BRIGHTON PLACE WEST

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 10/04/2010.

Administration

Post Nurse Staffing Information. Inspection Date: 07/16/2008 Correction Date: 08/15/2008

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 07/16/2008 Correction Date: 08/15/2008
Keep Sound Levels Comfortable. Inspection Date: 07/16/2008 Correction Date: 08/15/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/16/2008 Correction Date: 08/15/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 07/16/2008 Correction Date: 08/15/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 07/16/2008 Correction Date: 08/15/2008

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/16/2008 Correction Date: 08/15/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/04/2010 Correction Date: 10/30/2010

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: 07/16/2008 Correction Date: 08/15/2008
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 07/16/2008 Correction Date: 08/15/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 07/16/2008 Correction Date: 08/15/2008
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: 10/04/2010 Correction Date: 10/30/2010

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 07/16/2008 Correction Date: 08/15/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 07/16/2008 Correction Date: 08/15/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 07/16/2008 Correction Date: 08/15/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 07/16/2008 Correction Date: 08/15/2008
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 07/16/2008 Correction Date: 08/15/2008

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 07/16/2008 Correction Date: 08/15/2008
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 07/16/2008 Correction Date: 08/15/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 07/16/2008 Correction Date: 08/15/2008
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: 07/16/2008 Correction Date: 08/15/2008

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: 07/16/2008 Correction Date: 08/15/2008
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 07/16/2008 Correction Date: 08/15/2008
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 07/16/2008 Correction Date: 08/15/2008
Have a Private Telephone Available for Use. Inspection Date: 07/16/2008 Correction Date: 08/15/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 07/16/2008 Correction Date: 08/15/2008

The table below lists incident reports by the nursing staff or administration for Brighton Place West, 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: 06/18/2008 Correction Date: 06/26/2008
Provide Needed Housekeeping and Maintenance. Complaint Filed: 10/04/2010 Correction Date: 10/30/2010

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. Complaint Filed: 09/08/2009 Correction Date: 09/10/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Complaint Filed: 09/08/2009 Correction Date: 09/10/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Complaint Filed: 09/08/2009 Correction Date: 09/10/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Complaint Filed: 10/04/2010 Correction Date: 10/30/2010

Quality Care

Give or Get Dental Care for Each Resident. Complaint Filed: 09/08/2009 Correction Date: 09/10/2009
Give or Get Dental Care for Each Resident. Complaint Filed: 10/04/2010 Correction Date: 10/30/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Complaint Filed: 09/08/2009 Correction Date: 09/10/2009
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: 09/08/2009 Correction Date: 09/10/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Complaint Filed: 09/08/2009 Correction Date: 09/10/2009
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. Complaint Filed: 10/04/2010 Correction Date: 10/30/2010

Resident Rights

Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Complaint Filed: 10/04/2010 Correction Date: 10/30/2010

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 Brighton Place West 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 07/09/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 07/09/2010 Correction Date: 08/08/2010
Portable Fire Extinguishers. Inspection Date: 07/09/2010 Correction Date: 08/08/2010

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 07/09/2010 Correction Date: 08/08/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 07/09/2010 Correction Date: 08/08/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 01/10/2008 Correction Date: 02/09/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 07/09/2010 Correction Date: 08/08/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 07/09/2010 Correction Date: 08/08/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 01/10/2008 Correction Date: 02/09/2008
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 07/09/2010 Correction Date: 08/08/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 07/09/2010 Correction Date: 08/08/2010
Restrictions on the Use of Flammable Curtains. Inspection Date: 07/09/2010 Correction Date: 08/08/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 01/10/2008 Correction Date: 02/09/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 07/09/2010 Correction Date: 08/08/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 01/10/2008 Correction Date: 01/10/2008
Proper Backup Exit Lighting. Inspection Date: 07/09/2010 Correction Date: 08/08/2010

Interior Finish

Fire-Resistant Room Wall Surfaces. Inspection Date: 07/09/2010 Correction Date: 08/08/2010

Laboratories

Emergency Showers. Inspection Date: 01/10/2008 Correction Date: 01/10/2008

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 07/09/2010 Correction Date: 08/08/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 07/09/2010 Correction Date: 08/08/2010