BYWOOD EAST 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 Minnesota 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 04/07/2011.

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 08/04/2009 Correction Date: 08/04/2009
Keep Temperature Levels Comfortable and Safe. Inspection Date: 08/04/2009 Correction Date: 08/25/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/04/2009 Correction Date: 08/18/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 08/04/2009 Correction Date: 09/10/2009
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 08/04/2009 Correction Date: 02/16/2010
Provide at Least One Room to Use As a Dining Room and for Activities, That is a Good Size, with Good Lighting, Airflow and Furniture. Inspection Date: 08/04/2009 Correction Date: 08/31/2009
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 08/04/2009 Correction Date: 11/06/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 09/02/2010 Correction Date: 10/05/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/02/2010 Correction Date: 09/02/2010
Keep All Essential Equipment Working Safely. Inspection Date: 09/02/2010 Correction Date: 10/05/2010
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 09/02/2010 Correction Date: 01/01/1900
Provide Needed Housekeeping and Maintenance. Inspection Date: 04/07/2011 Correction Date: 05/20/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/07/2011 Correction Date: 05/02/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 04/07/2011 Correction Date: 05/20/2011
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 04/07/2011 Correction Date: 01/01/1900
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 04/07/2011 Correction Date: 05/02/2011
Have Enough Outside Airflow. Inspection Date: 04/07/2011 Correction Date: 05/02/2011

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: 08/04/2009 Correction Date: 09/10/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 08/04/2009 Correction Date: 10/01/2009

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 08/04/2009 Correction Date: 09/10/2009
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: 09/02/2010 Correction Date: 10/12/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 09/02/2010 Correction Date: 10/12/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 09/02/2010 Correction Date: 10/12/2010

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 08/04/2009 Correction Date: 08/24/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/04/2009 Correction Date: 09/10/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 09/02/2010 Correction Date: 10/12/2010
Give or Get Dental Care for Each Resident. Inspection Date: 04/07/2011 Correction Date: 05/02/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 08/04/2009 Correction Date: 08/04/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 04/07/2011 Correction Date: 05/02/2011
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 04/07/2011 Correction Date: 05/02/2011

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 08/04/2009 Correction Date: 09/08/2009
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 08/04/2009 Correction Date: 09/11/2009
Have a Private Telephone Available for Use. Inspection Date: 08/04/2009 Correction Date: 09/10/2009
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions. Inspection Date: 08/04/2009 Correction Date: 10/30/2009
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions. Inspection Date: 09/02/2010 Correction Date: 10/15/2010
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: 04/07/2011 Correction Date: 04/29/2011

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 Bywood East 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 04/06/2011.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 07/29/2009 Correction Date: 09/12/2009
Properly Working Alarms on Sprinkler Valves. Inspection Date: 08/31/2010 Correction Date: 10/04/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/06/2011 Correction Date: 04/21/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 07/29/2009 Correction Date: 07/30/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/31/2010 Correction Date: 09/28/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 04/06/2011 Correction Date: 04/08/2011
Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen. Inspection Date: 04/06/2011 Correction Date: 04/08/2011