SIMMONS LOVING CARE HEALTH FACILITY IN DEFICIENCY REPORT

	Nursing Home Deficiency Report current as of November 25, 2009
Date	Deficiency	Scope	Level of Harm
11/10/2010	corridor and hallway doors that block smoke.	Pattern	Potential for minimal harm
11/10/2010	proper stairway enclosures and vertical shafts.	Widespread	Minimal harm or potential for actual harm
11/10/2010	walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.	Pattern	Potential for minimal harm
11/10/2010	emergency lighting that can last at least 1 1/2 hours.	Widespread	Minimal harm or potential for actual harm
11/10/2010	record of quarterly fire drills for each shift under varying conditions.	Widespread	Minimal harm or potential for actual harm
11/10/2010	a fire alarm system that can be heard throughout the facility.	Widespread	Minimal harm or potential for actual harm
11/10/2010	properly protected cooking facilities.	Widespread	Minimal harm or potential for actual harm
11/10/2010	restrictions on the use of flammable curtains.	Widespread	Minimal harm or potential for actual harm
11/10/2010	proper medical gas storage and administration areas.	Pattern	Minimal harm or potential for actual harm
11/10/2010	weekly inspections and monthly testing of generators.	Widespread	Minimal harm or potential for actual harm
09/30/2010	Keep safe, clean and homelike surroundings.	Pattern	Minimal harm or potential for actual harm
09/30/2010	Give professional services that follow each resident's written care plan.	Isolated	Minimal harm or potential for actual harm
09/30/2010	Store, cook, and give out food in a safe and clean way.	Pattern	Minimal harm or potential for actual harm
09/30/2010	Properly mark drugs and other similar products.	Isolated	Minimal harm or potential for actual harm
09/30/2010	Give lab tests only when the attending doctor ordered them.	Isolated	Minimal harm or potential for actual harm
09/30/2010	Quickly tell the resident's doctor the results of lab tests.	Isolated	Minimal harm or potential for actual harm
09/30/2010	Keep accurate and appropriate medical records.	Pattern	Minimal harm or potential for actual harm
09/30/2010	Have a detailed, written plan for disasters and emergencies.	Widespread	Minimal harm or potential for actual harm
11/20/2009	weekly inspections and monthly testing of generators.	Widespread	Minimal harm or potential for actual harm
11/20/2009	exits that are accessible at all times.	Pattern	Minimal harm or potential for actual harm
11/20/2009	did not have a written emergency evacuation plan.	Widespread	Minimal harm or potential for actual harm
11/20/2009	record of quarterly fire drills for each shift under varying conditions.	Widespread	Potential for minimal harm
11/20/2009	proper medical gas storage and administration areas.	Widespread	Minimal harm or potential for actual harm
10/23/2009	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Isolated	Minimal harm or potential for actual harm
10/23/2009	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Isolated	Minimal harm or potential for actual harm
10/23/2009	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.	Isolated	Minimal harm or potential for actual harm
10/23/2009	Give professional services that follow each resident's written care plan.	Pattern	Minimal harm or potential for actual harm
10/23/2009	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
10/23/2009	Provide food in a way that meets a resident's needs.	Isolated	Minimal harm or potential for actual harm
10/23/2009	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	Potential for minimal harm
10/23/2009	Store, cook, and give out food in a safe and clean way.	Isolated	Minimal harm or potential for actual harm
10/23/2009	Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.	Isolated	Minimal harm or potential for actual harm
10/23/2009	Properly mark drugs and other similar products.	Isolated	Minimal harm or potential for actual harm
10/23/2009	Give or get lab tests to meet the needs of residents.	Isolated	Minimal harm or potential for actual harm
10/23/2009	Quickly tell the resident's doctor the results of lab tests.	Isolated	Minimal harm or potential for actual harm
10/23/2009	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
10/23/2009	Keep safe, clean and homelike surroundings.	Isolated	Minimal harm or potential for actual harm
09/04/2008	corridor and hallway doors that block smoke.	Pattern	Minimal harm or potential for actual harm
09/04/2008	exits that are accessible at all times.	Pattern	Minimal harm or potential for actual harm
09/04/2008	record of quarterly fire drills for each shift under varying conditions.	Widespread	Potential for minimal harm
09/04/2008	portable fire extinguishers.	Pattern	Minimal harm or potential for actual harm
09/04/2008	fire safety features required by current fire safety codes.	Widespread	Minimal harm or potential for actual harm
09/04/2008	proper fire barriers, ventilation and signs for the transport of oxygen.	Pattern	Minimal harm or potential for actual harm
08/28/2008	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
08/28/2008	Keep each resident free from physical restraints, unless needed for medical treatment.	Pattern	Minimal harm or potential for actual harm
08/28/2008	Keep each resident free from drugs that restrain them, unless needed for medical treatment.	Isolated	Minimal harm or potential for actual harm
08/28/2008	Provide activities to meet the needs of each resident.	Pattern	Minimal harm or potential for actual harm
08/28/2008	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Isolated	Minimal harm or potential for actual harm
08/28/2008	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Isolated	Minimal harm or potential for actual harm
08/28/2008	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
08/28/2008	Give professional services that follow each resident's written care plan.	Pattern	Minimal harm or potential for actual harm
08/28/2008	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Isolated	Actual harm
08/28/2008	Make sure that the nursing home area is free of dangers that cause accidents.	Isolated	Minimal harm or potential for actual harm
08/28/2008	Make sure that each resident's nutritional needs were met.	Isolated	Actual harm
08/28/2008	Make sure that residents are well nourished.	Pattern	Minimal harm or potential for actual harm
08/28/2008	Store, cook, and give out food in a safe and clean way.	Isolated	Minimal harm or potential for actual harm
08/28/2008	Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.	Isolated	Minimal harm or potential for actual harm
08/28/2008	Give or get special rehabilitation if in the patient's plan of care.	Isolated	Minimal harm or potential for actual harm
08/28/2008	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	Isolated	Minimal harm or potential for actual harm
08/28/2008	Properly mark drugs and other similar products.	Isolated	Minimal harm or potential for actual harm
08/28/2008	Have a program to keep infection from spreading.	Pattern	Minimal harm or potential for actual harm
08/28/2008	Be administered in a way that leads to the highest possible level of well being for each resident.	Pattern	Minimal harm or potential for actual harm
08/28/2008	Give or get lab tests to meet the needs of residents.	Isolated	Minimal harm or potential for actual harm
08/28/2008	Quickly tell the resident's doctor the results of lab tests.	Isolated	Minimal harm or potential for actual harm
08/28/2008	Keep accurate and appropriate medical records.	Pattern	Potential for minimal 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