DESERET NURSING & REHABILITATION AT OSWEGO

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Clinically Complex". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Deseret Nursing & Rehabilitation at Oswego. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

High Rehabilitation

Medium Rehabilitation

Clinically Complex

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 Kansas 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

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

1) Set Up a Group That is Legally Responsible for Writing and Setting Up Policies for Leading and Running the Nursing Home; or 2) Hire a Properly Licensed Administrator. Inspection Date: 06/11/2009 Correction Date: 07/16/2009
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 06/11/2009 Correction Date: 08/17/2009

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 04/04/2008 Correction Date: 04/30/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/04/2008 Correction Date: 04/30/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 04/04/2008 Correction Date: 04/30/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 06/11/2009 Correction Date: 07/16/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 06/11/2009 Correction Date: 09/30/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 06/11/2009 Correction Date: 09/30/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 06/11/2009 Correction Date: 07/16/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 09/08/2010 Correction Date: 10/08/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/08/2010 Correction Date: 10/08/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 09/08/2010 Correction Date: 10/08/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 09/08/2010 Correction Date: 10/08/2010

Mistreatment

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. Inspection Date: 04/04/2008 Correction Date: 04/30/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 04/04/2008 Correction Date: 04/30/2008
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 06/11/2009 Correction Date: 07/16/2009
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. Inspection Date: 06/11/2009 Correction Date: 09/30/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 06/11/2009 Correction Date: 07/16/2009
Make Sure That Residents Are Well Nourished. Inspection Date: 09/08/2010 Correction Date: 10/08/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/08/2010 Correction Date: 10/08/2010

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 04/04/2008 Correction Date: 04/30/2008
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: 06/11/2009 Correction Date: 07/16/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 06/11/2009 Correction Date: 08/17/2009
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: 10/08/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 09/08/2010 Correction Date: 10/08/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/04/2008 Correction Date: 04/30/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 04/04/2008 Correction Date: 04/30/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 04/04/2008 Correction Date: 04/30/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 06/11/2009 Correction Date: 09/30/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 06/11/2009 Correction Date: 09/30/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 06/11/2009 Correction Date: 09/30/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 06/11/2009 Correction Date: 09/30/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 06/11/2009 Correction Date: 09/30/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/08/2010 Correction Date: 10/08/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 09/08/2010 Correction Date: 10/08/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 09/08/2010 Correction Date: 10/08/2010

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: 04/04/2008 Correction Date: 04/30/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/04/2008 Correction Date: 04/30/2008
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: 04/04/2008 Correction Date: 04/30/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 06/11/2009 Correction Date: 08/17/2009
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: 06/11/2009 Correction Date: 08/17/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 06/11/2009 Correction Date: 08/17/2009
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: 06/11/2009 Correction Date: 09/30/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 09/08/2010 Correction Date: 10/08/2010
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: 10/08/2010
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: 09/08/2010 Correction Date: 10/08/2010

Resident Rights

Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure. Inspection Date: 04/04/2008 Correction Date: 04/30/2008
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 06/11/2009 Correction Date: 09/30/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 06/11/2009 Correction Date: 08/17/2009

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

The table below lists incident reports by the nursing staff or administration for Deseret Nursing & Rehabilitation at Oswego, 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: 01/12/2010 Correction Date: 01/18/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 04/22/2011 Correction Date: 05/05/2011

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 Deseret Nursing & Rehabilitation at Oswego 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 05/10/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 04/16/2009 Correction Date: 04/23/2009
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 04/16/2009 Correction Date: 04/16/2009

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 05/10/2010 Correction Date: 05/28/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/16/2009 Correction Date: 05/15/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 02/07/2008 Correction Date: 06/27/2008
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 04/16/2009 Correction Date: 04/20/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 05/10/2010 Correction Date: 05/28/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 02/07/2008 Correction Date: 06/27/2008
Exits That Are Accessible at All Times. Inspection Date: 04/16/2009 Correction Date: 05/15/2009
Exits That Are Accessible at All Times. Inspection Date: 05/10/2010 Correction Date: 05/10/2010

Fire Alarm Systems

An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 04/16/2009 Correction Date: 04/16/2009
Properly Maintained Smoke Detectors. Inspection Date: 05/10/2010 Correction Date: 05/28/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 02/07/2008 Correction Date: 06/27/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 04/16/2009 Correction Date: 05/15/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 05/10/2010 Correction Date: 05/28/2010

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs. Inspection Date: 02/07/2008 Correction Date: 06/27/2008
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 04/16/2009 Correction Date: 04/28/2009
Properly Located and Lighted "Exit" Signs. Inspection Date: 04/16/2009 Correction Date: 05/15/2009
Properly Located and Lighted "Exit" Signs. Inspection Date: 05/10/2010 Correction Date: 05/10/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 04/16/2009 Correction Date: 04/24/2009
Proper Medical Gas Storage and Administration Areas. Inspection Date: 05/10/2010 Correction Date: 06/04/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 04/16/2009 Correction Date: 04/17/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 02/07/2008 Correction Date: 06/27/2008

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 02/07/2008 Correction Date: 06/27/2008