SPECIALTY HEALTHCARE & REHABILITATION CENTER OF MO

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 Specialty Healthcare & Rehabilitation Center of Mo. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation Plus Extensive Services

Very High Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care Low

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 Alabama 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 05/12/2011.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 05/20/2010 Correction Date: 06/24/2010
Post Nurse Staffing Information. Inspection Date: 05/12/2011 Correction Date: 06/16/2011

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 04/02/2009 Correction Date: 05/07/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 05/20/2010 Correction Date: 06/24/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 05/12/2011 Correction Date: 06/16/2011
Get Rid of Garbage Properly. Inspection Date: 05/12/2011 Correction Date: 06/16/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 05/12/2011 Correction Date: 06/16/2011
Make Sure Each Resident Has 1) at Least One Window to the Outside in a Room; 2) a Room at or Above Ground Level; 3) an Adequate Bed; 4) Furniture That Meets the Resident's Needs; or 5) Enough Closet Space. Inspection Date: 05/12/2011 Correction Date: 06/16/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/02/2009 Correction Date: 05/07/2009
Hire Enough Skilled Workers to Carry out Dietary Service. Inspection Date: 05/12/2011 Correction Date: 06/16/2011
Make Sure That Residents Are Well Nourished. Inspection Date: 05/12/2011 Correction Date: 06/16/2011
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 05/12/2011 Correction Date: 06/16/2011
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/12/2011 Correction Date: 06/16/2011

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 04/02/2009 Correction Date: 05/07/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 04/02/2009 Correction Date: 05/07/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 05/12/2011 Correction Date: 06/16/2011
Properly Mark Drugs and Other Similar Products. Inspection Date: 05/12/2011 Correction Date: 06/16/2011

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/02/2009 Correction Date: 05/07/2009
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible. Inspection Date: 04/02/2009 Correction Date: 05/07/2009
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible. Inspection Date: 05/12/2011 Correction Date: 06/16/2011

Resident Assessment

Do an Assessment of the Resident Every Year. Inspection Date: 05/12/2011 Correction Date: 06/16/2011
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 05/12/2011 Correction Date: 06/16/2011

Resident Rights

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: 04/02/2009 Correction Date: 05/07/2009
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: 05/20/2010 Correction Date: 06/24/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 05/12/2011 Correction Date: 06/16/2011

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.

The table below lists incident reports by the nursing staff or administration for Specialty Healthcare & Rehabilitation Center of Mo, 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: 06/25/2009 Correction Date: 07/30/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 08/12/2010 Correction Date: 09/15/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 10/29/2009 Correction Date: 12/03/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 09/03/2010 Correction Date: 09/17/2010
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Complaint Filed: 09/03/2010 Correction Date: 09/17/2010

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Complaint Filed: 01/29/2009 Correction Date: 02/28/2009
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Complaint Filed: 01/29/2009 Correction Date: 02/28/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 09/03/2010 Correction Date: 09/17/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 11/12/2010 Correction Date: 12/17/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 03/20/2011 Correction Date: 04/18/2011

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Complaint Filed: 06/25/2009 Correction Date: 07/30/2009
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. Complaint Filed: 11/12/2010 Correction Date: 12/17/2010
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. Complaint Filed: 03/20/2011 Correction Date: 04/18/2011

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 Specialty Healthcare & Rehabilitation Center of Mo 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 05/19/2011.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 05/27/2010 Correction Date: 06/13/2010
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 05/19/2011 Correction Date: 06/23/2011

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 04/15/2009 Correction Date: 05/11/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 05/19/2011 Correction Date: 06/23/2011
Signs That State That Exit Doors Are to Be Kept Closed. Inspection Date: 05/19/2011 Correction Date: 06/23/2011

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 05/27/2010 Correction Date: 06/13/2010
A Separate and Independent Backup Electrical Power Source. Inspection Date: 05/19/2011 Correction Date: 06/23/2011
Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/19/2011 Correction Date: 06/23/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 05/19/2011 Correction Date: 06/23/2011

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 04/15/2009 Correction Date: 05/11/2009
Exits That Are Accessible at All Times. Inspection Date: 05/19/2011 Correction Date: 06/23/2011

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 05/27/2010 Correction Date: 06/13/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 04/15/2009 Correction Date: 05/11/2009
Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 05/19/2011 Correction Date: 06/23/2011
Restrictions on the Use of Flammable Curtains. Inspection Date: 05/19/2011 Correction Date: 06/23/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 05/19/2011 Correction Date: 06/23/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 05/19/2011 Correction Date: 06/23/2011

Vertical Openings

Protected Exits That Allow the Resident to Escape the Building. Inspection Date: 05/19/2011 Correction Date: 06/23/2011