SIMMONS LOVING CARE HEALTH FACILITY

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 Indiana 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 09/30/2010.

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 08/28/2008 Correction Date: 01/29/2009
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 08/28/2008 Correction Date: 10/17/2008
Quickly Tell the Resident's Doctor the Results of Lab Tests. Inspection Date: 08/28/2008 Correction Date: 10/17/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 08/28/2008 Correction Date: 10/17/2008
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 10/23/2009 Correction Date: 11/22/2009
Quickly Tell the Resident's Doctor the Results of Lab Tests. Inspection Date: 10/23/2009 Correction Date: 11/22/2009
Give Lab Tests Only when the Attending Doctor Ordered Them. Inspection Date: 09/30/2010 Correction Date: 10/30/2010
Quickly Tell the Resident's Doctor the Results of Lab Tests. Inspection Date: 09/30/2010 Correction Date: 10/30/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 09/30/2010 Correction Date: 10/30/2010
Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 09/30/2010 Correction Date: 10/30/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/28/2008 Correction Date: 10/17/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 08/28/2008 Correction Date: 10/17/2008
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 10/23/2009 Correction Date: 11/22/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 09/30/2010 Correction Date: 10/30/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 08/28/2008 Correction Date: 01/29/2009
Keep Each Resident Free from Drugs That Restrain Them, Unless Needed for Medical Treatment. Inspection Date: 08/28/2008 Correction Date: 10/17/2008

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 08/28/2008 Correction Date: 10/17/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/28/2008 Correction Date: 01/29/2009
Provide Food in a Way That Meets a Resident's Needs. Inspection Date: 10/23/2009 Correction Date: 11/22/2009
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day. Inspection Date: 10/23/2009 Correction Date: 11/22/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/23/2009 Correction Date: 11/22/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/30/2010 Correction Date: 10/30/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 08/28/2008 Correction Date: 10/17/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 08/28/2008 Correction Date: 10/17/2008
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: 10/23/2009 Correction Date: 11/22/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 10/23/2009 Correction Date: 11/22/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 09/30/2010 Correction Date: 10/30/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 08/28/2008 Correction Date: 01/29/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/28/2008 Correction Date: 10/17/2008
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 08/28/2008 Correction Date: 01/29/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 08/28/2008 Correction Date: 01/29/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 08/28/2008 Correction Date: 01/29/2009
Give or Get Special Rehabilitation if in the Patient's Plan of Care. Inspection Date: 08/28/2008 Correction Date: 01/29/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 10/23/2009 Correction Date: 11/22/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 09/30/2010 Correction Date: 10/30/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 08/28/2008 Correction Date: 10/17/2008
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: 08/28/2008 Correction Date: 10/17/2008
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing. Inspection Date: 08/28/2008 Correction Date: 10/17/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 10/23/2009 Correction Date: 11/22/2009
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: 10/23/2009 Correction Date: 11/22/2009
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: 10/23/2009 Correction Date: 11/22/2009
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing. Inspection Date: 10/23/2009 Correction Date: 11/22/2009

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: 08/28/2008 Correction Date: 01/29/2009
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: 10/23/2009 Correction Date: 11/22/2009

The table below lists incident reports by the nursing staff or administration for Simmons Loving Care Health Facility, 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: 05/25/2011 Correction Date: 06/24/2011

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Complaint Filed: 12/01/2008 Correction Date: 01/29/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 05/25/2011 Correction Date: 06/24/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Complaint Filed: 05/25/2011 Correction Date: 06/24/2011

Resident Rights

Tell the Resident or the Resident's Representative in Writing How Long the Nursing Home Will Hold the Resident's Bed when the Resident Temporarily Leaves the Facility. Complaint Filed: 02/04/2009 Correction Date: 03/06/2009

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 Simmons Loving Care Health Facility 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 11/10/2010.

Automatic Sprinkler Systems

Portable Fire Extinguishers. Inspection Date: 09/04/2008 Correction Date: 10/04/2008

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 11/10/2010 Correction Date: 02/09/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/04/2008 Correction Date: 10/14/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 11/10/2010 Correction Date: 02/09/2011

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 11/20/2009 Correction Date: 12/20/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 11/10/2010 Correction Date: 03/10/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 09/04/2008 Correction Date: 10/04/2008
Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 11/20/2009 Correction Date: 12/20/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 11/20/2009 Correction Date: 12/20/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 11/10/2010 Correction Date: 02/09/2011

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 09/04/2008 Correction Date: 10/04/2008
Exits That Are Accessible at All Times. Inspection Date: 11/20/2009 Correction Date: 12/20/2009

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 11/10/2010 Correction Date: 03/10/2011

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains. Inspection Date: 11/10/2010 Correction Date: 02/09/2011

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 11/10/2010 Correction Date: 03/10/2011

Medical Gases and Anesthetizing Areas

Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen. Inspection Date: 09/04/2008 Correction Date: 10/04/2008
Proper Medical Gas Storage and Administration Areas. Inspection Date: 11/20/2009 Correction Date: 12/20/2009
Proper Medical Gas Storage and Administration Areas. Inspection Date: 11/10/2010 Correction Date: 02/09/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 09/04/2008 Correction Date: 10/04/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 11/10/2010 Correction Date: 02/09/2011

Vertical Openings

Proper Stairway Enclosures and Vertical Shafts. Inspection Date: 11/10/2010 Correction Date: 02/09/2011