BIRCH VIEW NURSING CENTER

Nursing Home Inspector

RR 2, BOX 2215
BIRCH TREE, MO 65438
Shannon County
Phone: 573-292-3212
Provider Number: 265368
Last Inspection: 10/06/2017

About the Nursing Home

Number of Beds: 90
Number of Residents: 38
Beds Available: 52
Percent Occupancy: 42%
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

 

14

Facility
14

County
21

MO
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

14

2017
26

2016
23

2015

Medicare Ratings

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

 

Details by Inspection Date

10/6/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Isolated : Minimal 3 11/17/2017
 
Failed To: Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. Pattern : Minimal 4 11/17/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 11/17/2017
 
Failed To: Operate and provide services according to Federal, State, and local laws and professional standards. Pattern : Minimal 4 11/17/2017
 

12/14/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide activities to meet the interests and needs of each resident. Pattern : Minimal 4 1/27/2017
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 1/27/2017
 
Failed To: Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. Isolated : Minimal 3 1/27/2017
 
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 1/27/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 1/27/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 1/27/2017
 
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 1/27/2017
 

10/8/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Reasonably accommodate the needs and preferences of each resident. Isolated : Minimal 3 11/16/2015
 
Failed To: Review or revise the resident's care plan after any major change in physical or mental health. Isolated : Minimal 3 11/16/2015
 
Failed To: Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. Isolated : Minimal 3 11/16/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 11/16/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 11/16/2015
 
Failed To: Make sure that a working call system is available in each resident's room or bathroom and bathing area. Pattern : Minimal 4 11/16/2015
 
Failed To: Ensure that all nurse aids who have worked less than 4 months are enrolled in appropriate training or have been deemed competent to provide nursing and nursing related services. Pattern : Minimal 4 11/16/2015
 

Complaint Investigation Deficiencies

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

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MO State Avg
Number of Residents 38 38.00 74.26
Registered Nurses 0.92 0.92 0.60
Licensed Practical / Vocational Nurses 0.93 0.93 0.72
Certified Nursing Assistants 2.64 2.64 2.43
Total Staff Hours 4.49 4.49 3.75

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% MO State Avg%
of high risk long-stay residents with pressure ulcers 6 6 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 65 65 88
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95 95 93
of long-stay residents experiencing one or more falls with major injury 5 5 4
of long-stay residents who have depressive symptoms 0 0 3
of long-stay residents who lose too much weight 10 10 7
of long-stay residents who received an antianxiety or hypnotic medication 18 18 26
of long-stay residents who received an antipsychotic medication 11 11 18
of long-stay residents who self-report moderate to severe pain 23 23 7
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 15 15 15
of long-stay residents whose need for help with daily activities has increased 15 15 14
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 7 7 4
of low risk long-stay residents who lose control of their bowels or bladder 39 39 32
of short-stay residents assessed and appropriately given the pneumococcal vaccine 26 26 74
of short-stay residents who had an outpatient emergency department visit 31 31 12
of short-stay residents who made improvements in function 74 74 68
of short-stay residents who newly received an antipsychotic medication 0 0 2
of short-stay residents who self-report moderate to severe pain 20 20 16
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 35 35 73
of short-stay residents who were rehospitalized after a nursing home admission 13 13 22
of short-stay residents with pressure ulcers that are new or worsened 1 Not Available   50