MONROE CITY MANOR CARE CENTER

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". 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 Monroe City Manor Care Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Clinically Complex

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 Missouri 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

Short-Term Stay Preventive Actions

Short-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 04/14/2011.

Administration

Post Nurse Staffing Information. Inspection Date: 02/06/2009 Correction Date: 03/26/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/06/2009 Correction Date: 03/26/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 02/06/2009 Correction Date: 04/28/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/16/2010 Correction Date: 04/16/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 04/14/2011 Correction Date: 05/17/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 02/06/2009 Correction Date: 04/28/2009
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: 04/14/2011 Correction Date: 05/17/2011

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 02/06/2009 Correction Date: 04/28/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 02/06/2009 Correction Date: 04/28/2009
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 03/16/2010 Correction Date: 05/14/2010
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 04/14/2011 Correction Date: 05/17/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 04/14/2011 Correction Date: 05/17/2011

Resident Assessment

Screen Residents when They Are First Admitted to Send Them to an Area with Special Care for People with Developmental Disabilities or Mental Illness, if Needed. Inspection Date: 03/16/2010 Correction Date: 04/16/2010

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 03/16/2010 Correction Date: 04/16/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 04/14/2011 Correction Date: 05/17/2011

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.

The table below lists incident reports by the nursing staff or administration for Monroe City Manor Care Center, as well as complaints by residents or their family in the previous three years.

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 04/14/2011 Correction Date: 05/17/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 04/14/2011 Correction Date: 05/17/2011
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Complaint Filed: 04/14/2011 Correction Date: 05/17/2011

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 Monroe City Manor Care 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 04/14/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 02/06/2009 Correction Date: 03/26/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 03/16/2010 Correction Date: 04/23/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 04/14/2011 Correction Date: 05/17/2011

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 04/14/2011 Correction Date: 05/17/2011

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 04/14/2011 Correction Date: 05/17/2011
Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/14/2011 Correction Date: 05/17/2011

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 02/06/2009 Correction Date: 03/26/2009
Exits That Are Accessible at All Times. Inspection Date: 04/14/2011 Correction Date: 05/17/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 02/06/2009 Correction Date: 03/26/2009
An Automatic Smoke Detection System in All Hallways. Inspection Date: 03/16/2010 Correction Date: 04/01/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 03/16/2010 Correction Date: 04/07/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 04/14/2011 Correction Date: 05/17/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 03/16/2010 Correction Date: 04/09/2010
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 04/14/2011 Correction Date: 05/17/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 04/14/2011 Correction Date: 05/17/2011

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors. Inspection Date: 03/16/2010 Correction Date: 04/07/2010
Proper Stairway Enclosures and Vertical Shafts. Inspection Date: 04/14/2011 Correction Date: 05/17/2011