GARFIELD COUNTY HEALTH 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 Montana are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-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 08/18/2010.

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 06/11/2008 Correction Date: 08/28/2008
Get Proof That a Nurse Aide Has the Training and Skills That the State Requires. Inspection Date: 06/11/2008 Correction Date: 08/28/2008
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 06/11/2008 Correction Date: 08/28/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 07/23/2009 Correction Date: 09/30/2009
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 07/23/2009 Correction Date: 09/30/2009

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 06/11/2008 Correction Date: 08/28/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 07/23/2009 Correction Date: 09/30/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 08/18/2010 Correction Date: 10/06/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 06/11/2008 Correction Date: 08/28/2008

Nutrition and Dietary

Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 06/11/2008 Correction Date: 08/28/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 06/11/2008 Correction Date: 08/28/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/18/2010 Correction Date: 10/06/2010

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 06/11/2008 Correction Date: 08/28/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 06/11/2008 Correction Date: 08/28/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 06/11/2008 Correction Date: 08/28/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 07/23/2009 Correction Date: 09/30/2009
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 08/18/2010 Correction Date: 10/06/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 08/18/2010 Correction Date: 10/06/2010

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 06/11/2008 Correction Date: 08/28/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 06/11/2008 Correction Date: 08/28/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 06/11/2008 Correction Date: 08/28/2008
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Inspection Date: 06/11/2008 Correction Date: 08/28/2008
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 07/23/2009 Correction Date: 09/30/2009

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 06/11/2008 Correction Date: 08/28/2008
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: 06/11/2008 Correction Date: 08/28/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 06/11/2008 Correction Date: 08/28/2008
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing. Inspection Date: 06/11/2008 Correction Date: 08/28/2008
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 06/11/2008 Correction Date: 08/28/2008
Make Sure That All Needed Doctor Visits Are Made Personally by a Doctor, As Required. Inspection Date: 06/11/2008 Correction Date: 08/28/2008
Make Sure That All Needed Doctor Visits Are Made Personally by a Doctor, As Required. Inspection Date: 07/23/2009 Correction Date: 09/30/2009

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 Garfield County Health 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 08/17/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 06/09/2008 Correction Date: 07/01/2008
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 06/09/2008 Correction Date: 07/01/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 06/09/2008 Correction Date: 07/01/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 07/21/2009 Correction Date: 10/01/2009

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 06/09/2008 Correction Date: 07/01/2008
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 07/21/2009 Correction Date: 10/01/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 06/09/2008 Correction Date: 07/01/2008
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/17/2010 Correction Date: 10/13/2010

Fire Alarm Systems

An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 06/09/2008 Correction Date: 07/01/2008