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Salem Home
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704 S Ash
Hillsboro, KS 67063
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0 Recommendations
Details
| Type of Ownership | Non profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 50 |
| 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: 04/18/2011
| Date of last standard health inspection: | 04/18/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Health Deficiencies for this nursing home: | 5 |
| Average number of Health Deficiencies in KS: | 11 |
| Average number of Health Deficiencies in US: | 8 |
| Range of Health Deficiencies in KS: | 0 - 60 |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the nursing home area is free of dangers that cause accidents. | 04/18/2011 | 05/17/2011 | Minimal harm or potential for actual harm | Isolated |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep each resident free from physical restraints, unless needed for medical treatment. | 04/18/2011 | 05/17/2011 | Minimal harm or potential for actual harm | Isolated |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and give out food in a safe and clean way. | 04/18/2011 | 05/17/2011 | Minimal harm or potential for actual harm | Isolated |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give each resident care and services to get or keep the highest quality of life possible. | 04/18/2011 | 05/17/2011 | Minimal harm or potential for actual harm | Isolated |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | 04/18/2011 | 05/17/2011 | Minimal harm or potential for actual harm | Isolated |
Inspection, 10/21/2010
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the nursing home area is free of dangers that cause accidents. | 10/21/2010 | 11/21/2010 | Minimal harm or potential for actual harm | Pattern |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Hire a qualified dietician. | 10/21/2010 | 11/21/2010 | Minimal harm or potential for actual harm | Pattern |
| Make sure that residents are well nourished. | 10/21/2010 | 11/21/2010 | Minimal harm or potential for actual harm | Isolated |
| Store, cook, and give out food in a safe and clean way. | 10/21/2010 | 11/21/2010 | Minimal harm or potential for actual harm | Pattern |
Resident Rights Deficiencies |
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| 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. | 10/21/2010 | 11/21/2010 | Minimal harm or potential for actual harm | Isolated |
Inspection, 02/02/2010
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the nursing home area is free of dangers that cause accidents. | 02/02/2010 | 03/01/2010 | Minimal harm or potential for actual harm | Isolated |
| Have a program to keep infection from spreading. | 02/02/2010 | 03/01/2010 | Minimal harm or potential for actual harm | Pattern |
Nutrition and Dietary Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and give out food in a safe and clean way. | 02/02/2010 | 03/01/2010 | Minimal harm or potential for actual harm | Pattern |
Pharmacy Service Deficiencies |
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| 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. | 02/02/2010 | 03/01/2010 | Minimal harm or potential for actual harm | Pattern |
| At least once a month, have a licensed pharmacist check the drugs that each resident takes. | 02/02/2010 | 03/01/2010 | Minimal harm or potential for actual harm | Pattern |
Quality Care Deficiencies |
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| 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. | 02/02/2010 | 03/01/2010 | Minimal harm or potential for actual harm | Isolated |
| Develop/implement required procedures for the administration of immunizations. | 02/02/2010 | 03/01/2010 | Potential for minimal harm | Widespread |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | 02/02/2010 | 03/01/2010 | 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. | 02/02/2010 | 03/01/2010 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep each resident's personal and medical records private and confidential. | 02/02/2010 | 03/01/2010 | Minimal harm or potential for actual harm | Isolated |
| Give enough notice to the resident before changing the resident's room or roommate. | 02/02/2010 | 03/01/2010 | Minimal harm or potential for actual harm | Isolated |
Inspection, 07/01/2009
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the nursing home area is free of dangers that cause accidents. | 07/01/2009 | 07/06/2009 | Minimal harm or potential for actual harm | Isolated |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Hire only people who have 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. | 07/01/2009 | 07/06/2009 | Minimal harm or potential for actual harm | Isolated |
Inspection, 10/13/2008
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Hire only people who have 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. | 10/13/2008 | 10/24/2008 | Minimal harm or potential for actual harm | Isolated |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | 10/13/2008 | 10/24/2008 | Minimal harm or potential for actual harm | Pattern |
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. | 10/13/2008 | 10/24/2008 | Minimal harm or potential for actual harm | Isolated |
| At least once a month, have a licensed pharmacist check the drugs that each resident takes. | 10/13/2008 | 10/24/2008 | Minimal harm or potential for actual harm | Isolated |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give professional services that meet a professional standard of quality. | 10/13/2008 | 10/24/2008 | Minimal harm or potential for actual harm | Isolated |
| Give each resident care and services to get or keep the highest quality of life possible. | 10/13/2008 | 10/24/2008 | Minimal harm or potential for actual harm | Isolated |
| Give the right treatment and services to residents who have mental or social problems adjusting. | 10/13/2008 | 10/24/2008 | 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 | 4 out of 5 stars |
