GOOD SAMARITAN SOCIETY - ATWOOD

Nursing Home Inspector

650 LAKE ROAD #216
ATWOOD, KS 67730
Rawlins County
Phone: 785-626-9015
Provider Number: 175366
Last Inspection: 08/25/2016

About the Nursing Home

Number of Beds: 40
Number of Residents: 34
Beds Available: 6
Percent Occupancy: 85%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: Non 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

 

32

Facility
32

County
29

KS
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

32

2016
27

2015
24

2014

Medicare Ratings

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

 

Details by Inspection Date

8/25/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 9/24/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 9/24/2016
 
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 9/24/2016
 
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 9/24/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 9/24/2016
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 9/24/2016
 
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 9/24/2016
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 9/24/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 9/24/2016
 

6/10/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Actual 4 7/10/2015
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 7/10/2015
 
Failed To: Send unopened mail from residents and promptly deliver unopened mail to residents. Widespread : Minimal 5 7/10/2015
 
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Isolated : Minimal 3 7/10/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 7/10/2015
 
Failed To: Make sure that a working call system is available in each resident's room or bathroom and bathing area. Isolated : Minimal 3 7/10/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 7/10/2015
 

4/2/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 5/2/2014
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 5/2/2014
 
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 5/2/2014
 
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Isolated : Minimal 3 5/2/2014
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 5/2/2014
 
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 5/2/2014
 
Failed To: Give notice to the resident before a room or roommate change. Isolated : Minimal 3 5/2/2014
 

Complaint Investigation Deficiencies

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

7/31/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Immediate 5 7/21/2017
 

3/27/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 4/26/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 4/26/2017
 
Failed To: Employ staff that are licensed, certified, or registered in accordance with state laws. Isolated : Minimal 3 4/26/2017
 

2/2/2016 Investigation

 
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 3/2/2016
 
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Pattern : Minimal 4 3/2/2016
 
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 3/2/2016
 
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 3/2/2016
 
Failed To: Evaluate a resident’s decrease in social interaction or increase in depressive behaviors and determine if the behavioral changes were avoidable if these problems did not exist before. Isolated : Minimal 3 3/2/2016
 

3/30/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 4/29/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg KS State Avg
Number of Residents 34 34.00 52.13
Registered Nurses 0.69 0.69 0.82
Licensed Practical / Vocational Nurses 0.67 0.67 0.65
Certified Nursing Assistants 2.62 2.62 2.63
Total Staff Hours 3.98 3.98 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 2 2 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 94 94 93
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 100 95
of long-stay residents experiencing one or more falls with major injury 8 8 4
of long-stay residents who have depressive symptoms 1 1 6
of long-stay residents who lose too much weight 3 3 7
of long-stay residents who received an antianxiety or hypnotic medication 36 36 24
of long-stay residents who received an antipsychotic medication 10 10 19
of long-stay residents who self-report moderate to severe pain 25 25 8
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 14 14 19
of long-stay residents whose need for help with daily activities has increased 17 17 16
of long-stay residents with a catheter inserted and left in their bladder 5 5 2
of long-stay residents with a urinary tract infection 11 11 5
of low risk long-stay residents who lose control of their bowels or bladder 26 26 39
of short-stay residents assessed and appropriately given the pneumococcal vaccine 75 75 78
of short-stay residents who newly received an antipsychotic medication 0 Not Available   11
of short-stay residents who self-report moderate to severe pain 24 Not Available   70
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 74 0 2
of short-stay residents with pressure ulcers that are new or worsened 0 24 19