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Stanton County Health Care Facility Ltcu

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404 N Chestnut Po Box 779
Johnson, KS 67855
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Details

Type of Ownership Government - County
Participates in Medicare? No
Participates in Medicaid? Yes
Certified Beds 15
Continuing Care? No
Resident Council? Yes
Family Council? No
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: 11/22/2011

Date of last standard health inspection: 11/22/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 12/01/2010 - 11/30/2011
Total number of Health Deficiencies for this nursing home: 6
Average number of Health Deficiencies in KS: 11
Average number of Health Deficiencies in US: 8
Range of Health Deficiencies in KS: 0 - 60
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 11/22/2011 12/20/2011 Minimal harm or potential for actual harm Isolated
At least once a month, have a licensed pharmacist check the drugs that each resident takes. 11/22/2011 12/20/2011 Minimal harm or potential for actual harm Isolated
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 11/22/2011 12/20/2011 Minimal harm or potential for actual harm Isolated
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care in a way that keeps or builds each resident's dignity and self respect. 11/22/2011 12/20/2011 Minimal harm or potential for actual harm Isolated
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide services to meet the needs and preferences of each resident. 08/17/2011 08/31/2011 Minimal harm or potential for actual harm Isolated
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the nursing home area is free of dangers that cause accidents. 04/20/2011 04/27/2011 Minimal harm or potential for actual harm Pattern

Inspection, 07/29/2010

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide needed housekeeping and maintenance. 07/29/2010 08/25/2010 Minimal harm or potential for actual harm Pattern
Make sure that the nursing home area is free of dangers that cause accidents. 07/29/2010 08/25/2010 Minimal harm or potential for actual harm Pattern
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly mark drugs and other similar products. 07/29/2010 08/25/2010 Minimal harm or potential for actual harm Pattern
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop/implement required procedures for the administration of immunizations. 07/29/2010 08/25/2010 Minimal harm or potential for actual harm Pattern
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Do a new assessment after any major change in a resident's physical or mental health. 07/29/2010 08/25/2010 Minimal harm or potential for actual harm Isolated
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. 07/29/2010 08/25/2010 Minimal harm or potential for actual harm Isolated

Inspection, 06/04/2009

Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that residents are well nourished. 06/04/2009 07/04/2009 Minimal harm or potential for actual harm Pattern
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 06/04/2009 07/04/2009 Minimal harm or potential for actual harm Pattern
Offer other nutritional food to each resident who will not eat the food served. 06/04/2009 07/04/2009 Minimal harm or potential for actual harm Pattern
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 06/04/2009 07/04/2009 Minimal harm or potential for actual harm Isolated
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. 06/04/2009 07/04/2009 Minimal harm or potential for actual harm Isolated
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. 06/04/2009 07/04/2009 Minimal harm or potential for actual harm Isolated
Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion. 06/04/2009 07/04/2009 Minimal harm or potential for actual harm Isolated
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. 06/04/2009 07/04/2009 Minimal harm or potential for actual harm Isolated
Make sure that each resident's nutritional needs were met. 06/04/2009 07/04/2009 Minimal harm or potential for actual harm Isolated

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 54 16
Total, Licensed Nurse Staff Hours
per Resident per Day 		1 hour 29 minutes 1 hour 20 minutes 2 hours 9 minutes
RN Hours
per Resident per Day 		40 minutes 40 minutes 1 hour 25 minutes
LPN/LVN Hours
per Resident per Day 		49 minutes 39 minutes 43 minutes
CNA Hours
per Resident per Day 		2 hours 25 minutes 2 hours 34 minutes 4 hours 27 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

Percent of high-risk long-stay residents who have pressure sores Not Available
Percent of long-stay residents given influenza vaccination during the flu season 90+%
Percent of long-stay residents who are more depressed or anxious 28%
Percent of long-stay residents who had a urinary tract infection 16%
Percent of long-stay residents who have moderate to severe pain 8%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder 9%
Percent of long-stay residents who spend most of their time in bed or in a chair 2%
Percent of long-stay residents who were assessed and given pneumococcal vaccination 90+%
Percent of long-stay residents who were physically restrained 0%
Percent of long-stay residents whose ability to move about in and around their room got worse 17%
Percent of long-stay residents whose need for help with daily activities has increased 15%
Percent of low-risk long-stay residents who have pressure sores 7%
Percent of low-risk long-stay residents who lose control of their bowels or bladder 33%

Short-Term Residents

Percent of long-stay residents who lose too much weight 13%
Percent of short-stay residents given influenza vaccination during the flu season Not Available
Percent of short-stay residents who had moderate to severe pain Not Available
Percent of short-stay residents who have delirium Not Available
Percent of short-stay residents who have pressure sores Not Available
Percent of short-stay residents who were assessed and given pneumococcal vaccination Not Available

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: 06/29/2011

Automatic Sprinkler Systems in all required areas fully sprinklered
Date of last standard fire safety inspection: 06/29/2011
Dates of Complaint Investigations: 12/01/2010 - 11/30/2011
Total number of Fire Safety Deficiencies for this nursing home: 5
Average number of Fire Safety Deficiencies in KS: 1
Average number of Fire Safety Deficiencies in US: 4
Range of Fire Safety Deficiencies in KS: 0 - 1
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
approved construction type or materials. 06/29/2011 07/06/2011 Minimal harm or potential for actual harm Pattern
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. 06/29/2011 07/20/2011 Minimal harm or potential for actual harm Widespread
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
exits that are accessible at all times. 06/29/2011 00/00/0000 Minimal harm or potential for actual harm Pattern
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
a fire alarm system that can be heard throughout the facility. 06/29/2011 07/07/2011 Minimal harm or potential for actual harm Widespread
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
emergency lighting that can last at least 1 1/2 hours. 06/29/2011 07/06/2011 Minimal harm or potential for actual harm Widespread

Inspection, 06/03/2010

Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
a two-hour-resistant firewall in common walls. 06/03/2010 06/25/2010 Minimal harm or potential for actual harm Isolated
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. 06/03/2010 06/25/2010 Minimal harm or potential for actual harm Widespread
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
properly sized and located linen or trash receptacles. 06/03/2010 06/25/2010 Minimal harm or potential for actual harm Isolated

Inspection, 04/28/2009

Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
approved construction type or materials. 04/28/2009 05/04/2009 Minimal harm or potential for actual harm Isolated
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
properly protected cooking facilities. 04/28/2009 04/29/2009 Minimal harm or potential for actual harm Isolated
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
corridor and hallway doors that block smoke. 04/28/2009 04/30/2009 Minimal harm or potential for actual harm Isolated
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
properly installed electrical wiring and equipment. 04/28/2009 04/29/2009 Minimal harm or potential for actual harm Isolated