GREELEY COUNTY HOSPITAL LONG TERM CARE UNIT

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 Kansas 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 01/24/2011.

Administration

1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 01/24/2011 Correction Date: 03/16/2011
Keep Accurate and Appropriate Medical Records. Inspection Date: 01/24/2011 Correction Date: 04/19/2011
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 01/24/2011 Correction Date: 03/16/2011

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 10/08/2009 Correction Date: 12/03/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 10/08/2009 Correction Date: 02/17/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 01/24/2011 Correction Date: 04/19/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 01/24/2011 Correction Date: 03/16/2011

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Inspection Date: 10/08/2009 Correction Date: 12/03/2009
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property. Inspection Date: 01/24/2011 Correction Date: 03/16/2011
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: 01/24/2011 Correction Date: 03/16/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/08/2009 Correction Date: 01/14/2010
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 01/24/2011 Correction Date: 03/16/2011

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: 10/08/2009 Correction Date: 02/17/2010
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: 01/24/2011 Correction Date: 03/16/2011
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 01/24/2011 Correction Date: 03/16/2011
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 01/24/2011 Correction Date: 03/16/2011

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 01/24/2011 Correction Date: 03/16/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 01/24/2011 Correction Date: 04/19/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 01/24/2011 Correction Date: 03/16/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 01/24/2011 Correction Date: 05/02/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 01/24/2011 Correction Date: 04/19/2011
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 01/24/2011 Correction Date: 03/16/2011
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Inspection Date: 01/24/2011 Correction Date: 03/16/2011
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 01/24/2011 Correction Date: 03/16/2011

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: 10/08/2009 Correction Date: 01/14/2010
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: 01/24/2011 Correction Date: 03/16/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/24/2011 Correction Date: 03/16/2011
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. Inspection Date: 01/24/2011 Correction Date: 04/19/2011

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 10/08/2009 Correction Date: 12/03/2009
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: 01/24/2011 Correction Date: 04/19/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 01/24/2011 Correction Date: 03/16/2011

The table below lists incident reports by the nursing staff or administration for Greeley County Hospital Long Term Care Unit, 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: 10/08/2009 Correction Date: 11/07/2009

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Complaint Filed: 10/08/2009 Correction Date: 11/07/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 10/08/2009 Correction Date: 11/07/2009

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors. Complaint Filed: 10/08/2009 Correction Date: 11/07/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Complaint Filed: 10/08/2009 Correction Date: 11/07/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Complaint Filed: 10/08/2009 Correction Date: 11/07/2009

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 10/08/2009 Correction Date: 11/07/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Complaint Filed: 10/08/2009 Correction Date: 11/07/2009

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Complaint Filed: 10/08/2009 Correction Date: 11/07/2009
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Complaint Filed: 10/08/2009 Correction Date: 11/07/2009
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: 10/08/2009 Correction Date: 11/07/2009

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 Greeley County Hospital Long Term Care Unit 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 10/18/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 09/11/2008 Correction Date: 10/15/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 10/15/2009 Correction Date: 10/15/2009

Building Construction

Approved Construction Type or Materials. Inspection Date: 09/11/2008 Correction Date: 10/15/2008
Approved Construction Type or Materials. Inspection Date: 10/15/2009 Correction Date: 10/15/2009
Approved Construction Type or Materials. Inspection Date: 10/18/2010 Correction Date: 10/18/2010

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 09/11/2008 Correction Date: 09/15/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 10/15/2009 Correction Date: 10/15/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 09/11/2008 Correction Date: 09/15/2008
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 10/15/2009 Correction Date: 10/15/2009

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 09/11/2008 Correction Date: 10/30/2008

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 09/11/2008 Correction Date: 10/01/2008
Properly Maintained Smoke Detectors. Inspection Date: 09/11/2008 Correction Date: 10/15/2008

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 09/11/2008 Correction Date: 09/18/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 10/18/2010 Correction Date: 10/18/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 09/11/2008 Correction Date: 09/15/2008