OZARKS METHODIST MANOR, THE MO DEFICIENCY REPORT

	Nursing Home Deficiency Report current as of November 25, 2009
Date	Deficiency	Scope	Level of Harm
12/17/2010	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
12/17/2010	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm
12/17/2010	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.	Pattern	Minimal harm or potential for actual harm
12/17/2010	corridors that are separated from common areas by walls constructed to limit the passage of smoke.	Widespread	Minimal harm or potential for actual harm
12/17/2010	corridor and hallway doors that block smoke.	Isolated	Minimal harm or potential for actual harm
12/17/2010	record of quarterly fire drills for each shift under varying conditions.	Widespread	Minimal harm or potential for actual harm
12/17/2010	an approved installation, maintenance and testing program for fire alarm systems.	Widespread	Minimal harm or potential for actual harm
12/17/2010	properly maintained smoke detectors.	Isolated	Minimal harm or potential for actual harm
12/17/2010	automatic sprinkler systems that have been maintained in working order.	Isolated	Minimal harm or potential for actual harm
12/17/2010	weekly inspections and monthly testing of generators.	Widespread	Minimal harm or potential for actual harm
01/08/2010	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.	Isolated	Minimal harm or potential for actual harm
01/08/2010	Do a new assessment after any major change in a resident's physical or mental health.	Isolated	Minimal harm or potential for actual harm
01/08/2010	Give professional services that meet a professional standard of quality.	Pattern	Minimal harm or potential for actual harm
01/08/2010	Make sure that the nursing home area is free of dangers that cause accidents.	Isolated	Actual harm
01/08/2010	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Isolated	Minimal harm or potential for actual harm
01/08/2010	Make sure that residents are safe from serious medication errors.	Isolated	Minimal harm or potential for actual harm
01/08/2010	Have enough nurses to care for every resident in a way that maximizes the resident's well being.	Pattern	Minimal harm or potential for actual harm
01/08/2010	Store, cook, and give out food in a safe and clean way.	Pattern	Minimal harm or potential for actual harm
01/08/2010	Properly mark drugs and other similar products.	Pattern	Minimal harm or potential for actual harm
01/08/2010	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Isolated	Minimal harm or potential for actual harm
01/08/2010	Follow all laws and professional standards.	Pattern	Minimal harm or potential for actual harm
01/08/2010	Train all employees on what to do in an emergency.	Pattern	Minimal harm or potential for actual harm
01/08/2010	corridor and hallway doors that block smoke.	Widespread	Minimal harm or potential for actual harm
01/08/2010	signs that state that exit doors are to be kept closed.	Pattern	Minimal harm or potential for actual harm
01/08/2010	exits that are accessible at all times.	Pattern	Minimal harm or potential for actual harm
01/08/2010	posted "No-smoking" signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed.	Widespread	Minimal harm or potential for actual harm
01/08/2010	exits that are free from obstructions and can be used at all times.	Pattern	Minimal harm or potential for actual harm
01/08/2010	proper medical gas storage and administration areas.	Isolated	Minimal harm or potential for actual harm
01/08/2010	fire safety features required by current fire safety codes.	Widespread	Minimal harm or potential for actual harm
01/08/2010	no-smoking signs where oxygen is used.	Widespread	Minimal harm or potential for actual harm
01/08/2010	properly installed electrical wiring and equipment.	Widespread	Minimal harm or potential for actual harm
01/08/2010	properly installed hallway dispensers for alcohol-based hand rub.	Isolated	Minimal harm or potential for actual harm
03/24/2009	Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care.	Pattern	Minimal harm or potential for actual harm
03/24/2009	Provide needed housekeeping and maintenance.	Pattern	Minimal harm or potential for actual harm
03/24/2009	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Isolated	Minimal harm or potential for actual harm
03/24/2009	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
03/24/2009	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Actual harm
03/24/2009	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
03/24/2009	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Pattern	Actual harm
03/24/2009	Make sure that each resident's nutritional needs were met.	Pattern	Minimal harm or potential for actual harm
03/24/2009	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Pattern	Minimal harm or potential for actual harm
03/24/2009	Provide food in a way that meets a resident's needs.	Widespread	Minimal harm or potential for actual harm
03/24/2009	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
03/24/2009	Properly mark drugs and other similar products.	Pattern	Minimal harm or potential for actual harm
03/24/2009	Have a program to keep infection from spreading.	Isolated	Minimal harm or potential for actual harm
03/24/2009	Be administered in a way that leads to the highest possible level of well being for each resident.	Widespread	Minimal harm or potential for actual harm
03/24/2009	Follow all laws and professional standards.	Pattern	Minimal harm or potential for actual harm
03/24/2009	Make sure that nurse aides show they have the skills to be able to care for residents.	Isolated	Minimal harm or potential for actual harm
03/24/2009	exits that are free from obstructions and can be used at all times.	Widespread	Minimal harm or potential for actual harm
03/24/2009	proper medical gas storage and administration areas.	Isolated	Minimal harm or potential for actual harm
03/24/2009	proper construction of ducts through walls designed to prevent smoke passage.	Isolated	Minimal harm or potential for actual harm
03/24/2009	properly installed electrical wiring and equipment.	Widespread	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