ASHLEY MANOR CARE CENTER
Address
1630 RADIO HILL ROAD
BOONVILLE, MO 65233
(660) 882-6584
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
77%Number of Residents and Certified Beds
- Residents: 40
- Certified Beds: 52
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Corporation
- Offers Only Resident Counseling
- This Facility is Part of a Chain or Franchise
Resident Services
The information below lists services this facility has provided for residents from October through November 2010. During this period, the most common type of service provided was "Medium Rehabilitation". 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 Ashley Manor Care Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
| Resident Services | Resident Conditions | Percent of Service Days |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
| ADL Index Range: 0-5 | 22.2% |
| Total Percent: | 22.2% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
| ADL Index Range: 0-5 | 11.1% |
| Total Percent: | 11.1% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 0-5 | 66.7% |
| Total Percent: | 66.7% |
Rating Details For Ashley Manor Care Center
Nursing Staff - 
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.
| Nursing Hours Per Resident Per Day | Reported | Expected |
| Registered Nurse (RN) Hours | 29 Minutes | 55 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 58 Minutes | 36 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 6 Minutes | 2 Hours and 26 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 27 Minutes | 1 Hour and 31 Minutes |
| Total Nurse Hours | 3 Hours and 33 Minutes | 3 Hours and 56 Minutes |
Quality of Care -
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 Missouri are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
| This Facility | Missouri Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 93% |
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 88% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Who Were Physically Restrained | 3% | 4% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 6% | 9% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 46% | 38% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | - | 3% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 9% | 9% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 3% | 4% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 5% | 7% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 9% | 11% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 6% | 10% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 2% | 5% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 1% | 3% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 12% | 11% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 83% |
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 87% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Delirium | 10% | 4% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 4% | 11% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 34% | 20% |
Health Inspection Details - 
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 02/11/2011.
Degree of Harm
- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health
Residents Affected
- Isolated
- Some Residents
- Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Environmental
Provide Needed Housekeeping and Maintenance.
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Provide Needed Housekeeping and Maintenance.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Have a Program to Keep Infection from Spreading.
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Keep All Essential Equipment Working Safely.
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Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
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Quality Care
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
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Give Professional Services That Meet a Professional Standard of Quality.
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Provide Activities to Meet the Needs of Each Resident.
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Give Professional Services That Meet a Professional Standard of Quality.
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Resident Assessment
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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Resident Rights
Provide Services to Meet the Needs and Preferences of Each Resident.
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Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
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Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Ashley Manor Care Center, as well as complaints by residents or their family in the previous three years.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Formal Complaints | Degree of Harm | Residents Affected |
Administration
Hire Nurse Aides Who Have Completed Required Training and Shown That They Are Skilled.
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Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
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Fire Safety
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 Ashley Manor 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 02/11/2011.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
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Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Portable Fire Extinguishers.
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Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
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Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Building Construction
Approved Construction Type or Materials.
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Building Service Equipment
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
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An Externally Vented Heating System.
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Properly Protected Cooking Facilities.
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Properly Protected Cooking Facilities.
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Electrical
Properly Installed Electrical Wiring and Equipment.
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Emergency Plans and Fire Drills
Did Not Have a Written Emergency Evacuation Plan.
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Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Did Not Have a Written Emergency Evacuation Plan.
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Fire Alarm Systems
A Fire Alarm System That Can Be Heard Throughout the Facility.
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Properly Maintained Smoke Detectors.
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Furnishings and Decorations
Restrictions on the Use of Flammable Curtains.
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Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Illumination and Emergency Power
Emergency Lighting That Can Last at Least 1 1/2 Hours.
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Smoking Regulations
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
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