BONO NURSING HOME

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 Oklahoma 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 11/17/2010.

Administration

Get Proof That a Nurse Aide Has the Training and Skills That the State Requires. Inspection Date: 09/16/2009 Correction Date: 10/31/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 09/16/2009 Correction Date: 10/31/2009

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 09/16/2009 Correction Date: 09/30/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 09/16/2009 Correction Date: 10/31/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 11/17/2010 Correction Date: 02/01/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 08/13/2008 Correction Date: 09/16/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 09/16/2009 Correction Date: 10/31/2009

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 08/13/2008 Correction Date: 09/17/2008
Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 08/13/2008 Correction Date: 08/22/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/16/2009 Correction Date: 10/31/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 11/17/2010 Correction Date: 12/01/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 11/17/2010 Correction Date: 11/19/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 08/13/2008 Correction Date: 10/08/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 08/13/2008 Correction Date: 09/05/2008

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 08/13/2008 Correction Date: 09/16/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 08/13/2008 Correction Date: 09/16/2008
Prevent a Loss in Range of Motion Among Residents Who Entered the Nursing Home with a Full Range of Motion. Inspection Date: 08/13/2008 Correction Date: 08/26/2008
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 08/13/2008 Correction Date: 08/26/2008
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 08/13/2008 Correction Date: 09/17/2008
Give or Get Special Rehabilitation if in the Patient's Plan of Care. Inspection Date: 08/13/2008 Correction Date: 08/20/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/16/2009 Correction Date: 10/31/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 09/16/2009 Correction Date: 10/31/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 09/16/2009 Correction Date: 10/31/2009
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 09/16/2009 Correction Date: 10/31/2009
Give or Get Special Rehabilitation if in the Patient's Plan of Care. Inspection Date: 09/16/2009 Correction Date: 10/31/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 11/17/2010 Correction Date: 02/01/2011

Resident Assessment

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: 08/13/2008 Correction Date: 10/13/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 08/13/2008 Correction Date: 09/08/2008
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: 08/13/2008 Correction Date: 09/17/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 09/16/2009 Correction Date: 10/31/2009
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: 09/16/2009 Correction Date: 10/31/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/16/2009 Correction Date: 10/31/2009
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: 09/16/2009 Correction Date: 10/31/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 11/17/2010 Correction Date: 02/07/2011
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: 11/17/2010 Correction Date: 12/20/2010

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 08/13/2008 Correction Date: 08/26/2008
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 09/16/2009 Correction Date: 10/31/2009
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Inspection Date: 11/17/2010 Correction Date: 02/01/2011
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 11/17/2010 Correction Date: 02/04/2011

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 Bono Nursing Home 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 11/18/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 08/19/2008 Correction Date: 10/13/2008

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 08/19/2008 Correction Date: 09/24/2008

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 11/18/2010 Correction Date: 11/29/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 09/16/2009 Correction Date: 10/31/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 11/18/2010 Correction Date: 12/01/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 08/19/2008 Correction Date: 09/30/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 11/18/2010 Correction Date: 12/01/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 08/19/2008 Correction Date: 09/17/2008

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 11/18/2010 Correction Date: 12/21/2010