SMITH CENTER OPERATOR, LLC

Nursing Home Inspector

117 W 1ST STREET #369
SMITH CENTER, KS 66967
Smith County
Phone: 785-282-6696
Provider Number: 175295
Last Inspection: 04/18/2016

About the Nursing Home

Number of Beds: 35
Number of Residents: 34
Beds Available: 1
Percent Occupancy: 97%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: 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.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

30

Facility
24

County
29

KS
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

30

2016
38

2015
40

2014

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

4/18/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 5/18/2016
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 5/18/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 5/18/2016
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 5/18/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 5/18/2016
 
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 5/18/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 5/18/2016
 
Failed To: Keep all essential equipment working safely. Widespread : Minimal 5 5/18/2016
 

2/18/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 3/18/2015
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 3/18/2015
 
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 3/18/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 3/18/2015
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 3/18/2015
 
Failed To: Use a registered nurse at least 8 hours a day, 7 days a week. Widespread : Minimal 5 3/18/2015
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Isolated : Minimal 3 3/18/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 3/18/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 3/18/2015
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 3/18/2015
 

1/16/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern : Minimal 4 2/6/2014
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 2/6/2014
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 2/6/2014
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 2/6/2014
 
Failed To: Use a registered nurse at least 8 hours a day, 7 days a week. Widespread : Minimal 5 2/6/2014
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 2/6/2014
 
Failed To: Make sure that a working call system is available in each resident's room or bathroom and bathing area. Pattern : Minimal 4 2/6/2014
 
Failed To: Put firmly secured handrails on each side of hallways. Isolated : Minimal 3 2/6/2014
 
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Widespread : Minimal 5 2/6/2014
 
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 2/6/2014
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

11/16/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 12/16/2016
 
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 12/16/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 12/16/2016
 

10/8/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Review or revise the resident's care plan after any major change in physical or mental health. Isolated : Minimal 3 10/8/2015
 
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 10/8/2015
 
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 10/8/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 10/8/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg KS State Avg
Number of Residents 34 25.50 52.13
Registered Nurses 0.61 0.30 0.82
Licensed Practical / Vocational Nurses 0.39 0.20 0.65
Certified Nursing Assistants 1.57 0.78 2.63
Total Staff Hours 2.57 1.28 4.10

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% KS State Avg%
of high risk long-stay residents with pressure ulcers 3 2 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 100 93
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 97 95
of long-stay residents experiencing one or more falls with major injury 10 9 4
of long-stay residents who have depressive symptoms 10 10 6
of long-stay residents who lose too much weight 1 3 7
of long-stay residents who received an antianxiety or hypnotic medication 32 27 24
of long-stay residents who received an antipsychotic medication 26 20 19
of long-stay residents who self-report moderate to severe pain 4 6 8
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 4 17 19
of long-stay residents whose need for help with daily activities has increased 19 27 16
of long-stay residents with a catheter inserted and left in their bladder 0 0 2
of long-stay residents with a urinary tract infection 4 7 5
of low risk long-stay residents who lose control of their bowels or bladder 2 19 39
of short-stay residents assessed and appropriately given the pneumococcal vaccine 97 95 78
of short-stay residents who made improvements in function 73 Not Available   11
of short-stay residents who newly received an antipsychotic medication 8 73 70
of short-stay residents who self-report moderate to severe pain 13 8 2
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 80 25 19
of short-stay residents with pressure ulcers that are new or worsened 3 83 74