DAVIS COUNTY HOSPITAL

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 05/12/2011.

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 04/23/2009 Correction Date: 05/28/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 04/23/2009 Correction Date: 05/28/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/29/2010 Correction Date: 05/28/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 04/29/2010 Correction Date: 05/28/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 05/12/2011 Correction Date: 06/02/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 05/12/2011 Correction Date: 06/02/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/23/2009 Correction Date: 05/28/2009
Make Sure That Residents Are Well Nourished. Inspection Date: 04/29/2010 Correction Date: 05/28/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/29/2010 Correction Date: 05/28/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/12/2011 Correction Date: 06/02/2011

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 04/29/2010 Correction Date: 05/28/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/23/2009 Correction Date: 05/28/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 04/23/2009 Correction Date: 05/28/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/29/2010 Correction Date: 05/28/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/29/2010 Correction Date: 05/28/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 04/29/2010 Correction Date: 05/28/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 04/29/2010 Correction Date: 05/28/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 04/29/2010 Correction Date: 05/28/2010
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: 04/29/2010 Correction Date: 05/28/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 05/12/2011 Correction Date: 06/02/2011
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 05/12/2011 Correction Date: 06/02/2011

Resident Rights

Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 04/29/2010 Correction Date: 05/28/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 04/29/2010 Correction Date: 05/28/2010
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 04/29/2010 Correction Date: 05/28/2010
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 05/12/2011 Correction Date: 06/02/2011

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 Davis County Hospital 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

Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 05/16/2011 Correction Date: 05/26/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 05/04/2010 Correction Date: 05/11/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/28/2009 Correction Date: 04/28/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 04/28/2009 Correction Date: 05/06/2009
An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 05/16/2011 Correction Date: 05/26/2011

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs. Inspection Date: 05/04/2010 Correction Date: 05/12/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 04/28/2009 Correction Date: 05/06/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 05/16/2011 Correction Date: 05/26/2011