HOWARD TWILIGHT MANOR

The information below lists services this facility has provided for residents from October through October 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 Howard Twilight Manor. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

High Rehabilitation

Special Care Low

Clinically Complex

Reduced Physical Function

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

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 05/16/2011.

Administration

Train All Employees on What to Do in an Emergency. Inspection Date: 05/16/2011 Correction Date: 06/15/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/29/2008 Correction Date: 10/29/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 01/27/2010 Correction Date: 02/18/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 05/16/2011 Correction Date: 06/15/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/16/2011 Correction Date: 06/15/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 05/16/2011 Correction Date: 06/15/2011
Keep All Essential Equipment Working Safely. Inspection Date: 05/16/2011 Correction Date: 06/15/2011

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: 09/29/2008 Correction Date: 10/29/2008

Nutrition and Dietary

Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served. Inspection Date: 05/16/2011 Correction Date: 06/15/2011
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/16/2011 Correction Date: 06/15/2011

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: 09/29/2008 Correction Date: 10/29/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 09/29/2008 Correction Date: 10/29/2008

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: 09/29/2008 Correction Date: 10/29/2008
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 09/29/2008 Correction Date: 10/29/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 01/27/2010 Correction Date: 02/18/2010
Make Sure That Each Resident Gets Help to Keep Vision and Hearing. Inspection Date: 01/27/2010 Correction Date: 02/18/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 01/27/2010 Correction Date: 02/18/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 01/27/2010 Correction Date: 02/18/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 01/27/2010 Correction Date: 02/18/2010
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 01/27/2010 Correction Date: 02/18/2010
Give or Get Dental Care for Each Resident. Inspection Date: 01/27/2010 Correction Date: 02/18/2010
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 05/16/2011 Correction Date: 06/15/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 05/16/2011 Correction Date: 06/15/2011

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: 09/29/2008 Correction Date: 10/29/2008
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: 09/29/2008 Correction Date: 10/29/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 01/27/2010 Correction Date: 02/18/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/27/2010 Correction Date: 02/18/2010
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: 01/27/2010 Correction Date: 02/18/2010
Develop a Plan with the Resident and Family for the Resident's Care After Leaving the Nursing Home. Inspection Date: 01/27/2010 Correction Date: 02/18/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 05/16/2011 Correction Date: 06/15/2011

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: 09/29/2008 Correction Date: 10/29/2008

The table below lists incident reports by the nursing staff or administration for Howard Twilight Manor, 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: 07/31/2009 Correction Date: 08/30/2009

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 Howard Twilight Manor 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 05/16/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 10/01/2008 Correction Date: 10/15/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 10/01/2008 Correction Date: 10/15/2008

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 10/01/2008 Correction Date: 10/15/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 10/01/2008 Correction Date: 10/15/2008

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 10/01/2008 Correction Date: 10/15/2008