CZECH CATHOLIC HOME FOR THE AGED

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 Texas 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 04/28/2011.

Administration

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Inspection Date: 04/17/2009 Correction Date: 05/04/2009
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Inspection Date: 04/01/2010 Correction Date: 04/05/2010
Train All Employees on What to Do in an Emergency. Inspection Date: 04/01/2010 Correction Date: 05/11/2010
Give Lab Tests Only when the Attending Doctor Ordered Them. Inspection Date: 04/28/2011 Correction Date: 05/31/2011

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 04/17/2009 Correction Date: 05/12/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 04/01/2010 Correction Date: 04/30/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 04/28/2011 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: 04/17/2009 Correction Date: 05/12/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/01/2010 Correction Date: 04/23/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/28/2011 Correction Date: 05/16/2011

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 04/01/2010 Correction Date: 04/05/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 04/28/2011 Correction Date: 05/31/2011
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 04/28/2011 Correction Date: 05/31/2011

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 04/01/2010 Correction Date: 04/30/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 04/01/2010 Correction Date: 04/28/2010

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: 04/17/2009 Correction Date: 04/30/2009
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: 04/01/2010 Correction Date: 04/30/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/28/2011 Correction Date: 05/31/2011
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing. Inspection Date: 04/28/2011 Correction Date: 05/11/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 04/01/2010 Correction Date: 04/05/2010
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: 04/28/2011 Correction Date: 05/17/2011

The table below lists incident reports by the nursing staff or administration for Czech Catholic Home for the Aged, 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: 05/15/2008 Correction Date: 01/01/1900

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Complaint Filed: 05/15/2008 Correction Date: 01/01/1900

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: 05/15/2008 Correction Date: 01/01/1900

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 Czech Catholic Home for the Aged 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 04/26/2011.

Automatic Sprinkler Systems

Properly Working Alarms on Sprinkler Valves. Inspection Date: 04/15/2009 Correction Date: 04/16/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 04/15/2009 Correction Date: 05/07/2009
Portable Fire Extinguishers. Inspection Date: 04/15/2009 Correction Date: 04/16/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 03/31/2010 Correction Date: 04/30/2010
Portable Fire Extinguishers. Inspection Date: 03/31/2010 Correction Date: 04/01/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 04/26/2011 Correction Date: 05/20/2011
Portable Fire Extinguishers. Inspection Date: 04/26/2011 Correction Date: 05/16/2011

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 04/15/2009 Correction Date: 05/15/2009
Properly Protected Cooking Facilities. Inspection Date: 03/31/2010 Correction Date: 04/15/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/15/2009 Correction Date: 05/01/2009

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/31/2010 Correction Date: 04/16/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/26/2011 Correction Date: 05/16/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 03/31/2010 Correction Date: 04/16/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 04/15/2009 Correction Date: 05/15/2009
Properly Maintained Smoke Detectors. Inspection Date: 03/31/2010 Correction Date: 04/30/2010
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 04/26/2011 Correction Date: 04/29/2011

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 04/15/2009 Correction Date: 05/12/2009

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 04/15/2009 Correction Date: 05/22/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 03/31/2010 Correction Date: 04/16/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 04/26/2011 Correction Date: 05/16/2011