TWG NURSING HOME INC (THE HERITAGE)

The information listed below provides an in-depth look into the type and quality of care offered at Twg Nursing Home Inc (The Heritage). 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

TWG NURSING HOME INC (THE HERITAGE)
511 N WESTERN AVE
GIRARD, KS 66743
(620) 724-8288

Nursing Home Ratings

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

Percent of Beds Occupied

82%

Number of Residents and Certified Beds

  • Residents: 41
  • Certified Beds: 50

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Arma | Frontenac | Pittsburg

Rating Details For Twg Nursing Home Inc (The Heritage)

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 DayReportedExpected
Registered Nurse (RN) Hours31 Minutes1 Hour and 4 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours38 Minutes49 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 20 Minutes2 Hours and 34 Minutes
Total Licensed Nurse Hours1 Hour and 8 Minutes1 Hour and 53 Minutes
Total Nurse Hours4 Hours and 28 Minutes4 Hours and 27 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 FacilityKansas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%91%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%93%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%6%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased4%14%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores1%10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-3%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores4%4%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder43%44%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection3%10%
Percent of Long-Stay Residents Who Were Physically Restrained2%3%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain-4%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse6%11%
Percent of Long-Stay Residents Who Lose Too Much Weight9%8%
Percent of Long-Stay Residents Who Are More Depressed or Anxious2%17%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%82%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%86%

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 07/30/2010.

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 InspectorsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 02/05/2008
  • Correction Date: 03/04/2008
Post Nurse Staffing Information.
  • Inspection Date: 07/30/2010
  • Correction Date: 08/27/2010

Environmental

Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 02/05/2008
  • Correction Date: 03/04/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 07/30/2010
  • Correction Date: 08/27/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 07/30/2010
  • Correction Date: 08/27/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 07/30/2010
  • Correction Date: 08/27/2010
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 07/30/2010
  • Correction Date: 08/27/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 02/05/2008
  • Correction Date: 03/04/2008
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: 07/30/2010
  • Correction Date: 08/27/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 07/30/2010
  • Correction Date: 08/27/2010

Nutrition and Dietary

Make Sure That the Attending Doctor Orders Special Diets.
  • Inspection Date: 02/05/2008
  • Correction Date: 03/04/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 07/30/2010
  • Correction Date: 08/27/2010

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: 02/05/2008
  • Correction Date: 03/04/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 02/05/2008
  • Correction Date: 03/04/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 02/05/2008
  • Correction Date: 03/04/2008
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: 04/02/2009
  • Correction Date: 05/01/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 04/02/2009
  • Correction Date: 05/01/2009
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: 07/30/2010
  • Correction Date: 08/27/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 07/30/2010
  • Correction Date: 08/27/2010

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 02/05/2008
  • Correction Date: 03/04/2008
Prevent a Loss in Range of Motion Among Residents Who Entered the Nursing Home with a Full Range of Motion.
  • Inspection Date: 02/05/2008
  • Correction Date: 03/04/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 04/02/2009
  • Correction Date: 05/01/2009
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 04/02/2009
  • Correction Date: 05/01/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 07/30/2010
  • Correction Date: 08/27/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 07/30/2010
  • Correction Date: 08/27/2010
Give or Get Dental Care for Each Resident.
  • Inspection Date: 07/30/2010
  • Correction Date: 08/27/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 04/02/2009
  • Correction Date: 05/01/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 04/02/2009
  • Correction Date: 05/01/2009
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: 04/02/2009
  • Correction Date: 05/01/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 07/30/2010
  • Correction Date: 08/27/2010
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: 07/30/2010
  • Correction Date: 08/27/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 07/30/2010
  • Correction Date: 08/27/2010
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: 07/30/2010
  • Correction Date: 08/27/2010

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 07/30/2010
  • Correction Date: 08/27/2010
Quickly Give a Resident's Personal Money to the Heads of His or Her Estate After the Resident's Death.
  • Inspection Date: 07/30/2010
  • Correction Date: 08/27/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 07/30/2010
  • Correction Date: 08/27/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Twg Nursing Home Inc (The Heritage), 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 ComplaintsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 04/02/2009
  • Correction Date: 01/01/1900
Keep All Essential Equipment Working Safely.
  • Complaint Filed: 04/02/2009
  • Correction Date: 01/01/1900
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Complaint Filed: 04/02/2009
  • Correction Date: 01/01/1900

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Complaint Filed: 04/02/2009
  • Correction Date: 01/01/1900

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Complaint Filed: 04/02/2009
  • Correction Date: 01/01/1900
Make Sure That the Attending Doctor Orders Special Diets.
  • Complaint Filed: 04/02/2009
  • Correction Date: 01/01/1900
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Complaint Filed: 04/02/2009
  • Correction Date: 01/01/1900

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 04/02/2009
  • Correction Date: 01/01/1900
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Complaint Filed: 04/02/2009
  • Correction Date: 01/01/1900

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Complaint Filed: 04/02/2009
  • Correction Date: 01/01/1900
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 04/02/2009
  • Correction Date: 01/01/1900

Fire Safety

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 Twg Nursing Home Inc (The Heritage) 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 04/26/2010.

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 02/04/2008
  • Correction Date: 03/05/2008
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
  • Inspection Date: 02/04/2008
  • Correction Date: 03/05/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 02/17/2009
  • Correction Date: 03/17/2009

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 02/04/2008
  • Correction Date: 03/05/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 02/17/2009
  • Correction Date: 03/17/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 02/04/2008
  • Correction Date: 03/05/2008

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 02/04/2008
  • Correction Date: 03/05/2008
An Approved Back-Up Procedure for a Faulty Fire Alarm System.
  • Inspection Date: 02/04/2008
  • Correction Date: 03/05/2008

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains.
  • Inspection Date: 02/04/2008
  • Correction Date: 03/05/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 02/04/2008
  • Correction Date: 03/05/2008

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 02/04/2008
  • Correction Date: 03/05/2008
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 02/04/2008
  • Correction Date: 03/05/2008
Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 02/04/2008
  • Correction Date: 03/05/2008

Laboratories

Emergency Showers.
  • Inspection Date: 02/04/2008
  • Correction Date: 03/05/2008

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 02/04/2008
  • Correction Date: 03/05/2008

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 02/04/2008
  • Correction Date: 03/05/2008
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 02/17/2009
  • Correction Date: 03/17/2009
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 04/26/2010
  • Correction Date: 05/25/2010
Source: Medicare Nursing Home Compare; Kansas Department on Aging - Retrieved 2011