BONNIE BLUEJACKET MEMORIAL 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 Wyoming 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 09/16/2010.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/20/2009 Correction Date: 03/31/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 10/15/2009 Correction Date: 11/27/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 10/15/2009 Correction Date: 11/27/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 09/16/2010 Correction Date: 10/29/2010

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: 02/20/2009 Correction Date: 03/31/2009
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 02/20/2009 Correction Date: 03/31/2009
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: 10/15/2009 Correction Date: 11/27/2009
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 10/15/2009 Correction Date: 11/27/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 02/20/2009 Correction Date: 03/31/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 02/20/2009 Correction Date: 03/31/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 09/16/2010 Correction Date: 10/29/2010
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 09/16/2010 Correction Date: 10/29/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 09/16/2010 Correction Date: 10/29/2010
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible. Inspection Date: 09/16/2010 Correction Date: 10/29/2010

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. Inspection Date: 02/20/2009 Correction Date: 03/31/2009
Make Sure That a Doctor Approves a Resident's Admission in Writing and That Each Resident Has a Doctor. Inspection Date: 02/20/2009 Correction Date: 03/31/2009
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 02/20/2009 Correction Date: 03/31/2009
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 10/15/2009 Correction Date: 11/27/2009

Resident Rights

Give the Resident's Legal Representative the Same Rights As the Resident. Inspection Date: 02/20/2009 Correction Date: 03/31/2009
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: 02/20/2009 Correction Date: 03/31/2009
Let Residents Give Themselves Their Drugs if They Are Able. Inspection Date: 02/20/2009 Correction Date: 03/31/2009

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

Resident Rights

Provide Enough Notice Before Discharging or Transferring a Resident. Complaint Filed: 06/03/2008 Correction Date: 07/02/2008

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 Bonnie Bluejacket Memorial 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 09/16/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 02/19/2009 Correction Date: 03/31/2009
Portable Fire Extinguishers. Inspection Date: 02/19/2009 Correction Date: 03/31/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 02/19/2009 Correction Date: 03/31/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/16/2010 Correction Date: 10/25/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 02/19/2009 Correction Date: 03/31/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 09/16/2010 Correction Date: 10/25/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 10/14/2009 Correction Date: 11/09/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 02/19/2009 Correction Date: 03/31/2009