REST HAVEN CONVALESCENT AND RETIREMENT 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 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 01/18/2011.

Administration

Post Nurse Staffing Information. Inspection Date: 02/20/2009 Correction Date: 02/23/2009
Hire Nurse Aides Who Have Completed Required Training and Shown That They Are Skilled. Inspection Date: 02/01/2010 Correction Date: 03/09/2010
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 02/01/2010 Correction Date: 03/09/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/20/2009 Correction Date: 03/11/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 02/20/2009 Correction Date: 03/20/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/01/2010 Correction Date: 03/23/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 02/01/2010 Correction Date: 03/19/2010
Keep All Essential Equipment Working Safely. Inspection Date: 02/01/2010 Correction Date: 03/23/2010
Have Enough Backup Water Supply for Important Areas of the Nursing Home. Inspection Date: 02/01/2010 Correction Date: 03/23/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 02/01/2010 Correction Date: 03/23/2010
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 01/18/2011 Correction Date: 02/28/2011

Nutrition and Dietary

Hire a Qualified Dietician. Inspection Date: 02/20/2009 Correction Date: 03/20/2009
Make Sure That Residents Are Well Nourished. Inspection Date: 02/20/2009 Correction Date: 03/11/2009
Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 02/20/2009 Correction Date: 02/28/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/18/2011 Correction Date: 03/04/2011

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 02/01/2010 Correction Date: 03/23/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 02/20/2009 Correction Date: 03/20/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 02/20/2009 Correction Date: 03/20/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 02/20/2009 Correction Date: 03/20/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 02/01/2010 Correction Date: 03/23/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 02/01/2010 Correction Date: 03/23/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 02/01/2010 Correction Date: 03/19/2010
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 02/01/2010 Correction Date: 03/23/2010
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Inspection Date: 02/01/2010 Correction Date: 03/05/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/18/2011 Correction Date: 02/28/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 01/18/2011 Correction Date: 02/28/2011

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: 02/20/2009 Correction Date: 03/20/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 02/20/2009 Correction Date: 03/20/2009
Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner. Inspection Date: 02/01/2010 Correction Date: 03/23/2010
Do an Assessment of the Resident Every Year. Inspection Date: 02/01/2010 Correction Date: 03/23/2010
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 02/01/2010 Correction Date: 03/23/2010
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: 02/01/2010 Correction Date: 03/23/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 02/01/2010 Correction Date: 03/05/2010
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: 02/01/2010 Correction Date: 03/23/2010
Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner. Inspection Date: 01/18/2011 Correction Date: 02/28/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/18/2011 Correction Date: 02/28/2011
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: 01/18/2011 Correction Date: 03/07/2011
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record. Inspection Date: 01/18/2011 Correction Date: 02/28/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 02/01/2010 Correction Date: 03/23/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 01/18/2011 Correction Date: 02/28/2011

The table below lists incident reports by the nursing staff or administration for Rest Haven Convalescent and Retirement Home, as well as complaints by residents or their family in the previous three years.

Administration

Follow All Laws and Professional Standards. Complaint Filed: 10/20/2009 Correction Date: 11/27/2009

Environmental

Provide Needed Housekeeping and Maintenance. Complaint Filed: 02/01/2010 Correction Date: 03/23/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 11/11/2010 Correction Date: 12/02/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 10/20/2009 Correction Date: 11/27/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 02/01/2010 Correction Date: 03/23/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 07/24/2008 Correction Date: 08/29/2008
Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 11/17/2008 Correction Date: 12/03/2008
Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 03/16/2009 Correction Date: 04/03/2009
Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 05/19/2009 Correction Date: 05/28/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 12/22/2009 Correction Date: 02/03/2010
Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 07/30/2010 Correction Date: 08/20/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Complaint Filed: 07/30/2010 Correction Date: 08/20/2010

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 Rest Haven Convalescent and Retirement 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 01/18/2011.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 02/20/2009 Correction Date: 02/26/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 02/01/2010 Correction Date: 03/23/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 01/18/2011 Correction Date: 02/28/2011

Building Construction

Approved Construction Type or Materials. Inspection Date: 02/20/2009 Correction Date: 03/31/2009

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 02/01/2010 Correction Date: 03/23/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 01/18/2011 Correction Date: 02/28/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 02/20/2009 Correction Date: 03/12/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 01/18/2011 Correction Date: 02/28/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 02/20/2009 Correction Date: 03/12/2009

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 01/18/2011 Correction Date: 02/01/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 01/18/2011 Correction Date: 02/28/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 02/01/2010 Correction Date: 03/15/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 01/18/2011 Correction Date: 02/28/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 01/18/2011 Correction Date: 02/28/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 01/18/2011 Correction Date: 02/28/2011