HIRAM W DAVIS MEDICAL 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 Virginia 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 09/08/2010.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 07/02/2009 Correction Date: 08/14/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 09/08/2010 Correction Date: 10/22/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 07/02/2009 Correction Date: 08/14/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 09/08/2010 Correction Date: 10/15/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 09/08/2010 Correction Date: 10/22/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/02/2009 Correction Date: 08/14/2009

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 04/24/2008 Correction Date: 06/06/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 07/02/2009 Correction Date: 08/14/2009
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: 09/08/2010 Correction Date: 10/22/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 09/08/2010 Correction Date: 10/22/2010

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 04/24/2008 Correction Date: 06/06/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 07/02/2009 Correction Date: 08/14/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 07/02/2009 Correction Date: 08/14/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/08/2010 Correction Date: 10/22/2010
Make Sure That Each Residents' Abilities to Take Care of Themselves Does Not Lessen, Unless a Change Cannot Be Avoided. Inspection Date: 09/08/2010 Correction Date: 10/22/2010
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: 09/08/2010 Correction Date: 10/22/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 09/08/2010 Correction Date: 10/22/2010

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. Inspection Date: 09/08/2010 Correction Date: 10/22/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/08/2010 Correction Date: 10/22/2010

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: 07/02/2009 Correction Date: 08/14/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 07/02/2009 Correction Date: 08/14/2009

The table below lists incident reports by the nursing staff or administration for Hiram W Davis Medical Center, as well as complaints by residents or their family in the previous three years.

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 09/08/2010 Correction Date: 05/29/2009

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 Hiram W Davis Medical 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 09/16/2010.

Automatic Sprinkler Systems

Properly Working Alarms on Sprinkler Valves. Inspection Date: 05/06/2008 Correction Date: 07/08/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 05/06/2008 Correction Date: 08/06/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 09/16/2010 Correction Date: 09/21/2011

Building Construction

Approved Construction Type or Materials. Inspection Date: 05/06/2008 Correction Date: 08/06/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 05/06/2008 Correction Date: 08/06/2008

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/06/2008 Correction Date: 08/06/2008

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 05/06/2008 Correction Date: 08/06/2008

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 05/06/2008 Correction Date: 07/08/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 05/06/2008 Correction Date: 08/06/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 05/06/2008 Correction Date: 08/06/2008
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 05/06/2008 Correction Date: 07/08/2008

Vertical Openings

Proper Stairway Enclosures and Vertical Shafts. Inspection Date: 05/06/2008 Correction Date: 07/08/2008