Howard Twilight Manor

849 E Washington Street
Howard, KS 67349
Elk County
Phone: 620-374-2495
Provider Number: 175436
Last Inspection: 09/25/2014

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
36
Number of Residents
Number of
Residents
34
Number of Beds Available
Beds Available
2
Percent Occupancy
Percent Occupancy
94%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Resident
Type of Ownership
Type of Ownership
Government - City
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • KS
  • USA
  • 67
  • 67
  • 34
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2014
  • 2013
  • 2012
  • 67
  • 22
  • 12
Lower Numbers are Better

Details by Inspection Date

 

9/25/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) Hire only people with 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 3 1/22/2015
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 11/24/2014
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 11/24/2014
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 1/22/2015
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Pattern : Minimal 4 1/22/2015
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 1/22/2015
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 11/24/2014
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 11/24/2014
Failed To: Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Isolated : Minimal 3 1/22/2015
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 1/22/2015
Failed To: 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. Isolated : Minimal 3 11/21/2014
Failed To: Develop policies and procedures for influenza and pneumococcal immunizations. Pattern : Minimal 4 1/22/2015
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 1/22/2015
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated : Minimal 3 1/22/2015
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 11/24/2014
Failed To: Keep all essential equipment working safely. Pattern : Minimal 4 11/24/2014
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern : Minimal 4 11/24/2014
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Widespread : Minimal 5 1/22/2015
 

6/12/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Pattern : Minimal 4 7/12/2013
Failed To: Upon the death of a resident, convey the resident’s personal funds and an accounting of those funds to the appropriate party. Isolated : Minimal 3 7/12/2013
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 7/12/2013
Failed To: 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. Isolated : Minimal 3 7/12/2013
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 7/12/2013
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 7/12/2013
 

3/13/2012 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 4/11/2012
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 4/11/2012
Failed To: Make sure that a working call system is available in each resident's room or bathroom and bathing area. Widespread : Minimal 5 4/11/2012


 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg KS State Avg
Number of Residents 34 34.00 53.35
Registered Nurses 0.78 0.78 0.79
Licensed Practical / Vocational Nurses 0.59 0.59 0.61
Certified Nursing Assistants 1.67 1.67 2.60
Total Staff Hours 3.03 3.03 4.00

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% KS State Avg%
High Risk Long Stay Residents With Pressure Ulcers 0 0 5
Long Stay Residents Experiencing One or More Falls with Major Injury 11 11 4
Long Stay Residents Who Have Depressive Symptoms 14 14 7
Long Stay Residents Who Lose Too Much Weight 8 8 7
Long Stay Residents Who Received an Antipsychotic Medication 24 24 22
Long Stay Residents Who Self Report Moderate to Severe Pain 7 7 10
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 0 0 5
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 1 1 4
Long Stay Residents Who Were Physically Restrained 0 0 0
Long Stay Residents Whose Need for Help with ADLs has Increased 7 7 16
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 0 0 2
Long Stay Residents With a Urinary Tract Infection 9 9 7
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 46 46 38
Short Stay Residents Who Newly Received an Antipsychotic Medication 6 6 3
Short Stay Residents Who Self Report Moderate to Severe Pain 54 54 23
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 12 12 22
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 14 14 17
Short Stay Residents With Pressure Ulcers That Are New or Worsened 0 0 1