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Holmesdale Healthcare And Rehabilitation Center

Details

Type of Ownership For profit - Partnership
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 100
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: 02/06/2012

Date of last standard health inspection: 02/06/2012
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 1
Average number of Health Deficiencies in MO: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in MO: 0 - 7
Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility 01/06/2012 02/08/2012 2 Many

Inspection, 02/06/2005

Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/06/2005 02/05/2006 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/06/2005 02/05/2006 1 Some
Encode each resident 02/06/2005 02/05/2006 1 Some

Inspection, 00/06/2002

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. 00/06/2002 01/06/2003 2 Many
Train all employees on what to do in an emergency, and carry out unannounced staff drills. 00/06/2002 01/06/2003 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/06/2002 01/06/2003 1 Many
Provide adequate and comfortable lighting levels in all areas. 00/06/2002 01/06/2003 1 Some
Have a program that investigates, controls and keeps infection from spreading. 00/06/2002 01/06/2003 2 Some
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 00/06/2002 01/06/2003 2 Many
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 00/06/2002 01/06/2003 2 Few
Protect each resident from all abuse, physical punishment, and involuntary separation from others. 00/06/2002 01/06/2003 4 Few
Protect each resident from all abuse 00/06/2002 01/06/2003 and involuntary separation from others. physical punishment
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. 00/06/2002 01/06/2003 2 Some
Store, cook, and serve food in a safe and clean way. 00/06/2002 01/06/2003 2 Many
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. 00/06/2002 01/06/2003 2 Few
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 00/06/2002 01/06/2003 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/06/2002 01/06/2003 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. 00/06/2002 01/06/2003 2 Some
Ensure services provided by the nursing facility meet professional standards of quality. 00/06/2002 01/06/2003 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 00/06/2002 01/06/2003 2 Few
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. 00/06/2002 01/06/2003 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/06/2002 01/06/2003 2 Some
Reasonably accommodate the needs and preferences of each resident. 00/06/2002 01/06/2003 2 Some

Inspection, 02/08/2001

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/08/2001 02/08/2002 1 Some
Provide clean bed and bath linens that are in good condition. 02/08/2001 02/08/2002 1 Many
Have a program that investigates, controls and keeps infection from spreading. 02/08/2001 02/08/2002 2 Few
Have enough outside ventilation via a window or mechanical ventilation, or both. 02/08/2001 02/08/2002 1 Some
Provide clean bed and bath linens that are in good condition. 02/08/2001 02/08/2002 1 Many
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 02/08/2001 02/08/2002 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 02/08/2001 02/08/2002 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 02/08/2001 02/08/2002 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. 02/08/2001 02/08/2002 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Reasonably accommodate the needs and preferences of each resident. 02/08/2001 02/08/2002 2 Some

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 MO Golden Living Center, Asheville
RN Staff Only1 N/A N/A 3 out of 5 stars
Total Number of Residents 86 76 82
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 6 hours 34 minutes 1 hour 27 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 5 hours 49 minutes 28 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 6 hours 3 minutes 58 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 7 hours 51 minutes 2 hours

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: 02/06/2012

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 02/06/2012
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 MO: 5
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in MO: 0 - 5

Inspection, 02/06/2005

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 02/06/2005 02/05/2006 2 Some
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 02/06/2005 02/05/2006 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. 02/06/2005 02/05/2006 2 Some
Corridor and hallway doors that block smoke. 02/06/2005 02/05/2006 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/06/2005 02/05/2006 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 02/06/2005 02/05/2006 2 Some
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. 02/06/2005 02/05/2006 2 Some
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 02/06/2005 02/05/2006 2 Some

Inspection, 00/06/2002

Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/06/2002 01/06/2003 2 Many
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. 00/06/2002 01/06/2003 2 Many
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 00/06/2002 01/06/2003 2 Few
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 00/06/2002 01/06/2003 2 Few

Inspection, 02/08/2001

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 02/08/2001 02/08/2002 2 Few
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 02/08/2001 02/08/2002 2 Some
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/08/2001 02/08/2002 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 02/08/2001 02/08/2002 2 Some
Laboratories Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
emergency showers. 02/08/2001 02/08/2002 2 Some
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 02/08/2001 02/08/2002 2 Some
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 02/08/2001 02/08/2002 2 Some
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. 02/08/2001 02/08/2002 2 Some
 

8033 Holmes
Kansas City, MO 64131

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