WHITE RIVER HEALTHCARE 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 South 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

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 12/02/2010.

Administration

Get Proof That a Nurse Aide Has the Training and Skills That the State Requires. Inspection Date: 12/02/2010 Correction Date: 01/28/2011
Keep Accurate and Appropriate Medical Records. Inspection Date: 12/02/2010 Correction Date: 01/28/2011
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 12/02/2010 Correction Date: 01/28/2011

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 12/02/2010 Correction Date: 01/28/2011
Have Enough Outside Airflow. Inspection Date: 12/02/2010 Correction Date: 01/28/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 10/08/2008 Correction Date: 11/27/2008
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: 10/08/2008 Correction Date: 11/27/2008

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 10/08/2008 Correction Date: 11/27/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/08/2008 Correction Date: 11/27/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 12/02/2010 Correction Date: 01/28/2011

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 10/08/2008 Correction Date: 11/27/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 10/08/2008 Correction Date: 11/27/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 10/07/2009 Correction Date: 11/30/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 12/02/2010 Correction Date: 01/28/2011

Resident Assessment

Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home. Inspection Date: 10/08/2008 Correction Date: 11/27/2008
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: 10/07/2009 Correction Date: 11/30/2009

Resident Rights

Let Residents Give Themselves Their Drugs if They Are Able. Inspection Date: 10/08/2008 Correction Date: 11/27/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 10/07/2009 Correction Date: 11/30/2009

The table below lists incident reports by the nursing staff or administration for White River Healthcare Center, as well as complaints by residents or their family in the previous three years.

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Complaint Filed: 10/08/2008 Correction Date: 11/27/2008

Mistreatment

Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property. Complaint Filed: 10/08/2008 Correction Date: 11/27/2008

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Complaint Filed: 10/08/2008 Correction Date: 11/27/2008

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: 10/08/2008 Correction Date: 11/27/2008

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 White River Healthcare 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 12/02/2010.

Exits and Egress

Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width. Inspection Date: 10/07/2008 Correction Date: 11/27/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 10/07/2008 Correction Date: 11/27/2008