04/21/2010 Correction Date: 06/30/2010

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. Complaint Filed: 04/21/2010 Correction Date: 06/21/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Complaint Filed: 08/25/2010 Correction Date: 09/27/2010

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident. Complaint Filed: 08/25/2010 Correction Date: 09/30/2010

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 Nella's Nursing Home, Inc. 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 03/15/2011.

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 07/28/2009 Correction Date: 08/31/2009

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 05/29/2008 Correction Date: 06/09/2008

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 05/29/2008 Correction Date: 05/30/2008

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 07/28/2009 Correction Date: 07/30/2009
Properly Maintained Smoke Detectors. Inspection Date: 03/15/2011 Correction Date: 04/18/2011

Furnishings and Decorations

Properly Sized and Located Linen or Trash Receptacles. Inspection Date: 05/29/2008 Correction Date: 05/30/2008
Properly Sized and Located Linen or Trash Receptacles. Inspection Date: 03/15/2011 Correction Date: 04/18/2011

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 07/28/2009 Correction Date: 07/28/2009