| General |
| City |
| Clay Center |
Highland |
| State attribute explanation |
| Ks |
Ks |
| Street |
| 715 Liberty Po Box 517 |
402 South Ave Po Box 117 |
| Zip Code |
| 67,432 |
66,035 |
| Phone |
| 7,856,325,696 |
7,854,423,217 |
|
Overall Star Rating |
| 4 |
5 |
|
Health Inspections Star Rating |
| 4 |
4 |
|
Nurse Staffing Star Rating |
| 4 |
2 |
|
Quality Measures Star Rating |
| 3 |
5 |
|
RN Only Star Rating |
| 4 |
3 |
|
Number of Certified Beds |
| 51 |
44 |
|
Total Number of Residents |
| 42 |
41 |
|
Percent of Occupied Beds |
| 82 % |
93 % |
| Health Survey Date |
| 5/8/2012 |
10/17/2011 |
| Fire Survey Date |
| 2/7/2012 |
3/14/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Resident |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| Yes |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 6 |
11 |
|
| Staff Information |
| Number of Residents |
| 42 |
41 |
| Number of RN Hours Per Resident Per Day |
| 0.64 |
0.57 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.87 |
0.51 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.51 |
1.08 |
| Number of CNA Hours Per Resident Per Day |
| 0.1 |
0.05 |
| Number Therapy Hours Per Resident Per Day |
| 0.1 |
0.05 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 02/25/2010date Of Correction: 03/26/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 06/21/2012date Of Correction: 07/18/2012 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 04/28/2009date Of Correction: Not Available |
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.survey Date: 02/25/2010date Of Correction: 03/26/2010 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.survey Date: 02/25/2010date Of Correction: 03/26/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Give Notice To The Resident Before A Room Or Roommate Change.survey Date: 04/28/2009date Of Correction: Not Available |
| Deficiency #2 |
|
Scope: Manylevel Of Harm: 1deficiency: Send And Promptly Deliver Unopened Mail To Residents.survey Date: 04/28/2009date Of Correction: Not Available |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 02/25/2010date Of Correction: 03/26/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.survey Date: 04/28/2009date Of Correction: Not Available |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 04/28/2009date Of Correction: Not Available |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 04/28/2009date Of Correction: Not Available |
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 04/28/2009date Of Correction: Not Available |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 04/28/2009date Of Correction: Not Available |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: 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: 02/25/2010date Of Correction: 03/26/2010 |
Scope: Fewlevel Of Harm: 2deficiency: 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: 04/28/2009date Of Correction: Not Available |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: 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: 02/25/2010date Of Correction: 03/26/2010 |
Scope: Fewlevel Of Harm: 2deficiency: 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: 04/28/2009date Of Correction: Not Available |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 23.7 (74.7) |
22.9 % |
| Percent of long-stay residents who lose too much weight |
| 7.9:1 |
5.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 7 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 7.9:1 |
2.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 12.1:1 |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 75.2 % |
75.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 24.3 % |
25.5 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 23 % |
6.9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 9.7 % |
1.3 % |
| Percent of long-stay residents who lose too much weight |
| 6.3 % |
2.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 43.4 % |
38.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.2 % |
2.4 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.4 % |
1.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 7.7 % |
1.8 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 21.2:1 |
14.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 26.5 % |
5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 95.3 % |
97.6 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 88.7 % |
93.3 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
75.2 % |