JOHNSON COUNTY CARE 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 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 04/01/2011.

Administration

Get Services Outside the Nursing Home That Meet Professional Standards. Inspection Date: 04/01/2011 Correction Date: 05/15/2011
Train All Employees on What to Do in an Emergency. Inspection Date: 04/01/2011 Correction Date: 05/15/2011

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 05/15/2009 Correction Date: 06/28/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 05/15/2009 Correction Date: 06/28/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 05/15/2009 Correction Date: 06/28/2009
Have Enough Outside Airflow. Inspection Date: 05/15/2009 Correction Date: 06/28/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 06/17/2010 Correction Date: 07/31/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 06/17/2010 Correction Date: 07/31/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 04/01/2011 Correction Date: 05/15/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 05/15/2009 Correction Date: 06/28/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 06/17/2010 Correction Date: 07/31/2010
Make Sure That Residents Are Well Nourished. Inspection Date: 04/01/2011 Correction Date: 05/15/2011
Provide Food in a Way That Meets a Resident's Needs. Inspection Date: 04/01/2011 Correction Date: 05/15/2011

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 05/15/2009 Correction Date: 06/28/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 06/17/2010 Correction Date: 07/31/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 04/01/2011 Correction Date: 05/15/2011

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 05/15/2009 Correction Date: 06/28/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 04/01/2011 Correction Date: 05/15/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/01/2011 Correction Date: 05/15/2011
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 04/01/2011 Correction Date: 05/15/2011

Resident Assessment

Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 05/15/2009 Correction Date: 06/28/2009
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: 05/15/2009 Correction Date: 06/28/2009
Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress. Inspection Date: 05/15/2009 Correction Date: 06/28/2009

Resident Rights

Give the Resident's Legal Representative the Same Rights As the Resident. Inspection Date: 05/15/2009 Correction Date: 06/28/2009
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions. Inspection Date: 04/01/2011 Correction Date: 05/15/2011

The table below lists incident reports by the nursing staff or administration for Johnson County Care Center, 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: 07/16/2008 Correction Date: 08/13/2008

Quality Care

Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Complaint Filed: 07/16/2008 Correction Date: 08/13/2008
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Complaint Filed: 07/16/2008 Correction Date: 08/13/2008

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 Johnson County Care 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 04/01/2011.

Automatic Sprinkler Systems

Portable Fire Extinguishers. Inspection Date: 04/01/2011 Correction Date: 05/15/2011

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 04/01/2011 Correction Date: 05/15/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 05/15/2009 Correction Date: 06/28/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 06/17/2010 Correction Date: 07/31/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/01/2011 Correction Date: 05/15/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/01/2011 Correction Date: 05/15/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 06/17/2010 Correction Date: 07/31/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 06/17/2010 Correction Date: 07/31/2010
Exits That Are Accessible at All Times. Inspection Date: 04/01/2011 Correction Date: 05/15/2011

Furnishings and Decorations

Properly Sized and Located Linen or Trash Receptacles. Inspection Date: 05/15/2009 Correction Date: 06/28/2009
Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 06/17/2010 Correction Date: 07/31/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 05/15/2009 Correction Date: 06/28/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 06/17/2010 Correction Date: 07/31/2010
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 04/01/2011 Correction Date: 05/15/2011

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 05/15/2009 Correction Date: 06/28/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 04/01/2011 Correction Date: 05/15/2011

Laboratories

Emergency Showers. Inspection Date: 04/01/2011 Correction Date: 05/15/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 04/01/2011 Correction Date: 05/15/2011

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 06/17/2010 Correction Date: 07/31/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 06/17/2010 Correction Date: 07/31/2010
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 04/01/2011 Correction Date: 05/15/2011

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors. Inspection Date: 06/17/2010 Correction Date: 07/31/2010