WALBRIDGE MEMORIAL CONVALESCENT WING

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 Colorado 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 03/09/2011.

Administration

1) Set Up a Group That is Legally Responsible for Writing and Setting Up Policies for Leading and Running the Nursing Home; or 2) Hire a Properly Licensed Administrator. Inspection Date: 04/07/2010 Correction Date: 05/12/2010
Train All Employees on What to Do in an Emergency. Inspection Date: 04/07/2010 Correction Date: 05/12/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/07/2010 Correction Date: 05/12/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 04/07/2010 Correction Date: 05/12/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 03/09/2011 Correction Date: 03/22/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/09/2011 Correction Date: 03/25/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 03/09/2011 Correction Date: 03/24/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 06/10/2009 Correction Date: 06/23/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 04/07/2010 Correction Date: 05/12/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/09/2011 Correction Date: 03/25/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 03/09/2011 Correction Date: 03/25/2011

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 04/07/2010 Correction Date: 05/12/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/07/2010 Correction Date: 05/12/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/07/2010 Correction Date: 05/12/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 03/09/2011 Correction Date: 03/22/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 03/09/2011 Correction Date: 03/29/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 03/09/2011 Correction Date: 03/24/2011
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 03/09/2011 Correction Date: 03/24/2011

Resident Assessment

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: 06/10/2009 Correction Date: 06/26/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/07/2010 Correction Date: 05/12/2010

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 06/10/2009 Correction Date: 06/23/2009

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 Walbridge Memorial Convalescent Wing 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 03/29/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 07/08/2009 Correction Date: 08/05/2009
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 07/08/2009 Correction Date: 08/28/2009

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 04/28/2010 Correction Date: 04/28/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 07/08/2009 Correction Date: 08/05/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 04/28/2010 Correction Date: 04/28/2010

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 07/08/2009 Correction Date: 08/14/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 07/08/2009 Correction Date: 08/14/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/28/2010 Correction Date: 04/28/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 07/08/2009 Correction Date: 08/05/2009

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 07/08/2009 Correction Date: 08/05/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 07/08/2009 Correction Date: 08/05/2009
An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 07/08/2009 Correction Date: 08/28/2009

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 07/08/2009 Correction Date: 08/07/2009
Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 04/28/2010 Correction Date: 04/28/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 07/08/2009 Correction Date: 08/07/2009
Properly Constructed Piped-In Oxygen Systems. Inspection Date: 04/28/2010 Correction Date: 04/28/2010

Smoke Compartmentation and Control

At Least Two Compartments on Every Floor to Protect Residents from Smoke. Inspection Date: 07/08/2009 Correction Date: 08/05/2009
At Least Two Compartments on Every Floor to Protect Residents from Smoke. Inspection Date: 04/28/2010 Correction Date: 04/28/2010
At Least Two Compartments on Every Floor to Protect Residents from Smoke. Inspection Date: 03/29/2011 Correction Date: 04/22/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 04/28/2010 Correction Date: 09/15/2010