HIRAM SHADDOX GERIATRIC CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Hiram Shaddox Geriatric 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

HIRAM SHADDOX GERIATRIC CENTER
620 HOSPITAL DRIVE
MOUNTAIN HOME, AR 72653
(870) 425-6203

Nursing Home Ratings

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

Percent of Beds Occupied

49%

Number of Residents and Certified Beds

  • Residents: 40
  • Certified Beds: 81

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

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

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Nearby Cities:

Gassville | Flippin | Yellville

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 Hiram Shaddox Geriatric 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

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-160.8%
Total Percent:0.8%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-160.2%
Total Percent:0.2%
 

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: 11-161.6%
ADL Index Range: 6-105.7%
ADL Index Range: 0-54.5%
Total Percent:11.8%
 

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: 6-1029.0%
ADL Index Range: 0-519.7%
Total Percent:54.2%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.2%
ADL Index Range: 6-1013.0%
ADL Index Range: 0-57.9%
Total Percent:25.2%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.1%
ADL Index Range: 6-103.0%
ADL Index Range: 0-53.1%
Total Percent:7.3%
 

Low Rehabilitation

Rehabilitation 45 Minutes Per Week Minimum
  • Three days any combination of three rehabilitation disciplines
  • Two services of restorative nursing six days per week
ADL Index Range: 11-160.05%
ADL Index Range: 0-100.3%
Total Percent:0.3%
 

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: 2-5
- No Signs of depression
0.05%
ADL Index Range: 0-1
- No Signs of depression
0.2%
Total Percent:0.3%
 

Rating Details For Hiram Shaddox Geriatric 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) Hours55 Minutes1 Hour and 34 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 46 Minutes47 Minutes
Certified Nursing Assistant (CNA) Hours4 Hours and 10 Minutes2 Hours and 17 Minutes
Total Licensed Nurse Hours2 Hours and 41 Minutes2 Hours and 20 Minutes
Total Nurse Hours6 Hours and 51 Minutes4 Hours and 37 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 Arkansas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityArkansas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season89%95%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90%94%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Lose Too Much Weight10%7%
Percent of Long-Stay Residents Who Were Physically Restrained7%5%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse12%10%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain9%2%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection12%8%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder10%5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased15%14%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder46%42%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious21%10%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%90%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season87%90%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores5%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain29%13%
Percent of Short-Stay Residents Who Have Delirium1%3%

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 09/18/2010.

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

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Inspection Date: 09/18/2010
  • Correction Date: 10/08/2010
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 09/18/2010
  • Correction Date: 10/08/2010
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 09/18/2010
  • Correction Date: 09/18/2010
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 09/18/2010
  • Correction Date: 10/08/2010

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 01/15/2009
  • Correction Date: 02/05/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 11/13/2009
  • Correction Date: 12/11/2009
Get Rid of Garbage Properly.
  • Inspection Date: 11/13/2009
  • Correction Date: 11/13/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 11/13/2009
  • Correction Date: 12/11/2009
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 09/18/2010
  • Correction Date: 10/08/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 09/18/2010
  • Correction Date: 10/08/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 09/18/2010
  • Correction Date: 10/08/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 01/15/2009
  • Correction Date: 02/05/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 11/13/2009
  • Correction Date: 12/11/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 09/18/2010
  • Correction Date: 10/08/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 11/13/2009
  • Correction Date: 12/11/2009
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: 09/18/2010
  • Correction Date: 10/08/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 09/18/2010
  • Correction Date: 10/08/2010
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 09/18/2010
  • Correction Date: 10/08/2010

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 01/15/2009
  • Correction Date: 02/05/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 01/15/2009
  • Correction Date: 02/05/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 01/15/2009
  • Correction Date: 02/05/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 11/13/2009
  • Correction Date: 12/11/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 11/13/2009
  • Correction Date: 12/11/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 11/13/2009
  • Correction Date: 12/11/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 11/13/2009
  • Correction Date: 12/11/2009
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 09/18/2010
  • Correction Date: 10/08/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 09/18/2010
  • Correction Date: 10/08/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 09/18/2010
  • Correction Date: 10/08/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 09/18/2010
  • Correction Date: 10/08/2010
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 09/18/2010
  • Correction Date: 10/08/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 09/18/2010
  • Correction Date: 10/08/2010

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: 01/15/2009
  • Correction Date: 02/05/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 11/13/2009
  • Correction Date: 12/04/2009
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Inspection Date: 09/18/2010
  • Correction Date: 09/18/2010
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: 09/18/2010
  • Correction Date: 10/08/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 09/18/2010
  • Correction Date: 10/08/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Hiram Shaddox Geriatric 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

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Complaint Filed: 11/13/2009
  • Correction Date: 12/11/2009

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 Hiram Shaddox Geriatric 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 09/14/2010.

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

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 11/12/2009
  • Correction Date: 12/11/2009

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 11/12/2009
  • Correction Date: 12/04/2009

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 11/12/2009
  • Correction Date: 12/04/2009

Smoke Compartmentation and Control

Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage.
  • Inspection Date: 09/14/2010
  • Correction Date: 10/08/2010
Source: Medicare Nursing Home Compare; Department of Human Services of Arkansas - Office of Long Term Care - Retrieved 2011