SALEM CARE CENTER

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 "Very High Rehabilitation". 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 Salem Care Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care High

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 Ohio 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 03/31/2011.

Administration

Post Nurse Staffing Information. Inspection Date: 11/20/2008 Correction Date: 01/09/2009
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: 01/14/2010 Correction Date: 02/08/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 01/14/2010 Correction Date: 02/08/2010
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 03/31/2011 Correction Date: 05/27/2011

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 11/20/2008 Correction Date: 01/09/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 11/20/2008 Correction Date: 01/09/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 11/20/2008 Correction Date: 01/09/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 01/14/2010 Correction Date: 02/08/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/31/2011 Correction Date: 05/27/2011

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: 11/20/2008 Correction Date: 01/09/2009
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: 03/31/2011 Correction Date: 05/27/2011
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 03/31/2011 Correction Date: 05/27/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/14/2010 Correction Date: 02/08/2010
Make Sure That Residents Are Well Nourished. Inspection Date: 03/31/2011 Correction Date: 06/17/2011
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served. Inspection Date: 03/31/2011 Correction Date: 06/17/2011
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/31/2011 Correction Date: 05/27/2011

Pharmacy Service

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: 11/20/2008 Correction Date: 01/09/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 11/20/2008 Correction Date: 01/09/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 11/20/2008 Correction Date: 01/09/2009

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 11/20/2008 Correction Date: 01/09/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 11/20/2008 Correction Date: 01/09/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 11/20/2008 Correction Date: 01/09/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 11/20/2008 Correction Date: 01/09/2009
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 11/20/2008 Correction Date: 01/09/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 11/20/2008 Correction Date: 01/09/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 11/20/2008 Correction Date: 01/09/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 01/14/2010 Correction Date: 02/11/2010
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 01/14/2010 Correction Date: 02/08/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 01/14/2010 Correction Date: 02/08/2010
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: 03/31/2011 Correction Date: 05/27/2011

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: 11/20/2008 Correction Date: 01/09/2009
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: 11/20/2008 Correction Date: 01/09/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 01/14/2010 Correction Date: 02/08/2010

Resident Rights

Give the Resident's Legal Representative the Same Rights As the Resident. Inspection Date: 11/20/2008 Correction Date: 01/09/2009
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: 11/20/2008 Correction Date: 01/09/2009
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 11/20/2008 Correction Date: 01/09/2009
Try to Resolve Each Resident's Complaints Quickly. Inspection Date: 03/31/2011 Correction Date: 05/27/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 03/31/2011 Correction Date: 06/17/2011
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 03/31/2011 Correction Date: 05/27/2011

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

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. Complaint Filed: 11/30/2010 Correction Date: 01/18/2011

Quality Care

Give or Get Special Rehabilitation if in the Patient's Plan of Care. Complaint Filed: 03/27/2009 Correction Date: 04/09/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Complaint Filed: 11/30/2010 Correction Date: 01/18/2011

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 Salem 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 03/31/2011.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 11/18/2008 Correction Date: 01/09/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 01/14/2010 Correction Date: 02/08/2010
Portable Fire Extinguishers. Inspection Date: 01/14/2010 Correction Date: 02/08/2010
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 01/14/2010 Correction Date: 02/08/2010
Portable Fire Extinguishers. Inspection Date: 03/31/2011 Correction Date: 05/27/2011

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 01/14/2010 Correction Date: 02/08/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 01/14/2010 Correction Date: 02/08/2010
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 03/31/2011 Correction Date: 05/27/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 11/18/2008 Correction Date: 01/09/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 01/14/2010 Correction Date: 02/08/2010

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 01/14/2010 Correction Date: 02/08/2010
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 01/14/2010 Correction Date: 02/08/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 01/14/2010 Correction Date: 02/08/2010

Fire Alarm Systems

An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 01/14/2010 Correction Date: 02/08/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 01/14/2010 Correction Date: 02/08/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 01/14/2010 Correction Date: 02/08/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 01/14/2010 Correction Date: 02/08/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 01/14/2010 Correction Date: 02/08/2010
No-Smoking Signs Where Oxygen is Used. Inspection Date: 01/14/2010 Correction Date: 02/08/2010

Vertical Openings

Protected Exits That Allow the Resident to Escape the Building. Inspection Date: 01/14/2010 Correction Date: 02/08/2010