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Decatur County Hospital Ltcu

Details

Type of Ownership Non profit - Corporation
Participates in Medicare? No
Participates in Medicaid? Yes
Certified Beds 37
Continuing Care? No
Resident Council? Yes
Family Council? Yes
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 03/19/2012

Date of last standard health inspection: 03/19/2012
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in KS: 4
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in KS: 0 - 18

Inspection, 01/05/2012

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 01/05/2012 00/04/2002 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/05/2012 00/04/2002 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/05/2012 00/09/2003 2 Some
Have a program that investigates, controls and keeps infection from spreading. 01/05/2012 00/04/2002 2 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 01/05/2012 00/04/2002 2 Some
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 01/05/2012 00/04/2002 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 01/05/2012 00/09/2003 2 Few
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. 01/05/2012 00/04/2002 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/05/2012 00/09/2003 2 Some
Give each resident enough fluids to keep them healthy and prevent dehydration. 01/05/2012 00/04/2002 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 01/05/2012 00/09/2003 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 01/05/2012 00/09/2003 2 Few
Keep residents' personal and medical records private and confidential. 01/05/2012 00/04/2002 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/05/2012 00/09/2003 2 Few

Inspection, 02/07/2008

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/07/2008 02/06/2009 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/07/2008 02/06/2009 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/07/2008 02/06/2009 2 Few
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. 02/07/2008 02/06/2009 2 Few

Inspection, 01/09/2003

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/09/2003 01/08/2004 2 Some
Have a program that investigates, controls and keeps infection from spreading. 01/09/2003 01/08/2004 2 Many
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 01/09/2003 01/08/2004 2 Few
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 01/09/2003 01/08/2004 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. 01/09/2003 01/08/2004 2 Few
Store, cook, and serve food in a safe and clean way. 01/09/2003 01/08/2004 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 01/09/2003 01/08/2004 2 Some
Ensure that residents are safe from serious medication errors. 01/09/2003 01/08/2004 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/09/2003 01/08/2004 2 Some
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 01/09/2003 01/08/2004 2 Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/09/2003 01/08/2004 2 Many
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/09/2003 01/08/2004 2 Few
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 01/09/2003 01/08/2004 2 Few
Ensure residents maintain acceptable nutritional status. 01/09/2003 01/08/2004 3 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 01/09/2003 01/08/2004 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 01/09/2003 01/08/2004 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/09/2003 01/08/2004 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents to easily view the results of the nursing home's most recent inspection. 01/09/2003 01/08/2004 1 Many
Give notice to the resident before a room or roommate change. 01/09/2003 01/08/2004 2 Few

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in KS Golden Living Center, Asheville
RN Staff Only1 N/A N/A 5 out of 5 stars
Total Number of Residents 86 52 24
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 19 hours 26 minutes 1 hour 31 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 18 hours 49 minutes 56 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 18 hours 48 minutes 34 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 20 hours 45 minutes 2 hours 13 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 09/12/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 09/12/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in KS: 2
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in KS: 0 - 2

Inspection, 01/02/2009

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/02/2009 02/08/2009 2 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/02/2009 01/02/2010 2 Few
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes. 01/02/2009 03/00/2009 2 Few

Inspection, 01/01/2008

Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/01/2008 01/01/2008 2 Few

Inspection, 00/05/2008

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/05/2008 02/01/2008 2 Many
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A two-hour-resistant firewall separation. 00/05/2008 01/04/2008 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/05/2008 02/01/2008 2 Few
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 00/05/2008 02/01/2008 2 Few
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 00/05/2008 02/08/2008 2 Few
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are free from obstructions and can be used at all times. 00/05/2008 00/05/2008 2 Few
 

810 W Columbia St
Oberlin, KS 67749

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