TRI-COUNTY MANOR LIVING CENTER INC

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General
City	HORTON	vs	0% Nursing Homes USA have HORTON
State attribute explanation	KS	vs	2.2% Nursing Homes USA have KS	compare KS Nursing Homes USA
Street	1890 EUCLID AVE
Zip Code	66439
Phone	7854862697
Overall Star Rating	1 (2.11 lower than average)	vs	3.11	Compare similar Overall Star Rating (1)
Health Inspections Star Rating	1 (1.83 lower than average)	vs	2.83	Compare similar Health Inspections Star Rating (1)
Nurse Staffing Star Rating	2 (1.17 lower than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (2)
Quality Measures Star Rating	1 (2.31 lower than average)	vs	3.31	Compare similar Quality Measures Star Rating (1)
RN Only Star Rating	2 (1.17 lower than average)	vs	3.17	Compare similar RN Only Star Rating (2)
Number of Certified Beds	50 (58.94 lower than average)	vs	108.94	Compare similar Number of Certified Beds (50)
Total Number of Residents	27 (64.25 lower than average)	vs	91.25	Compare similar Total Number of Residents (27)
Percent of Occupied Beds	54 % (29.65 % lower than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (54) %
Health Survey Date	1/12/2012
Fire Survey Date	7/12/2011
Sprinkler Status	Fully Sprinklered	vs	90.2% Nursing Homes USA have Fully Sprinklered
Program Participation	Medicaid	vs	3.5% Nursing Homes USA have Medicaid	compare Medicaid Nursing Homes USA
Type of Ownership	Non Profit - Corporation	vs	18.7% Nursing Homes USA have Non profit - Corporation	compare Non profit - Corporation Nursing Homes USA
Located Within a Hospital?	No	vs	93.6% Nursing Homes USA don't have Located Within a Hospital?	Compare similar don't have Located Within a Hospital?
Multi Nursing Home Ownership?	No	vs	45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils	RESIDENT	vs	66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community?	No	vs	90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey?	Yes	vs	31.3% Nursing Homes USA have Quality Indicator Survey?
Special Focus Facility?	No	vs	99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count	75.2 (17.04 higher than average)	vs	58.16
Total Enforcement Actions Count	75.2 (18.89 higher than average)	vs	56.31
# of deficiencies	38 (30.52 higher than average)	vs	7.48

Staff Information
Number of Residents	27 (64.38 lower than average)	vs	91.38
Number of RN Hours Per Resident Per Day	0.37 (0.4 lower than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	0.89 (0.05 higher than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	1.26 (0.33 lower than average)	vs	1.59
Number of CNA Hours Per Resident Per Day	75.2 (69.71 higher than average)	vs	5.49

Environmental Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 06/27/2012 date Of Correction: 07/27/2012
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 01/12/2012 date Of Correction: 02/11/2012
Deficiency #3		Scope: Some level Of Harm: 2 deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public. survey Date: 08/19/2009 date Of Correction: Not Available
Deficiency #4		Scope: Some level Of Harm: 2 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 08/19/2009 date Of Correction: Not Available
Deficiency #5		Scope: Some level Of Harm: 2 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 08/19/2009 date Of Correction: Not Available

Mistreatment Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents. survey Date: 08/31/2011 date Of Correction: 09/22/2011
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents. survey Date: 08/19/2009 date Of Correction: Not Available

Resident Rights Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential. survey Date: 08/03/2010 date Of Correction: 09/01/2010

