JACOBSON MEMORIAL HOSPITAL 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 North Dakota 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

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 01/20/2011.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 03/18/2009 Correction Date: 01/01/1900
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 03/18/2009 Correction Date: 01/01/1900

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/18/2009 Correction Date: 04/30/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 01/28/2010 Correction Date: 03/04/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 01/28/2010 Correction Date: 03/04/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 01/20/2011 Correction Date: 03/16/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 01/20/2011 Correction Date: 02/24/2011

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: 03/18/2009 Correction Date: 04/30/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 03/18/2009 Correction Date: 04/30/2009
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 01/20/2011 Correction Date: 03/16/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/18/2009 Correction Date: 04/30/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/20/2011 Correction Date: 02/24/2011

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 03/18/2009 Correction Date: 04/30/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 03/18/2009 Correction Date: 04/30/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 01/28/2010 Correction Date: 03/04/2010

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 03/18/2009 Correction Date: 04/30/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/20/2011 Correction Date: 02/24/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 01/20/2011 Correction Date: 03/17/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 01/20/2011 Correction Date: 02/24/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 01/20/2011 Correction Date: 02/24/2011

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: 01/20/2011 Correction Date: 02/24/2011

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 03/18/2009 Correction Date: 01/01/1900
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 01/20/2011 Correction Date: 01/01/1900
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 01/20/2011 Correction Date: 01/01/1900
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care. Inspection Date: 01/20/2011 Correction Date: 03/17/2011
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 01/20/2011 Correction Date: 03/17/2011

The table below lists incident reports by the nursing staff or administration for Jacobson Memorial Hospital Care Center, 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: 07/24/2008 Correction Date: 09/26/2008

Nutrition and Dietary

Use Properly Trained Paid Feeding Assistants, Provide Licensed Nursing Supervision of the Feeding Assistants, or Properly Monitor the Feeding of Its Residents. Complaint Filed: 07/24/2008 Correction Date: 09/23/2008

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 07/24/2008 Correction Date: 09/26/2008

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. Complaint Filed: 07/24/2008 Correction Date: 09/05/2008

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 Jacobson Memorial Hospital 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 01/20/2011.

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 01/27/2009 Correction Date: 02/18/2009