SUNNY BROOK LIVING 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 Iowa 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 09/09/2010.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 09/09/2010 Correction Date: 10/14/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/04/2008 Correction Date: 10/04/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 09/04/2008 Correction Date: 10/04/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 09/04/2008 Correction Date: 10/04/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/27/2009 Correction Date: 09/27/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 08/27/2009 Correction Date: 09/27/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 09/09/2010 Correction Date: 10/14/2010

Mistreatment

Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property. Inspection Date: 08/27/2009 Correction Date: 09/27/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 09/09/2010 Correction Date: 10/14/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/04/2008 Correction Date: 10/04/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/27/2009 Correction Date: 09/27/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/09/2010 Correction Date: 10/14/2010

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: 09/04/2008 Correction Date: 10/04/2008
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: 08/27/2009 Correction Date: 09/27/2009

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: 09/04/2008 Correction Date: 10/04/2008
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 09/04/2008 Correction Date: 10/04/2008

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

Administration

Follow All Laws and Professional Standards. Complaint Filed: 08/27/2009 Correction Date: 09/27/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 04/07/2010 Correction Date: 06/02/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 07/29/2010 Correction Date: 08/29/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 01/06/2011 Correction Date: 01/07/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 01/27/2011 Correction Date: 01/28/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 02/01/2011 Correction Date: 02/24/2011

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Complaint Filed: 07/01/2009 Correction Date: 08/01/2009
Hire a Qualified Dietician. Complaint Filed: 08/27/2009 Correction Date: 09/27/2009

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Complaint Filed: 07/01/2009 Correction Date: 08/01/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Complaint Filed: 08/27/2009 Correction Date: 09/27/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Complaint Filed: 08/27/2009 Correction Date: 09/27/2009

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 Sunny Brook Living 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 09/14/2010.

Automatic Sprinkler Systems

Portable Fire Extinguishers. Inspection Date: 08/29/2008 Correction Date: 09/29/2008
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 09/01/2009 Correction Date: 09/14/2009

Building Construction

A Two-Hour-Resistant Firewall in Common Walls. Inspection Date: 08/29/2008 Correction Date: 09/29/2008
A Two-Hour-Resistant Firewall in Common Walls. Inspection Date: 09/01/2009 Correction Date: 10/01/2009
Approved Construction Type or Materials. Inspection Date: 09/01/2009 Correction Date: 09/14/2009
Approved Construction Type or Materials. Inspection Date: 09/14/2010 Correction Date: 09/22/2010

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 09/14/2010 Correction Date: 10/14/2010

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 08/29/2008 Correction Date: 09/29/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 08/29/2008 Correction Date: 09/29/2008

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 09/01/2009 Correction Date: 10/01/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 09/01/2009 Correction Date: 10/01/2009
An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 09/01/2009 Correction Date: 09/14/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 09/01/2009 Correction Date: 10/01/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 09/01/2009 Correction Date: 10/01/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 09/14/2010 Correction Date: 09/22/2010