WRANGELL MEDICAL CENTER LONG TERM 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 Alaska 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 09/18/2010.

Administration

Post Nurse Staffing Information. Inspection Date: 09/18/2010 Correction Date: 12/18/2010
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 09/18/2010 Correction Date: 12/18/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 09/18/2010 Correction Date: 12/18/2010
Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person. Inspection Date: 09/18/2010 Correction Date: 12/18/2010
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 09/18/2010 Correction Date: 11/02/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 11/06/2008 Correction Date: 12/08/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/28/2009 Correction Date: 09/24/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 08/28/2009 Correction Date: 09/24/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/18/2010 Correction Date: 12/18/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 09/18/2010 Correction Date: 12/18/2010
Be Designed, Built, Equipped, or Well Kept to Protect the Health and Safety of Residents, Workers, and the Public. Inspection Date: 09/18/2010 Correction Date: 12/18/2010

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: 09/18/2010 Correction Date: 11/02/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 09/18/2010 Correction Date: 12/18/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 11/06/2008 Correction Date: 12/08/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/28/2009 Correction Date: 09/24/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 09/18/2010 Correction Date: 11/02/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/18/2010 Correction Date: 11/02/2010

Pharmacy Service

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: 08/28/2009 Correction Date: 09/24/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 08/28/2009 Correction Date: 09/24/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 09/18/2010 Correction Date: 11/02/2010

Quality Care

Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 11/06/2008 Correction Date: 12/08/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/28/2009 Correction Date: 09/24/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/18/2010 Correction Date: 12/18/2010
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 09/18/2010 Correction Date: 12/18/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/18/2010 Correction Date: 12/18/2010
Make Sure That Each Resident Gets Help to Keep Vision and Hearing. Inspection Date: 09/18/2010 Correction Date: 12/18/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 09/18/2010 Correction Date: 11/02/2010
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Inspection Date: 09/18/2010 Correction Date: 12/18/2010
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Inspection Date: 09/18/2010 Correction Date: 11/02/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 09/18/2010 Correction Date: 11/02/2010

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. Inspection Date: 11/06/2008 Correction Date: 12/08/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 11/06/2008 Correction Date: 11/23/2008
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 09/18/2010 Correction Date: 11/02/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 09/18/2010 Correction Date: 12/18/2010

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

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 Wrangell Medical Center Long Term 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 09/22/2010.

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/22/2010 Correction Date: 09/24/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 09/08/2009 Correction Date: 09/09/2009

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 09/08/2009 Correction Date: 10/16/2009

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 09/08/2009 Correction Date: 10/15/2009
Properly Maintained Smoke Detectors. Inspection Date: 09/08/2009 Correction Date: 10/15/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 09/22/2010 Correction Date: 09/22/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 11/05/2008 Correction Date: 11/14/2008

Medical Gases and Anesthetizing Areas

Properly Constructed Piped-In Oxygen Systems. Inspection Date: 09/22/2010 Correction Date: 10/31/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 11/05/2008 Correction Date: 11/19/2008

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 09/08/2009 Correction Date: 09/28/2009
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 09/22/2010 Correction Date: 10/15/2010