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Sheridan County Hospital Ltcu

Details

Type of Ownership Non profit - Other
Participates in Medicare? No
Participates in Medicaid? Yes
Certified Beds 46
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: 10/18/2011

Date of last standard health inspection: 10/18/2011
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, 01/08/2010

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. 01/08/2010 01/08/2011 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/08/2010 01/08/2011 2 Some
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. 01/08/2010 01/08/2011 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. 01/08/2010 01/08/2011 2 Few
1) Hire only people with no legal history of abusing 01/08/2010 01/08/2011 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Develop and implement policies for 1) screening and training employees; and the 2) prevention 01/08/2010 01/08/2011 investigation identification
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 01/08/2010 01/08/2011 2 Some
Store, cook, and serve food in a safe and clean way. 01/08/2010 01/08/2011 2 Some
Prepare food that is nutritional 01/08/2010 01/08/2011 tasty appetizing
Store 01/08/2010 01/08/2011 and serve food in a safe and clean way. cook
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. 01/08/2010 01/08/2011 2 Few
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 01/08/2010 01/08/2011 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/08/2010 01/08/2011 2 Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 01/08/2010 01/08/2011 2 Few
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. 01/08/2010 01/08/2011 2 Few
Keep the rate of medication errors (wrong drug 01/08/2010 01/08/2011 wrong time) to less than 5%. wrong dose
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/08/2010 01/08/2011 2 Few
At least once a month 01/08/2010 01/08/2011 Few have a licensed pharmacist review each resident's
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. 01/08/2010 01/08/2011 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/08/2010 01/08/2011 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Reasonably accommodate the needs and preferences of each resident. 01/08/2010 01/08/2011 2 Few

Inspection, 02/02/2006

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. 02/02/2006 02/00/2007 2 Some
Have a program that investigates, controls and keeps infection from spreading. 02/02/2006 02/00/2007 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/02/2006 02/00/2007 2 Some
Have a program that investigates 02/02/2006 02/00/2007 Some controls and keeps infection from spreading.
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. 02/02/2006 02/00/2007 2 Some
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. 02/02/2006 02/00/2007 2 Some
1) Hire only people with no legal history of abusing 02/02/2006 02/00/2007 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
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. 02/02/2006 02/00/2007 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/02/2006 02/00/2007 2 Few

Inspection, 01/06/2005

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. 01/06/2005 01/09/2005 2 Few

Inspection, 01/07/2004

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. 01/07/2004 01/07/2005 4 Few

Inspection, 00/09/2001

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. 00/09/2001 00/08/2002 2 Some
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. 00/09/2001 00/08/2002 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. 00/09/2001 00/08/2002 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 29
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 19 hours 26 minutes 1 hour 55 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 18 hours 49 minutes 53 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 18 hours 48 minutes 1 hour 1 minute
CNA Hours
per Resident per Day
17 hours 46 minutes 20 hours 45 minutes 1 hour 38 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: 03/23/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 03/23/2011
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, 02/06/2004

Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 02/06/2004 02/08/2004 2 Many
Properly installed electrical wiring and equipment. 02/06/2004 02/06/2004 2 Few

Inspection, 00/03/2004

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/03/2004 00/05/2004 2 Many
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 00/03/2004 00/05/2004 2 Few
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 00/03/2004 01/02/2004 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. 00/03/2004 00/05/2004 2 Many

Inspection, 02/03/2003

Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A two-hour-resistant firewall separation. 02/03/2003 00/01/2004 2 Few
 

826 Eighteenth Box 167
Hoxie, KS 67740

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