| Total Number of Residents | 86 | 54 | 46 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
1 hour 29 minutes | 1 hour 20 minutes | 56 minutes |
|
RN Hours per Resident per Day |
40 minutes | 40 minutes | 35 minutes |
|
LPN/LVN Hours per Resident per Day |
49 minutes | 39 minutes | 21 minutes |
|
CNA Hours per Resident per Day |
2 hours 25 minutes | 2 hours 34 minutes | 2 hours 31 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 | 5% |
| Percent of long-stay residents given influenza vaccination during the flu season | 90+% |
| Percent of long-stay residents who are more depressed or anxious | 12% |
| Percent of long-stay residents who had a urinary tract infection | 11% |
| Percent of long-stay residents who have moderate to severe pain | 3% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 5% |
| Percent of long-stay residents who spend most of their time in bed or in a chair | 3% |
| 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 | 22% |
| Percent of long-stay residents whose need for help with daily activities has increased | 28% |
| Percent of low-risk long-stay residents who have pressure sores | 0% |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 44% |
Short-Term Residents
| Percent of long-stay residents who lose too much weight | 6% |
| Percent of short-stay residents given influenza vaccination during the flu season | 88% |
| Percent of short-stay residents who had moderate to severe pain | 27% |
| Percent of short-stay residents who have delirium | 0% |
| Percent of short-stay residents who have pressure sores | 0% |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | 88% |
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: 12/20/2010
| Automatic Sprinkler Systems in all required areas | partially sprinklered |
| Date of last standard fire safety inspection: | 12/20/2010 |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Fire Safety Deficiencies for this nursing home: | 10 |
| 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 |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| approved construction type or materials. | 12/20/2010 | 01/14/2011 | Minimal harm or potential for actual harm | Pattern |
Electrical Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| weekly inspections and monthly testing of generators. | 12/20/2010 | 01/14/2011 | Minimal harm or potential for actual harm | Widespread |
Emergency Plans and Fire Drills Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| record of quarterly fire drills for each shift under varying conditions. | 12/20/2010 | 01/19/2011 | Minimal harm or potential for actual harm | Widespread |
Exits and Egress Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| exits that are accessible at all times. | 12/20/2010 | 01/14/2011 | Minimal harm or potential for actual harm | Isolated |
Furnishings and Decorations Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| exits that are free from obstructions and can be used at all times. | 12/20/2010 | 01/14/2011 | Minimal harm or potential for actual harm | Isolated |
| restrictions on the use of flammable curtains. | 12/20/2010 | 01/19/2011 | Minimal harm or potential for actual harm | Pattern |
Hazardous Area Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| construction that can resist fire for one hour or an approved fire extinguishing system. | 12/20/2010 | 01/14/2011 | Minimal harm or potential for actual harm | Pattern |
Smoke Compartmentation and Control Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. | 12/20/2010 | 01/14/2011 | Minimal harm or potential for actual harm | Pattern |
| proper construction of ducts through walls designed to prevent smoke passage. | 12/20/2010 | 01/14/2011 | Minimal harm or potential for actual harm | Pattern |
Smoking Regulations Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| posted "No-smoking" signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed. | 12/20/2010 | 01/14/2011 | Minimal harm or potential for actual harm | Isolated |
Inspection, 10/22/2009
Building Construction Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| a two-hour-resistant firewall in common walls. | 10/22/2009 | 11/20/2009 | 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. | 10/22/2009 | 11/20/2009 | 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. | 10/22/2009 | 11/20/2009 | 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. | 10/22/2009 | 11/20/2009 | Minimal harm or potential for actual harm | Pattern |
Hazardous Area Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| construction that can resist fire for one hour or an approved fire extinguishing system. | 10/22/2009 | 11/20/2009 | Minimal harm or potential for actual harm | Pattern |
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. | 10/22/2009 | 11/20/2009 | Minimal harm or potential for actual harm | Isolated |
Inspection, 10/08/2008
Building Construction Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| a two-hour-resistant firewall in common walls. | 10/08/2008 | 10/24/2008 | Minimal harm or potential for actual harm | Pattern |
Corridor Walls and Doors Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| corridors that are separated from common areas by walls constructed to limit the passage of smoke. | 10/08/2008 | 10/24/2008 | Minimal harm or potential for actual harm | Pattern |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| weekly inspections and monthly testing of generators. | 10/08/2008 | 10/24/2008 | Minimal harm or potential for actual harm | Widespread |
| properly installed electrical wiring and equipment. | 10/08/2008 | 10/24/2008 | 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. | 10/08/2008 | 10/24/2008 | Minimal harm or potential for actual harm | Widespread |
Hazardous Area Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| construction that can resist fire for one hour or an approved fire extinguishing system. | 10/08/2008 | 10/24/2008 | Minimal harm or potential for actual harm | Pattern |
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. | 10/08/2008 | 10/24/2008 | Minimal harm or potential for actual harm | Pattern |
