VILLAGE MANOR

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 Oregon 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 09/03/2010.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/07/2008 Correction Date: 09/26/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/16/2009 Correction Date: 09/03/2009

Nutrition and Dietary

Provide Special Eating Equipment and Utensils for Each Resident Who Needs Them. Inspection Date: 09/03/2010 Correction Date: 10/23/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 07/16/2009 Correction Date: 09/03/2009
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 07/16/2009 Correction Date: 09/03/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 07/16/2009 Correction Date: 09/03/2009
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 07/16/2009 Correction Date: 09/03/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/03/2010 Correction Date: 10/23/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 07/16/2009 Correction Date: 09/03/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 07/16/2009 Correction Date: 09/03/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 09/03/2010 Correction Date: 10/23/2010
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: 09/03/2010 Correction Date: 10/23/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/03/2010 Correction Date: 10/23/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 09/03/2010 Correction Date: 10/23/2010

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

Mistreatment

Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property. Complaint Filed: 03/30/2010 Correction Date: 05/18/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 08/07/2008 Correction Date: 09/26/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 03/30/2010 Correction Date: 05/18/2010
Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 03/30/2010 Correction Date: 05/18/2010

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. Complaint Filed: 08/07/2008 Correction Date: 09/26/2008

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 Village Manor 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 09/03/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 09/03/2010 Correction Date: 10/20/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 09/03/2010 Correction Date: 10/20/2010
Portable Fire Extinguishers. Inspection Date: 09/03/2010 Correction Date: 10/20/2010
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 09/03/2010 Correction Date: 10/20/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 09/03/2010 Correction Date: 10/20/2010

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 07/14/2009 Correction Date: 08/15/2009
Properly Protected Cooking Facilities. Inspection Date: 09/03/2010 Correction Date: 10/20/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/03/2010 Correction Date: 10/20/2010

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 09/03/2010 Correction Date: 10/20/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 09/03/2010 Correction Date: 10/20/2010

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 09/03/2010 Correction Date: 10/20/2010
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 09/03/2010 Correction Date: 10/20/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 09/03/2010 Correction Date: 10/20/2010
An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 09/03/2010 Correction Date: 10/20/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 09/03/2010 Correction Date: 10/20/2010
Restrictions on the Use of Highly Flammable Materials. Inspection Date: 09/03/2010 Correction Date: 10/20/2010

Hazardous Area

Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 09/03/2010 Correction Date: 10/20/2010

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 09/03/2010 Correction Date: 10/20/2010

Laboratories

Proper Facilities for the Use and Storage of Combustible Liquids. Inspection Date: 09/03/2010 Correction Date: 10/20/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 09/03/2010 Correction Date: 10/20/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 09/03/2010 Correction Date: 10/20/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 09/03/2010 Correction Date: 10/20/2010