ATCHISON SENIOR VILLAGE

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 05/17/2010.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/10/2008 Correction Date: 04/09/2008
Provide Bedrooms That Don't Allow Residents to See Each Other when Privacy is Needed. Inspection Date: 03/10/2008 Correction Date: 04/09/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 03/16/2009 Correction Date: 04/06/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/16/2009 Correction Date: 04/06/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/17/2010 Correction Date: 05/30/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/10/2008 Correction Date: 04/09/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/16/2009 Correction Date: 04/06/2009

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: 03/10/2008 Correction Date: 04/09/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 03/10/2008 Correction Date: 04/09/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 03/10/2008 Correction Date: 04/09/2008
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: 03/16/2009 Correction Date: 04/06/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 03/16/2009 Correction Date: 04/06/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 03/16/2009 Correction Date: 04/06/2009
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: 05/17/2010 Correction Date: 05/30/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 05/17/2010 Correction Date: 05/30/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 05/17/2010 Correction Date: 05/30/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 05/17/2010 Correction Date: 05/30/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 03/10/2008 Correction Date: 04/09/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 03/16/2009 Correction Date: 04/06/2009

Resident Rights

Send and Promptly Deliver Unopened Mail to Residents. Inspection Date: 05/17/2010 Correction Date: 05/30/2010
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care. Inspection Date: 05/17/2010 Correction Date: 05/30/2010

The table below lists incident reports by the nursing staff or administration for Atchison Senior Village, as well as complaints by residents or their family in the previous three years.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 01/29/2009 Correction Date: 01/29/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 08/13/2009 Correction Date: 08/18/2009

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: 08/13/2009 Correction Date: 08/18/2009

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 Atchison Senior Village 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 02/04/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 04/14/2008 Correction Date: 04/30/2008
Portable Fire Extinguishers. Inspection Date: 04/14/2008 Correction Date: 04/30/2008

Building Construction

Approved Construction Type or Materials. Inspection Date: 04/14/2008 Correction Date: 04/30/2008
Approved Construction Type or Materials. Inspection Date: 11/18/2008 Correction Date: 12/15/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/14/2008 Correction Date: 04/30/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 02/04/2010 Correction Date: 02/06/2010
Properly Constructed Windows in Hallway Walls or Doors. Inspection Date: 02/04/2010 Correction Date: 03/04/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 11/18/2008 Correction Date: 12/15/2008

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 11/18/2008 Correction Date: 12/15/2008
Properly Maintained Smoke Detectors. Inspection Date: 11/18/2008 Correction Date: 12/15/2008
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 02/04/2010 Correction Date: 03/04/2010
Properly Maintained Smoke Detectors. Inspection Date: 02/04/2010 Correction Date: 03/04/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 11/18/2008 Correction Date: 12/15/2008
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 11/18/2008 Correction Date: 12/15/2008

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 04/14/2008 Correction Date: 05/13/2008
Properly Located and Lighted "Exit" Signs. Inspection Date: 04/14/2008 Correction Date: 04/30/2008
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 11/18/2008 Correction Date: 12/15/2008
Proper Backup Exit Lighting. Inspection Date: 02/04/2010 Correction Date: 03/04/2010
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 02/04/2010 Correction Date: 03/04/2010

Laboratories

Emergency Showers. Inspection Date: 04/14/2008 Correction Date: 04/30/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 04/14/2008 Correction Date: 04/30/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 02/04/2010 Correction Date: 02/04/2010