DESERET NURSING & REHABILITATION AT OSWEGO

The information listed below provides an in-depth look into the type and quality of care offered at Deseret Nursing & Rehabilitation at Oswego. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

DESERET NURSING & REHABILITATION AT OSWEGO
1104 OHIO
OSWEGO, KS 67356
(620) 795-4429

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

60%

Number of Residents and Certified Beds

  • Residents: 24
  • Certified Beds: 40

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Chetopa | Parsons | Cherryvale

Resident Services

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.

Resident ServicesResident ConditionsPercent of Service Days

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-516.7%
Total Percent:16.7%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 0-523.3%
Total Percent:23.3%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 6-10
- No Signs of depression
18.3%
ADL Index Range: 2-5
- No Signs of depression
26.7%
ADL Index Range: 0-1
- No Signs of depression
15.0%
Total Percent:60.0%
 

Rating Details For Deseret Nursing & Rehabilitation at Oswego

Nursing Staff -

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.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours50 Minutes58 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours39 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 57 Minutes2 Hours and 18 Minutes
Total Licensed Nurse Hours1 Hour and 29 Minutes1 Hour and 36 Minutes
Total Nurse Hours3 Hours and 26 Minutes3 Hours and 54 Minutes

Quality of Care -

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.

This FacilityKansas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%91%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%93%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have Moderate to Severe Pain4%4%
Percent of Long-Stay Residents Who Were Physically Restrained1%3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder8%6%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores29%10%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse17%11%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection11%10%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder26%44%
Percent of Long-Stay Residents Who Are More Depressed or Anxious24%17%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair4%3%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores5%4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased20%14%
Percent of Long-Stay Residents Who Lose Too Much Weight5%8%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%86%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%82%

Health Inspection Details -

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.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

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

Enforcement

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.

Action TakenDateAmount
Denial of Payment for New Admission (DPNA)06/11/2009-

Deficiencies from Complaints and Incidents

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.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

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

Fire Safety

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.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

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
Source: Medicare Nursing Home Compare; Kansas Department on Aging - Retrieved 2011