ABBEY CARE CENTER, THE MO DEFICIENCY REPORT

	Nursing Home Deficiency Report current as of November 25, 2009
Date	Deficiency	Scope	Level of Harm
04/23/2010	Properly hold, secure and manage each resident's personal money which is deposited with the nursing home.	Pattern	Minimal harm or potential for actual harm
04/23/2010	Quickly give a resident's personal money to the heads of his or her estate after the resident's death.	Isolated	Minimal harm or potential for actual harm
04/23/2010	Provide activities to meet the needs of each resident.	Isolated	Minimal harm or potential for actual harm
04/23/2010	Hire a qualified social worker; or in homes with more than 120 beds, hire a qualified full-time social worker.	Widespread	Potential for minimal harm
04/23/2010	Keep safe, clean and homelike surroundings.	Pattern	Minimal harm or potential for actual harm
04/23/2010	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm
04/23/2010	Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable.	Isolated	Minimal harm or potential for actual harm
04/23/2010	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	Isolated	Minimal harm or potential for actual harm
04/23/2010	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Isolated	Minimal harm or potential for actual harm
04/23/2010	Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.	Isolated	Minimal harm or potential for actual harm
04/23/2010	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Minimal harm or potential for actual harm
04/23/2010	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Pattern	Minimal harm or potential for actual harm
04/23/2010	Make sure that residents are safe from serious medication errors.	Isolated	Minimal harm or potential for actual harm
04/23/2010	Provide food in a way that meets a resident's needs.	Pattern	Minimal harm or potential for actual harm
04/23/2010	1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day.	Pattern	Minimal harm or potential for actual harm
04/23/2010	Have a program to keep infection from spreading.	Pattern	Minimal harm or potential for actual harm
04/23/2010	Follow all laws and professional standards.	Isolated	Minimal harm or potential for actual harm
04/23/2010	corridor and hallway doors that block smoke.	Pattern	Minimal harm or potential for actual harm
04/23/2010	proper stairway enclosures and vertical shafts.	Pattern	Minimal harm or potential for actual harm
04/23/2010	smoke barrier doors that can resist smoke for at least 20 minutes.	Pattern	Minimal harm or potential for actual harm
04/23/2010	exits that are accessible at all times.	Pattern	Minimal harm or potential for actual harm
04/23/2010	emergency lighting that can last at least 1 1/2 hours.	Pattern	Minimal harm or potential for actual harm
04/23/2010	record of quarterly fire drills for each shift under varying conditions.	Pattern	Minimal harm or potential for actual harm
04/23/2010	a fire alarm system that can be heard throughout the facility.	Pattern	Minimal harm or potential for actual harm
04/23/2010	automatic sprinkler systems that have been maintained in working order.	Pattern	Minimal harm or potential for actual harm
04/23/2010	no-smoking signs where oxygen is used.	Pattern	Minimal harm or potential for actual harm
04/23/2010	weekly inspections and monthly testing of generators.	Pattern	Minimal harm or potential for actual harm
05/13/2009	Properly hold, secure and manage each resident's personal money which is deposited with the nursing home.	Isolated	Minimal harm or potential for actual harm
05/13/2009	Provide care in a way that keeps or builds each resident's dignity and self respect.	Isolated	Minimal harm or potential for actual harm
05/13/2009	Provide services to meet the needs and preferences of each resident.	Isolated	Minimal harm or potential for actual harm
05/13/2009	Provide needed housekeeping and maintenance.	Pattern	Minimal harm or potential for actual harm
05/13/2009	Give professional services that meet a professional standard of quality.	Pattern	Minimal harm or potential for actual harm
05/13/2009	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm
05/13/2009	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	Pattern	Minimal harm or potential for actual harm
05/13/2009	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Isolated	Minimal harm or potential for actual harm
05/13/2009	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Pattern	Minimal harm or potential for actual harm
05/13/2009	Make sure that residents are safe from serious medication errors.	Isolated	Minimal harm or potential for actual harm
05/13/2009	Develop/implement required procedures for the administration of immunizations.	Pattern	Minimal harm or potential for actual harm
05/13/2009	1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day.	Pattern	Minimal harm or potential for actual harm
05/13/2009	Properly mark drugs and other similar products.	Isolated	Minimal harm or potential for actual harm
05/13/2009	Have a program to keep infection from spreading.	Pattern	Minimal harm or potential for actual harm
05/13/2009	corridor and hallway doors that block smoke.	Pattern	Minimal harm or potential for actual harm
05/13/2009	proper stairway enclosures and vertical shafts.	Widespread	Minimal harm or potential for actual harm
05/13/2009	signs that state that exit doors are to be kept closed.	Pattern	Minimal harm or potential for actual harm
05/13/2009	did not have a written emergency evacuation plan.	Widespread	Minimal harm or potential for actual harm
05/13/2009	record of quarterly fire drills for each shift under varying conditions.	Widespread	Minimal harm or potential for actual harm
05/13/2009	an approved installation, maintenance and testing program for fire alarm systems.	Widespread	Minimal harm or potential for actual harm
05/13/2009	automatic sprinkler systems that have been maintained in working order.	Widespread	Minimal harm or potential for actual harm
05/13/2009	exits that are free from obstructions and can be used at all times.	Pattern	Minimal harm or potential for actual harm
04/30/2008	Quickly give a resident's personal money to the heads of his or her estate after the resident's death.	Pattern	Minimal harm or potential for actual harm
04/30/2008	Provide care in a way that keeps or builds each resident's dignity and self respect.	Pattern	Minimal harm or potential for actual harm
04/30/2008	Provide activities to meet the needs of each resident.	Pattern	Minimal harm or potential for actual harm
04/30/2008	Provide needed housekeeping and maintenance.	Pattern	Minimal harm or potential for actual harm
04/30/2008	Give professional services that meet a professional standard of quality.	Pattern	Minimal harm or potential for actual harm
04/30/2008	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Minimal harm or potential for actual harm
04/30/2008	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Pattern	Minimal harm or potential for actual harm
04/30/2008	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	Pattern	Minimal harm or potential for actual harm
04/29/2008	automatic sprinkler systems that have been maintained in working order.	Pattern	Minimal harm or potential for actual harm
04/29/2008	exits that are free from obstructions and can be used at all times.	Pattern	Minimal harm or potential for actual harm

