TREGO MANOR

The information below lists services this facility has provided for residents from November through November 2010. During this period, the most common type of service provided was "Special Care Low". 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 Trego Manor. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Medium Rehabilitation

Special Care Low

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 Kansas 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 04/25/2011.

Administration

Get Proof That a Nurse Aide Has the Training and Skills That the State Requires. Inspection Date: 04/06/2010 Correction Date: 05/06/2010
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 04/25/2011 Correction Date: 05/25/2011
Keep Accurate and Appropriate Medical Records. Inspection Date: 04/25/2011 Correction Date: 05/25/2011

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 04/06/2010 Correction Date: 05/06/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/06/2010 Correction Date: 05/06/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 04/06/2010 Correction Date: 05/06/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/25/2011 Correction Date: 05/25/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 04/25/2011 Correction Date: 05/25/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 04/25/2011 Correction Date: 05/25/2011
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Inspection Date: 04/25/2011 Correction Date: 05/25/2011
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property. Inspection Date: 04/25/2011 Correction Date: 05/25/2011
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: 04/25/2011 Correction Date: 05/25/2011
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 04/25/2011 Correction Date: 05/25/2011

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: 04/06/2010 Correction Date: 05/06/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 04/06/2010 Correction Date: 05/06/2010
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: 04/25/2011 Correction Date: 05/25/2011
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 04/25/2011 Correction Date: 05/25/2011
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 04/25/2011 Correction Date: 05/25/2011
Properly Mark Drugs and Other Similar Products. Inspection Date: 04/25/2011 Correction Date: 05/25/2011

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 04/06/2010 Correction Date: 05/06/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 04/06/2010 Correction Date: 05/06/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 04/06/2010 Correction Date: 05/06/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/25/2011 Correction Date: 05/25/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 04/25/2011 Correction Date: 05/25/2011
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible. Inspection Date: 04/25/2011 Correction Date: 05/25/2011
Give or Get Special Rehabilitation if in the Patient's Plan of Care. Inspection Date: 04/25/2011 Correction Date: 05/25/2011

Resident Assessment

Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 04/25/2011 Correction Date: 05/25/2011
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: 04/25/2011 Correction Date: 05/25/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/25/2011 Correction Date: 05/25/2011
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: 04/25/2011 Correction Date: 05/25/2011

Resident Rights

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: 04/25/2011 Correction Date: 05/25/2011
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: 04/25/2011 Correction Date: 05/25/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 04/25/2011 Correction Date: 05/25/2011
Give Enough Notice to the Resident Before Changing the Resident's Room or Roommate. Inspection Date: 04/25/2011 Correction Date: 05/25/2011

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.

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 Trego Manor 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 04/05/2011.

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/09/2010 Correction Date: 04/08/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 03/09/2010 Correction Date: 04/08/2010
Exits That Are Accessible at All Times. Inspection Date: 04/05/2011 Correction Date: 04/22/2011

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 03/09/2010 Correction Date: 04/08/2010
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 04/05/2011 Correction Date: 04/29/2011
Properly Located and Lighted "Exit" Signs. Inspection Date: 04/05/2011 Correction Date: 04/30/2011