Quality Care Deficiencies
Deficiency #1		Scope: Many level Of Harm: 2 deficiency: Use A Registered Nurse At Least 8 Hours A Day, 7 Days A Week. survey Date: 06/27/2012 date Of Correction: 07/27/2012
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function. survey Date: 06/27/2012 date Of Correction: 07/27/2012
Deficiency #3		Scope: Many level Of Harm: 2 deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being. survey Date: 01/12/2012 date Of Correction: 02/11/2012
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion. survey Date: 01/12/2012 date Of Correction: 02/11/2012
Deficiency #5		Scope: Few level Of Harm: 2 deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function. survey Date: 01/12/2012 date Of Correction: 02/11/2012
Deficiency #6		Scope: Few level Of Harm: 2 deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene. survey Date: 01/12/2012 date Of Correction: 02/11/2012
Deficiency #7		Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 01/12/2012 date Of Correction: 02/11/2012
Deficiency #8		Scope: Few level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 08/31/2011 date Of Correction: 09/22/2011
Deficiency #9		Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 08/31/2011 date Of Correction: 09/22/2011
Deficiency #10		Scope: Few level Of Harm: 2 deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function. survey Date: 08/03/2010 date Of Correction: 09/01/2010
Deficiency #11		Scope: Few level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 08/03/2010 date Of Correction: 09/01/2010
Deficiency #12		Scope: Few level Of Harm: 2 deficiency: Provide Or Obtain Dental Services For Each Resident. survey Date: 08/19/2009 date Of Correction: Not Available
Deficiency #13		Scope: Many level Of Harm: 2 deficiency: Use A Registered Nurse At Least 8 Hours A Day, 7 Days A Week. survey Date: 08/19/2009 date Of Correction: Not Available
Deficiency #14		Scope: Some level Of Harm: 2 deficiency: Develop Policies And Procedures For Influenza And Pneumococcal Immunizations. survey Date: 08/19/2009 date Of Correction: Not Available
Deficiency #15		Scope: Few level Of Harm: 2 deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion. survey Date: 08/19/2009 date Of Correction: Not Available
Deficiency #16		Scope: Few level Of Harm: 2 deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves. survey Date: 08/19/2009 date Of Correction: Not Available
Deficiency #17		Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 08/19/2009 date Of Correction: Not Available
Deficiency #18		Scope: Few level Of Harm: 2 deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident. survey Date: 08/19/2009 date Of Correction: Not Available
Deficiency #19		Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 04/01/2009 date Of Correction: 05/01/2009

Resident Assessment Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan. survey Date: 01/12/2012 date Of Correction: 02/11/2012
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured. survey Date: 08/03/2010 date Of Correction: 09/01/2010
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan. survey Date: 08/19/2009 date Of Correction: Not Available
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured. survey Date: 08/19/2009 date Of Correction: Not Available
Deficiency #5		Scope: Few level Of Harm: 2 deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional. survey Date: 08/19/2009 date Of Correction: Not Available

Pharmacy Service Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%. survey Date: 01/12/2012 date Of Correction: 02/11/2012
Deficiency #2		Scope: Some level Of Harm: 2 deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being. survey Date: 01/12/2012 date Of Correction: 02/11/2012
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor. survey Date: 08/31/2011 date Of Correction: 09/22/2011
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor. survey Date: 08/19/2009 date Of Correction: Not Available
Deficiency #5		Scope: Few level Of Harm: 2 deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being. survey Date: 08/19/2009 date Of Correction: Not Available

Nutrition and Dietary Deficiencies
Deficiency #1		Scope: Many level Of Harm: 2 deficiency: Store, Cook, And Serve Food In A Safe And Clean Way. survey Date: 08/19/2009 date Of Correction: Not Available

Quality Measures Q3
Deficiency #1	26.2 %
Percent of long-stay residents who received an antipsychotic medication	31.6 % (6.21 % higher than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	75.2 % (51.5 % higher than average)	vs	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	47.3 % (33.2 % higher than average)	vs	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	11.5 % (2.28 % higher than average)	vs	9.22 %
Percent of long-stay residents who lose too much weight	10.3:1 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	18.8 % (8.15 % higher than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	10.3:1 %
Percent of long-stay residents who have depressive symptoms	14.1 % (5.76 % lower than average)	vs	19.86 %
Percent of long-stay residents who were physically restrained	6.4 % (32.13 % lower than average)	vs	38.53 %
Percent of long-stay residents experiencing one or more falls with major injury	5.1 % (5.63 % lower than average)	vs	10.73 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	57.7 % (17.05 % lower than average)	vs	74.75 %