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Where does this data come from?

The data on this website describes nursing home characteristics, quality measures, inspection results, and nursing staff information.

The data come from 2 sources:

1. Centers for Medicare & Medicaid Services (CMS) have an Online Survey, Certification, and Reporting (OSCAR) database - Includes the nursing home characteristics and health deficiencies issued during the three most recent state inspections and recent complaint investigations.

   The survey inspection results are collected by the state survey agencies, who perform onsite visits to nursing homes . The inspections occur at least once during a 15-month period, or any time in between as a result of a complaint received by the state. The inspections ensure that the nursing home residents receive quality care and services in a safe and comfortable environment in accordance with rules established by CMS. Complaints may be reported and inspected during the year (outside of the 9-15 month survey cycle). Inspections about a complaint that result in the citation of a health deficiency are reported to CMS and included in this website. Sometimes the inspection finds a problem that the nursing home identified and corrected before the inspection occurred. The fact and the nature of these prior problems (deficiencies) may be included in this website.

   The information on the nursing homes' characteristics derived from OSCAR are prepared by each nursing home at the beginning of the regular State inspection. This information is reported by the nursing homes themselves. It is reviewed by nursing home inspectors, but not formally audited to ensure data accuracy. In addition, this information changes frequently as residents are discharged and admitted, or resident conditions change.

2. National database known as the Minimum Data Set (MDS) Repository

   The data for the quality measures come from the MDS Repository. The MDS is collected on regular intervals for every resident in a Medicare or Medicaid certified nursing home. Information is collected on the resident's health, physical functioning, mental status, and general well-being. These data are used by the nursing home to access the needs and develop a plan of care unique to each resident.

   Regulations require that a MDS assessment be performed at admission, quarterly, annually, and whenever the resident experiences a significant change in status. For residents in a Medicare Part A stay, the MDS is also used to determine the Medicare reimbursement rate. These assessments are performed on the 5th, 14th, 30th, 60th and 90th day of admission.

   All of this data is reported by the nursing homes themselves. It is reviewed by nursing home inspectors, but not formally audited to ensure that it is accurate. Every attempt is made to assure the accuracy and timeliness of this information. However, this information changes frequently as residents are discharged and admitted, or resident conditions change. We advise interpreting this information cautiously and supplementing it with information from the Ombudsman's office, the State Survey Agency, or other sources.

   Some MDS items used to calculate the quality measures consider the resident's condition during previous days prior to the assessment date. The following table provides these "observation" or "look back" time frames.

Signs of Nursing Home Abuse:

• Unexplained injuries or bruises
• Over or under medication
• Visible cuts, bruises, or welts
• Rapid weight loss or weight gain
• Dehydration, malnutrition, and bedsores
• Unsanitary living conditions
• Infections
• Broken bones
• Sudden death