BEDFORD COUNTY NURSING HOME

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 Virginia 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 08/05/2010.

Administration

Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 08/05/2010 Correction Date: 09/17/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 08/05/2010 Correction Date: 09/17/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/05/2010 Correction Date: 09/17/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 07/30/2009 Correction Date: 09/13/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 08/05/2010 Correction Date: 09/17/2010

Quality Care

Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 07/30/2009 Correction Date: 09/13/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 08/05/2010 Correction Date: 09/17/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 08/05/2010 Correction Date: 09/17/2010

Resident Assessment

Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 05/22/2008 Correction Date: 06/30/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 07/30/2009 Correction Date: 09/13/2009
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: 07/30/2009 Correction Date: 09/13/2009
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: 08/05/2010 Correction Date: 09/17/2010

The table below lists incident reports by the nursing staff or administration for Bedford County Nursing Home, as well as complaints by residents or their family in the previous three years.

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Complaint Filed: 05/22/2008 Correction Date: 06/30/2008

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 Bedford County Nursing Home 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 08/12/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 08/06/2009 Correction Date: 10/19/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/06/2009 Correction Date: 10/19/2009
Portable Fire Extinguishers. Inspection Date: 08/12/2010 Correction Date: 09/26/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 08/06/2009 Correction Date: 10/19/2009
Approved Construction Type or Materials. Inspection Date: 08/12/2010 Correction Date: 09/26/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 08/12/2010 Correction Date: 09/26/2010

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 08/12/2010 Correction Date: 09/26/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/12/2010 Correction Date: 09/26/2010

Exits and Egress

Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width. Inspection Date: 08/06/2009 Correction Date: 10/19/2009

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 08/06/2009 Correction Date: 10/19/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 08/12/2010 Correction Date: 09/26/2010

Furnishings and Decorations

Restrictions on the Use of Highly Flammable Materials. Inspection Date: 08/06/2009 Correction Date: 10/19/2009
Restrictions on the Use of Highly Flammable Materials. Inspection Date: 08/12/2010 Correction Date: 09/26/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 08/06/2009 Correction Date: 10/19/2009
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 08/06/2009 Correction Date: 10/19/2009

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 08/06/2009 Correction Date: 10/19/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 08/06/2009 Correction Date: 10/19/2009