RANCHO MANOR HEALTHCARE AND REHABILITATION CENTER

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Rancho Manor Healthcare and Rehabilitation Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care High

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 Missouri 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

Short-Term Stay Preventive Actions

Short-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 04/15/2011.

Administration

Follow All Laws and Professional Standards. Inspection Date: 01/19/2010 Correction Date: 03/02/2010
Post Nurse Staffing Information. Inspection Date: 04/15/2011 Correction Date: 05/30/2011
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 04/15/2011 Correction Date: 05/30/2011

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 01/19/2010 Correction Date: 03/02/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 01/19/2010 Correction Date: 03/02/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 01/19/2010 Correction Date: 03/02/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/15/2011 Correction Date: 05/30/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 04/15/2011 Correction Date: 05/30/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 10/06/2008 Correction Date: 11/07/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 01/19/2010 Correction Date: 03/02/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 04/15/2011 Correction Date: 06/13/2011

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 01/19/2010 Correction Date: 03/02/2010
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day. Inspection Date: 04/15/2011 Correction Date: 05/30/2011
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/15/2011 Correction Date: 05/30/2011

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 10/06/2008 Correction Date: 11/07/2008
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: 04/15/2011 Correction Date: 05/30/2011

Quality Care

Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 01/19/2010 Correction Date: 03/02/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 04/15/2011 Correction Date: 05/30/2011
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/15/2011 Correction Date: 05/30/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 04/15/2011 Correction Date: 05/30/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 04/15/2011 Correction Date: 05/30/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 04/15/2011 Correction Date: 05/30/2011
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 04/15/2011 Correction Date: 05/30/2011

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: 01/19/2010 Correction Date: 03/02/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/15/2011 Correction Date: 05/30/2011

Resident Rights

Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions. Inspection Date: 10/06/2008 Correction Date: 11/07/2008
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 01/19/2010 Correction Date: 03/02/2010
Have a Private Telephone Available for Use. Inspection Date: 01/19/2010 Correction Date: 03/02/2010
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: 04/15/2011 Correction Date: 05/30/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 04/15/2011 Correction Date: 05/30/2011

The table below lists incident reports by the nursing staff or administration for Rancho Manor Healthcare and Rehabilitation 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: 10/06/2008 Correction Date: 11/07/2008
Provide Needed Housekeeping and Maintenance. Complaint Filed: 01/19/2010 Correction Date: 03/02/2010
Provide Needed Housekeeping and Maintenance. Complaint Filed: 04/15/2011 Correction Date: 05/30/2011

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. Complaint Filed: 10/06/2008 Correction Date: 11/07/2008

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Complaint Filed: 10/06/2008 Correction Date: 11/07/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Complaint Filed: 01/19/2010 Correction Date: 03/02/2010

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Complaint Filed: 10/06/2008 Correction Date: 11/07/2008
Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 10/06/2008 Correction Date: 11/07/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 10/06/2008 Correction Date: 11/07/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Complaint Filed: 10/06/2008 Correction Date: 11/07/2008
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting. Complaint Filed: 01/19/2010 Correction Date: 03/02/2010
Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 01/19/2010 Correction Date: 03/10/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 10/06/2008 Correction Date: 11/07/2008

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 Rancho Manor Healthcare and Rehabilitation 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 04/15/2011.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 01/19/2010 Correction Date: 03/02/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 01/19/2010 Correction Date: 03/02/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 04/15/2011 Correction Date: 05/30/2011

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 10/06/2008 Correction Date: 11/07/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 01/19/2010 Correction Date: 03/02/2010

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 10/06/2008 Correction Date: 11/07/2008
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 01/19/2010 Correction Date: 03/02/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 01/19/2010 Correction Date: 03/02/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 01/19/2010 Correction Date: 03/02/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 01/19/2010 Correction Date: 03/02/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 04/15/2011 Correction Date: 05/30/2011

Furnishings and Decorations

Restrictions on the Use of Highly Flammable Materials. Inspection Date: 01/19/2010 Correction Date: 03/02/2010

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 01/19/2010 Correction Date: 03/02/2010
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 01/19/2010 Correction Date: 03/09/2010
Properly Located and Lighted "Exit" Signs. Inspection Date: 01/19/2010 Correction Date: 03/02/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 01/19/2010 Correction Date: 03/02/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 01/19/2010 Correction Date: 03/02/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 10/06/2008 Correction Date: 11/07/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 04/15/2011 Correction Date: 05/30/2011
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 04/15/2011 Correction Date: 05/30/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 01/19/2010 Correction Date: 03/02/2010