ARKANSAS VALLEY REGIONAL MEDICAL CENTER- NURSING 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 Colorado 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 04/08/2010.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 03/05/2008 Correction Date: 04/07/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 03/02/2009 Correction Date: 04/08/2009
Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person. Inspection Date: 03/02/2009 Correction Date: 04/08/2009
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 04/08/2010 Correction Date: 05/13/2010
Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 04/08/2010 Correction Date: 05/13/2010
Train All Employees on What to Do in an Emergency. Inspection Date: 04/08/2010 Correction Date: 05/13/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/05/2008 Correction Date: 04/07/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/02/2009 Correction Date: 06/05/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 03/02/2009 Correction Date: 04/08/2009

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: 03/02/2009 Correction Date: 04/08/2009
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: 04/08/2010 Correction Date: 05/13/2010

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 03/05/2008 Correction Date: 04/07/2008
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 03/05/2008 Correction Date: 04/07/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/05/2008 Correction Date: 04/07/2008
Hire Enough Skilled Workers to Carry out Dietary Service. Inspection Date: 03/02/2009 Correction Date: 06/05/2009
Make Sure That Residents Are Well Nourished. Inspection Date: 03/02/2009 Correction Date: 06/05/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 03/02/2009 Correction Date: 04/08/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/02/2009 Correction Date: 04/08/2009
Hire Enough Skilled Workers to Carry out Dietary Service. Inspection Date: 04/08/2010 Correction Date: 05/13/2010
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 04/08/2010 Correction Date: 05/13/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/08/2010 Correction Date: 05/13/2010

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: 04/08/2010 Correction Date: 05/13/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 04/08/2010 Correction Date: 05/13/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 03/05/2008 Correction Date: 04/07/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 03/05/2008 Correction Date: 04/07/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 03/02/2009 Correction Date: 04/08/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 03/02/2009 Correction Date: 04/08/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 03/02/2009 Correction Date: 04/08/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 04/08/2010 Correction Date: 05/13/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 04/08/2010 Correction Date: 05/13/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/08/2010 Correction Date: 05/13/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/08/2010 Correction Date: 05/13/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 04/08/2010 Correction Date: 05/13/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 04/08/2010 Correction Date: 05/13/2010
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Inspection Date: 04/08/2010 Correction Date: 05/13/2010

Resident Assessment

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: 03/05/2008 Correction Date: 04/07/2008
Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner. Inspection Date: 03/02/2009 Correction Date: 04/08/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 03/02/2009 Correction Date: 04/08/2009
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 03/02/2009 Correction Date: 06/05/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/08/2010 Correction Date: 05/13/2010

Resident Rights

Give the Resident's Legal Representative the Same Rights As the Resident. Inspection Date: 03/02/2009 Correction Date: 04/08/2009
Help and Prepare Each Resident for a Safe and Easy Discharge and Transfer from the Nursing Home. Inspection Date: 03/02/2009 Correction Date: 04/08/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 03/02/2009 Correction Date: 04/08/2009
Give the Resident's Legal Representative the Same Rights As the Resident. Inspection Date: 04/08/2010 Correction Date: 05/13/2010
Let Residents Give Themselves Their Drugs if They Are Able. Inspection Date: 04/08/2010 Correction Date: 05/13/2010
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 04/08/2010 Correction Date: 05/13/2010

The table below lists incident reports by the nursing staff or administration for Arkansas Valley Regional Medical Center- Nursing Center, 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: 05/29/2008 Correction Date: 07/03/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 04/08/2010 Correction Date: 05/13/2010

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Complaint Filed: 04/08/2010 Correction Date: 05/13/2010
Provide Food in a Way That Meets a Resident's Needs. Complaint Filed: 04/08/2010 Correction Date: 05/13/2010
Make Sure That the Attending Doctor Orders Special Diets. Complaint Filed: 04/08/2010 Correction Date: 05/13/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 05/29/2008 Correction Date: 07/03/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 05/29/2008 Correction Date: 07/03/2008
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Complaint Filed: 04/08/2010 Correction Date: 05/13/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Complaint Filed: 05/29/2008 Correction Date: 07/03/2008

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 04/08/2010 Correction Date: 05/13/2010

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 Arkansas Valley Regional Medical Center- Nursing 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 05/05/2010.

Automatic Sprinkler Systems

Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 04/03/2008 Correction Date: 05/13/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/24/2009 Correction Date: 04/10/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 05/05/2010 Correction Date: 05/26/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 04/03/2008 Correction Date: 05/13/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/03/2008 Correction Date: 05/13/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/24/2009 Correction Date: 04/10/2009

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/03/2008 Correction Date: 05/13/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/05/2010 Correction Date: 05/26/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 05/05/2010 Correction Date: 05/26/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 04/03/2008 Correction Date: 05/13/2008

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 04/03/2008 Correction Date: 05/13/2008
An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 04/03/2008 Correction Date: 05/13/2008

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains. Inspection Date: 04/03/2008 Correction Date: 05/13/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 04/03/2008 Correction Date: 05/13/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 05/05/2010 Correction Date: 05/26/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 05/05/2010 Correction Date: 05/26/2010

Medical Gases and Anesthetizing Areas

Properly Constructed Piped-In Oxygen Systems. Inspection Date: 04/03/2008 Correction Date: 05/13/2008
Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen. Inspection Date: 05/05/2010 Correction Date: 05/26/2010