FLEUR HEIGHTS CENTER FOR WELLNESS AND REHAB IA DEFICIENCY REPORT

	Nursing Home Deficiency Report current as of November 25, 2009
Date	Deficiency	Scope	Level of Harm
02/15/2011	Provide needed housekeeping and maintenance.	Pattern	Minimal harm or potential for actual harm
02/15/2011	Make sure that residents are well nourished.	Isolated	Minimal harm or potential for actual harm
02/15/2011	Have a program to keep infection from spreading.	Isolated	Minimal harm or potential for actual harm
02/14/2011	approved construction type or materials.	Isolated	Minimal harm or potential for actual harm
02/14/2011	at least two compartments on every floor to protect residents from smoke.	Isolated	Minimal harm or potential for actual harm
02/14/2011	exits that are accessible at all times.	Isolated	Minimal harm or potential for actual harm
02/14/2011	emergency lighting that can last at least 1 1/2 hours.	Widespread	Minimal harm or potential for actual harm
02/14/2011	record of quarterly fire drills for each shift under varying conditions.	Widespread	Minimal harm or potential for actual harm
02/14/2011	weekly inspections and monthly testing of generators.	Widespread	Minimal harm or potential for actual harm
02/14/2011	properly installed electrical wiring and equipment.	Isolated	Minimal harm or potential for actual harm
11/18/2009	construction that can resist fire for one hour or an approved fire extinguishing system.	Isolated	Minimal harm or potential for actual harm
11/18/2009	record of quarterly fire drills for each shift under varying conditions.	Widespread	Minimal harm or potential for actual harm
11/18/2009	a fire alarm system that can be heard throughout the facility.	Widespread	Minimal harm or potential for actual harm
11/18/2009	posted "No-smoking" signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed.	Isolated	Minimal harm or potential for actual harm
11/18/2009	fire safety features required by current fire safety codes.	Isolated	Minimal harm or potential for actual harm
11/18/2009	properly installed electrical wiring and equipment.	Isolated	Minimal harm or potential for actual harm
11/12/2009	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	Isolated	Minimal harm or potential for actual harm
11/12/2009	Provide care in a way that keeps or builds each resident's dignity and self respect.	Isolated	Minimal harm or potential for actual harm
11/12/2009	Provide activities to meet the needs of each resident.	Pattern	Minimal harm or potential for actual harm
11/12/2009	Keep safe, clean and homelike surroundings.	Pattern	Minimal harm or potential for actual harm
11/12/2009	Give professional services that meet a professional standard of quality.	Pattern	Minimal harm or potential for actual harm
11/12/2009	Give professional services that follow each resident's written care plan.	Isolated	Minimal harm or potential for actual harm
11/12/2009	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
11/12/2009	Make sure that residents are safe from serious medication errors.	Isolated	Minimal harm or potential for actual harm
11/12/2009	Have a program to keep infection from spreading.	Pattern	Minimal harm or potential for actual harm
11/12/2009	Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public.	Pattern	Minimal harm or potential for actual harm
11/12/2009	Put firmly secured handrails on each side of hallways.	Pattern	Minimal harm or potential for actual harm
11/12/2009	Follow all laws and professional standards.	Isolated	Minimal harm or potential for actual harm
01/16/2009	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	Isolated	Minimal harm or potential for actual harm
01/16/2009	Keep each resident's personal and medical records private and confidential.	Isolated	Minimal harm or potential for actual harm
01/16/2009	Keep each resident free from physical restraints, unless needed for medical treatment.	Isolated	Minimal harm or potential for actual harm
01/16/2009	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Pattern	Minimal harm or potential for actual harm
01/16/2009	Give professional services that meet a professional standard of quality.	Pattern	Minimal harm or potential for actual harm
01/16/2009	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Pattern	Minimal harm or potential for actual harm
01/16/2009	Make sure that the nursing home area is free of dangers that cause accidents.	Isolated	Actual harm
01/16/2009	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.	Isolated	Minimal harm or potential for actual harm
01/16/2009	Develop/implement required procedures for the administration of immunizations.	Pattern	Minimal harm or potential for actual harm
01/16/2009	Hire enough skilled workers to carry out dietary service.	Pattern	Minimal harm or potential for actual harm
01/16/2009	Have a program to keep infection from spreading.	Isolated	Minimal harm or potential for actual harm
01/14/2009	approved construction type or materials.	Pattern	Minimal harm or potential for actual harm
01/14/2009	fire-resistant interior walls.	Widespread	Minimal harm or potential for actual harm
01/14/2009	corridor and hallway doors that block smoke.	Isolated	Minimal harm or potential for actual harm
01/14/2009	smoke barrier doors that can resist smoke for at least 20 minutes.	Pattern	Minimal harm or potential for actual harm
01/14/2009	emergency lighting that can last at least 1 1/2 hours.	Widespread	Minimal harm or potential for actual harm
01/14/2009	record of quarterly fire drills for each shift under varying conditions.	Widespread	Minimal harm or potential for actual harm
01/14/2009	properly maintained smoke detectors.	Widespread	Minimal harm or potential for actual harm
01/14/2009	an approved automatic sprinkler system connected to the fire alarm system.	Pattern	Minimal harm or potential for actual harm
01/14/2009	automatic sprinkler systems that have been maintained in working order.	Pattern	Minimal harm or potential for actual harm
01/14/2009	portable fire extinguishers.	Widespread	Minimal harm or potential for actual harm
01/14/2009	properly protected cooking facilities.	Pattern	Minimal harm or potential for actual harm
01/14/2009	fire safety features required by current fire safety codes.	Pattern	Minimal harm or potential for actual harm
01/14/2009	no-smoking signs where oxygen is used.	Isolated	Minimal harm or potential for actual harm
01/14/2009	properly installed electrical wiring and equipment.	Pattern	Minimal harm or potential for actual harm

Have you or someone you know become a victim of nursing home abuse or neglect? If so, contact one of our experienced nursing home lawyers today. Help End Nursing Home Abuse

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