MILWAUKEE COUNTY MHC REHAB 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 Wisconsin 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 03/29/2011.

Administration

Meet the Definition of a Skilled Nursing Facility or Nursing Facility, According to Law. Inspection Date: 11/17/2008 Correction Date: 01/12/2009

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 11/17/2008 Correction Date: 01/12/2009
Keep Sound Levels Comfortable. Inspection Date: 11/17/2008 Correction Date: 01/12/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 11/17/2008 Correction Date: 01/12/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 03/29/2011 Correction Date: 04/28/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/29/2011 Correction Date: 04/27/2011

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Inspection Date: 11/17/2008 Correction Date: 01/12/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 11/17/2008 Correction Date: 01/12/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 11/17/2008 Correction Date: 01/12/2009
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 11/17/2008 Correction Date: 01/12/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 12/15/2009 Correction Date: 01/14/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 12/15/2009 Correction Date: 01/14/2010

Resident Assessment

Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 11/17/2008 Correction Date: 01/12/2009
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: 11/17/2008 Correction Date: 01/12/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 12/15/2009 Correction Date: 01/14/2010

Resident Rights

Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment. Inspection Date: 11/17/2008 Correction Date: 01/12/2009
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 11/17/2008 Correction Date: 01/12/2009
Let the Appropriate People See and Talk to Each Resident. Inspection Date: 11/17/2008 Correction Date: 01/12/2009
Have a Private Telephone Available for Use. Inspection Date: 11/17/2008 Correction Date: 01/12/2009
Provide Care for Each Resident in a Way That Keeps or Builds the Resident's Quality of Life. Inspection Date: 11/17/2008 Correction Date: 01/12/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 11/17/2008 Correction Date: 01/12/2009
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care. Inspection Date: 11/17/2008 Correction Date: 01/12/2009
Make Sure That Each Resident Has the Right to Join in Social, Religious, and Community Activities. Inspection Date: 11/17/2008 Correction Date: 01/12/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 03/29/2011 Correction Date: 04/27/2011
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care. Inspection Date: 03/29/2011 Correction Date: 04/27/2011

The table below lists incident reports by the nursing staff or administration for Milwaukee County Mhc Rehab Center, as well as complaints by residents or their family in the previous three years.

Mistreatment

Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property. Complaint Filed: 11/17/2008 Correction Date: 01/12/2009
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. Complaint Filed: 11/17/2008 Correction Date: 02/06/2009
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. Complaint Filed: 01/12/2009 Correction Date: 02/06/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 03/29/2011 Correction Date: 04/27/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Complaint Filed: 11/17/2008 Correction Date: 01/12/2009

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 Milwaukee County Mhc Rehab 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 03/25/2011.

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 12/09/2008 Correction Date: 01/13/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 02/16/2010 Correction Date: 04/09/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/25/2011 Correction Date: 05/11/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 12/09/2008 Correction Date: 01/13/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 02/16/2010 Correction Date: 03/03/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/25/2011 Correction Date: 04/13/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 02/16/2010 Correction Date: 03/03/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 02/16/2010 Correction Date: 04/30/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 12/09/2008 Correction Date: 01/13/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 03/25/2011 Correction Date: 05/11/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 12/09/2008 Correction Date: 01/13/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 12/09/2008 Correction Date: 01/13/2009
Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 02/16/2010 Correction Date: 03/19/2010

Vertical Openings

Protected Exits That Allow the Resident to Escape the Building. Inspection Date: 02/16/2010 Correction Date: 04/09/2010