YALOBUSHA COUNTY NURSING HOME

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 Mississippi 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 05/27/2011.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 04/15/2010 Correction Date: 05/05/2010

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 03/20/2009 Correction Date: 04/06/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/20/2009 Correction Date: 04/07/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 03/20/2009 Correction Date: 05/04/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 03/20/2009 Correction Date: 04/08/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/15/2010 Correction Date: 05/05/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 04/15/2010 Correction Date: 05/07/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 05/27/2011 Correction Date: 07/15/2011

Nutrition and Dietary

Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 05/27/2011 Correction Date: 07/22/2011

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: 04/15/2010 Correction Date: 05/05/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 04/15/2010 Correction Date: 05/05/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 03/20/2009 Correction Date: 04/08/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 03/20/2009 Correction Date: 04/07/2009
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: 03/20/2009 Correction Date: 04/07/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/15/2010 Correction Date: 05/05/2010
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: 04/15/2010 Correction Date: 05/05/2010

Resident Assessment

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: 03/20/2009 Correction Date: 03/27/2009
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 03/20/2009 Correction Date: 03/27/2009
Make Sure That All Needed Doctor Visits Are Made Personally by a Doctor, As Required. Inspection Date: 03/20/2009 Correction Date: 04/07/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/15/2010 Correction Date: 05/10/2010
Develop a Plan with the Resident and Family for the Resident's Care After Leaving the Nursing Home. Inspection Date: 04/15/2010 Correction Date: 05/06/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 03/20/2009 Correction Date: 04/07/2009
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 04/15/2010 Correction Date: 05/05/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 04/15/2010 Correction Date: 05/10/2010

The table below lists incident reports by the nursing staff or administration for Yalobusha County Nursing Home, as well as complaints by residents or their family in the previous three years.

Administration

Keep Accurate and Appropriate Medical Records. Complaint Filed: 01/27/2009 Correction Date: 02/16/2009

Mistreatment

Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property. Complaint Filed: 02/15/2011 Correction Date: 03/29/2011
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. Complaint Filed: 02/15/2011 Correction Date: 03/29/2011

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: 01/08/2009 Correction Date: 01/26/2009

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. Complaint Filed: 01/27/2009 Correction Date: 02/16/2009

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 Yalobusha County Nursing Home 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 05/25/2011.

Automatic Sprinkler Systems

Portable Fire Extinguishers. Inspection Date: 05/25/2011 Correction Date: 06/14/2011

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 05/25/2011 Correction Date: 06/09/2011

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 05/25/2011 Correction Date: 06/14/2011

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 03/17/2009 Correction Date: 04/30/2009
Exits That Are Accessible at All Times. Inspection Date: 04/13/2010 Correction Date: 01/01/1900

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 03/17/2009 Correction Date: 04/30/2009

Smoke Compartmentation and Control

Properly Sized and Located Compartments to Protect Residents from Smoke. Inspection Date: 03/17/2009 Correction Date: 04/07/2009