WELLSVILLE MANOR

The information listed below provides an in-depth look into the type and quality of care offered at Wellsville Manor. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

WELLSVILLE MANOR
304 W 7TH ST
WELLSVILLE, KS 66092
(785) 883-4101

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only

Overall Rating

Percent of Beds Occupied

69%

Number of Residents and Certified Beds

Residents: 35
Certified Beds: 51

This Facility Accepts

Medicare
Medicaid

Operational Details

Operated By For Profit - Corporation
Offers Both Resident and Family Counseling Services
This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Baldwin City | Gardner | Ottawa

Resident Services

The information below lists services this facility has provided for residents from October through December 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 Wellsville Manor. 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

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	7.0%
ADL Index Range: 6-10	6.1%
ADL Index Range: 0-5	14.8%
Total Percent:	27.8%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 11-16	13.0%
ADL Index Range: 6-10	8.3%
ADL Index Range: 0-5	45.7%
Total Percent:	67.0%

Extensive Services

Tracheostomy care
Ventilator or respirator
Isolation for active infectious disease while a resident
Activities of Daily Living (ADL) score of 2 or more

ADL Index Range: 2-16 - Isolation for active infectious disease	4.3%
Total Percent:	4.3%

Reduced Physical Function

Urinary and/or bowel training program
Passive and/or active range of motion (ROM)
Amputation/prosthesis training
Dressing or grooming training
Eating or swallowing training
Transfer training
Splint or brace assistance
Bed mobility and/or walking training
Communication training

ADL Index Range: 0-1 - Less restorative nursing	0.9%
Total Percent:	0.9%

Rating Details For Wellsville Manor

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	26 Minutes	1 Hour and 15 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	37 Minutes	41 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 22 Minutes	2 Hours and 9 Minutes
Total Licensed Nurse Hours	1 Hour and 3 Minutes	1 Hour and 56 Minutes
Total Nurse Hours	3 Hours and 25 Minutes	4 Hours and 5 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 Kansas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This Facility

Kansas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	91%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	93%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	27%	44%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	15%	10%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	12%	17%
Percent of Long-Stay Residents Who Were Physically Restrained	-	3%
Percent of Long-Stay Residents Who Lose Too Much Weight	3%	8%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	9%	6%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	7%	14%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	-	4%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	16%	4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	4%	3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	8%	10%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	14%	11%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	82%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	86%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores	11%	10%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	29%	20%
Percent of Short-Stay Residents Who Have Delirium	1%	4%

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 11/10/2010.

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

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 07/11/2008 Correction Date: 09/04/2008
Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person. Inspection Date: 07/11/2008 Correction Date: 11/19/2008
Post Nurse Staffing Information. Inspection Date: 08/13/2009 Correction Date: 09/12/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 08/13/2009 Correction Date: 09/12/2009
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 08/13/2009 Correction Date: 09/12/2009
Post Nurse Staffing Information. Inspection Date: 11/10/2010 Correction Date: 12/17/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/11/2008 Correction Date: 10/21/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 08/13/2009 Correction Date: 09/12/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/13/2009 Correction Date: 09/12/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 08/13/2009 Correction Date: 09/12/2009
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 08/13/2009 Correction Date: 09/12/2009
Have Enough Outside Airflow. Inspection Date: 08/13/2009 Correction Date: 09/12/2009
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 08/13/2009 Correction Date: 09/12/2009
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 11/10/2010 Correction Date: 12/17/2010

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Inspection Date: 07/11/2008 Correction Date: 11/19/2008
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property. Inspection Date: 07/11/2008 Correction Date: 11/19/2008

Nutrition and Dietary

Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 07/11/2008 Correction Date: 09/04/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/11/2008 Correction Date: 09/04/2008
Provide Special Eating Equipment and Utensils for Each Resident Who Needs Them. Inspection Date: 08/13/2009 Correction Date: 09/12/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/13/2009 Correction Date: 09/12/2009

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 07/11/2008 Correction Date: 09/04/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 07/11/2008 Correction Date: 09/04/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 07/11/2008 Correction Date: 11/19/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 07/11/2008 Correction Date: 09/04/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 07/11/2008 Correction Date: 10/21/2008
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 07/11/2008 Correction Date: 09/04/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 08/13/2009 Correction Date: 09/12/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/13/2009 Correction Date: 09/12/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 08/13/2009 Correction Date: 09/12/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 08/13/2009 Correction Date: 09/12/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 08/13/2009 Correction Date: 09/12/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 08/13/2009 Correction Date: 09/12/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 08/13/2009 Correction Date: 09/12/2009
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Inspection Date: 08/13/2009 Correction Date: 09/12/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 11/10/2010 Correction Date: 12/17/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 11/10/2010 Correction Date: 01/13/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 07/11/2008 Correction Date: 09/04/2008
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: 08/13/2009 Correction Date: 09/12/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 08/13/2009 Correction Date: 09/12/2009
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: 08/13/2009 Correction Date: 09/12/2009

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 07/11/2008 Correction Date: 09/04/2008
Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure. Inspection Date: 07/11/2008 Correction Date: 09/04/2008
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: 08/13/2009 Correction Date: 09/12/2009
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 08/13/2009 Correction Date: 09/12/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 08/13/2009 Correction Date: 09/12/2009
Make Sure That Private Space is Available in the Nursing Home for Resident Groups or Residents' Families to Meet. Inspection Date: 08/13/2009 Correction Date: 09/12/2009

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action Taken	Date	Amount
Civil Money Penalty (CMP)	08/12/2010	$3,250
Civil Money Penalty (CMP)	08/13/2009	$5,000
Denial of Payment for New Admission (DPNA)	08/13/2009	-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Wellsville Manor, 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