MYERS NURSING & CONVALESCENT CENTER

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

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 12/06/2010.

Administration

Follow All Laws and Professional Standards. Inspection Date: 03/26/2009 Correction Date: 05/07/2009
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 03/26/2009 Correction Date: 05/07/2009
Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 03/26/2009 Correction Date: 05/07/2009
Train All Employees on What to Do in an Emergency. Inspection Date: 03/26/2009 Correction Date: 05/07/2009
Have an Agreement with at Least One Hospital Certified by Medicare or Medicaid to Make Sure Residents Can Be Moved Quickly to the Hospital when They Need Medical Care. Inspection Date: 03/26/2009 Correction Date: 05/07/2009
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 01/26/2010 Correction Date: 04/16/2010
Train All Employees on What to Do in an Emergency. Inspection Date: 01/26/2010 Correction Date: 03/05/2010
Train All Employees on What to Do in an Emergency. Inspection Date: 12/06/2010 Correction Date: 01/20/2011

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 03/26/2009 Correction Date: 05/14/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 03/26/2009 Correction Date: 05/14/2009
Keep All Essential Equipment Working Safely. Inspection Date: 03/26/2009 Correction Date: 05/07/2009
Have Enough Outside Airflow. Inspection Date: 03/26/2009 Correction Date: 05/07/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 01/26/2010 Correction Date: 03/05/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 01/26/2010 Correction Date: 03/05/2010
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 12/06/2010 Correction Date: 01/20/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 12/06/2010 Correction Date: 01/20/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 12/06/2010 Correction Date: 02/20/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 12/06/2010 Correction Date: 01/20/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 03/26/2009 Correction Date: 05/07/2009

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 03/26/2009 Correction Date: 05/07/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/26/2009 Correction Date: 05/07/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/26/2010 Correction Date: 03/05/2010
Provide Food in a Way That Meets a Resident's Needs. Inspection Date: 12/06/2010 Correction Date: 02/20/2011
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: 12/06/2010 Correction Date: 01/20/2011
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 12/06/2010 Correction Date: 01/20/2011

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: 03/26/2009 Correction Date: 05/07/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 03/26/2009 Correction Date: 05/07/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 12/06/2010 Correction Date: 01/20/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 03/26/2009 Correction Date: 05/14/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 03/26/2009 Correction Date: 05/07/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 03/26/2009 Correction Date: 05/14/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 03/26/2009 Correction Date: 05/14/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 01/26/2010 Correction Date: 03/05/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 01/26/2010 Correction Date: 03/05/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/26/2010 Correction Date: 03/05/2010
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 01/26/2010 Correction Date: 03/05/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 01/26/2010 Correction Date: 04/16/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 01/26/2010 Correction Date: 03/05/2010
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting. Inspection Date: 01/26/2010 Correction Date: 03/05/2010
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 01/26/2010 Correction Date: 03/05/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 12/06/2010 Correction Date: 02/20/2011
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 12/06/2010 Correction Date: 02/20/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 12/06/2010 Correction Date: 01/20/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 12/06/2010 Correction Date: 01/20/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 12/06/2010 Correction Date: 01/20/2011
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 12/06/2010 Correction Date: 01/20/2011

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: 03/26/2009 Correction Date: 05/07/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 03/26/2009 Correction Date: 05/07/2009
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. Inspection Date: 03/26/2009 Correction Date: 05/07/2009
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 01/26/2010 Correction Date: 03/05/2010
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: 01/26/2010 Correction Date: 04/16/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/26/2010 Correction Date: 04/16/2010
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 01/26/2010 Correction Date: 03/05/2010
Get Doctor Orders for the Resident's Immediate Care when Admitted. Inspection Date: 12/06/2010 Correction Date: 01/20/2011
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 12/06/2010 Correction Date: 02/20/2011
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: 12/06/2010 Correction Date: 02/20/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 12/06/2010 Correction Date: 01/20/2011
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: 12/06/2010 Correction Date: 01/20/2011
Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress. Inspection Date: 12/06/2010 Correction Date: 02/20/2011

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 03/26/2009 Correction Date: 05/07/2009
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: 01/26/2010 Correction Date: 03/05/2010
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: 01/26/2010 Correction Date: 03/05/2010
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 12/06/2010 Correction Date: 01/20/2011
Quickly Give a Resident's Personal Money to the Heads of His or Her Estate After the Resident's Death. Inspection Date: 12/06/2010 Correction Date: 01/20/2011
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 12/06/2010 Correction Date: 01/20/2011

The table below lists incident reports by the nursing staff or administration for Myers Nursing & Convalescent Center, as well as complaints by residents or their family in the previous three years.

Resident Rights

Provide Enough Notice Before Discharging or Transferring a Resident. Complaint Filed: 04/03/2008 Correction Date: 06/30/2008

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 Myers Nursing & Convalescent 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 12/06/2010.

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 12/06/2010 Correction Date: 01/20/2011

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 01/26/2010 Correction Date: 03/05/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 12/06/2010 Correction Date: 01/20/2011

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 03/26/2009 Correction Date: 05/14/2009
Exits That Are Accessible at All Times. Inspection Date: 12/06/2010 Correction Date: 01/20/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 01/26/2010 Correction Date: 03/05/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 03/26/2009 Correction Date: 05/14/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 03/26/2009 Correction Date: 05/07/2009

Laboratories

Emergency Showers. Inspection Date: 03/26/2009 Correction Date: 05/07/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 03/26/2009 Correction Date: 05/07/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 03/26/2009 Correction Date: 05/07/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 03/26/2009 Correction Date: 05/07/2009