MARSHFIELD CARE CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Marshfield Care Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

MARSHFIELD CARE CENTER
800 SOUTH WHITE OAK
MARSHFIELD, MO 65706
(417) 859-3701

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

60%

Number of Residents and Certified Beds

  • Residents: 46
  • Certified Beds: 77

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Strafford | Seymour | Springfield

Resident Services

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 Marshfield Care Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-165.4%
ADL Index Range: 6-107.3%
Total Percent:12.6%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-165.4%
ADL Index Range: 6-1011.5%
ADL Index Range: 0-534.9%
Total Percent:51.7%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-169.6%
Total Percent:9.6%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- Signs of depression
5.0%
ADL Index Range: 11-14
- No Signs of depression
4.2%
Total Percent:9.2%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 6-10
- No Signs of depression
0.4%
ADL Index Range: 2-5
- Signs of depression
3.4%
ADL Index Range: 0-1
- No Signs of depression
9.2%
Total Percent:13.0%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 11-14
- Less restorative nursing
0.4%
ADL Index Range: 6-10
- Less restorative nursing
3.4%
Total Percent:3.8%
 

Rating Details For Marshfield Care Center

Nursing Staff -

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.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours38 Minutes1 Hour and 10 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours36 Minutes41 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 54 Minutes2 Hours and 22 Minutes
Total Licensed Nurse Hours1 Hour and 14 Minutes1 Hour and 51 Minutes
Total Nurse Hours3 Hours and 8 Minutes4 Hours and 13 Minutes

Quality of Care -

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.

This FacilityMissouri Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%93%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination84%88%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder6%5%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair7%3%
Percent of Long-Stay Residents Who Lose Too Much Weight4%7%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder24%38%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection9%9%
Percent of Long-Stay Residents Who Were Physically Restrained15%4%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain8%4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination70%83%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%87%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain30%20%
Percent of Short-Stay Residents Who Have Pressure Sores16%11%
Percent of Short-Stay Residents Who Have Delirium11%4%

Health Inspection Details -

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 10/08/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/22/2010

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/22/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/22/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 12/12/2008
  • Correction Date: 01/23/2009

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 01/08/2010
  • Correction Date: 02/22/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 01/08/2010
  • Correction Date: 02/22/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/22/2010

Resident Assessment

Do an Assessment of the Resident Every Year.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/22/2010
Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/22/2010
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: 10/08/2010
  • Correction Date: 11/22/2010

Resident Rights

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: 12/12/2008
  • Correction Date: 01/23/2009

Deficiencies from Complaints and Incidents

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

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 06/11/2008
  • Correction Date: 07/11/2008
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 03/23/2009
  • Correction Date: 05/01/2009

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 06/11/2008
  • Correction Date: 07/11/2008

Fire Safety

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 Marshfield 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 10/08/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 12/12/2008
  • Correction Date: 01/23/2009

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 12/12/2008
  • Correction Date: 01/23/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/22/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/22/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 01/08/2010
  • Correction Date: 02/12/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 01/08/2010
  • Correction Date: 02/12/2010
Source: Medicare Nursing Home Compare; Missouri Department of Health & Senior Services - Retrieved 2011