GOLDEN LIVINGCENTER-INDEPENDENCE

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 Golden Livingcenter-Independence. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation Plus Extensive Services

Very High Rehabilitation Plus Extensive Services

High Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Extensive Services

Special Care Low

Clinically Complex

Reduced Physical Function

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 09/24/2010.

Administration

Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Train All Employees on What to Do in an Emergency. Inspection Date: 09/12/2008 Correction Date: 10/27/2008

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 09/15/2009 Correction Date: 10/30/2009

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 09/12/2008 Correction Date: 10/27/2008

Nutrition and Dietary

Hire Enough Skilled Workers to Carry out Dietary Service. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/15/2009 Correction Date: 10/30/2009

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 09/15/2009 Correction Date: 10/30/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 09/15/2009 Correction Date: 10/30/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/15/2009 Correction Date: 10/30/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 09/15/2009 Correction Date: 10/30/2009

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
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: 09/12/2008 Correction Date: 10/27/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
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: 09/12/2008 Correction Date: 10/27/2008
Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
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: 09/15/2009 Correction Date: 10/30/2009
Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home. Inspection Date: 09/15/2009 Correction Date: 10/30/2009
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 09/15/2009 Correction Date: 10/30/2009

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Bill Properly: Charged Resident for Items That Medicare or Medicaid Pays For. Inspection Date: 09/24/2010 Correction Date: 10/26/2010

The table below lists incident reports by the nursing staff or administration for Golden Livingcenter-Independence, as well as complaints by residents or their family in the previous three years.

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 07/21/2009 Correction Date: 08/21/2009

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 Golden Livingcenter-Independence 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 09/24/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 09/17/2008 Correction Date: 10/27/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 09/24/2010 Correction Date: 11/01/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/17/2008 Correction Date: 10/27/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/24/2010 Correction Date: 11/01/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 09/17/2008 Correction Date: 10/27/2008

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 09/15/2009 Correction Date: 10/30/2009

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 09/17/2008 Correction Date: 10/27/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 09/17/2008 Correction Date: 10/27/2008

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 09/17/2008 Correction Date: 10/27/2008