WILLARD CARE CENTER

Nursing Home Inspector

400 WEST WALNUT LANE
WILLARD, MO 65781
Greene County
Phone: 417-742-3593
Provider Number: 265455
Last Inspection: 02/09/2017

About the Nursing Home

Number of Beds: 66
Number of Residents: 54
Beds Available: 12
Percent Occupancy: 82%
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

 

25

Facility
9

County
21

MO
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

25

2017
9

2015
16

2015

Medicare Ratings

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

 

Details by Inspection Date

2/9/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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. Widespread : Potential 4 3/26/2017
 
Failed To: Review or revise the resident's care plan after any major change in physical or mental health. Pattern : Minimal 4 3/26/2017
 
Failed To: Completely assess the resident at least every twelve months. Pattern : Minimal 4 3/26/2017
 
Failed To: Assure that each resident’s assessment is updated at least once every 3 months. Pattern : Minimal 4 3/26/2017
 
Failed To: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Pattern : Minimal 4 3/26/2017
 
Failed To: Train all employees on what to do in an emergency, and carry out unannounced staff drills. Widespread : Minimal 5 3/26/2017
 

12/11/2015 Inspection

 
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 1/25/2016
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 1/25/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 1/25/2016
 

3/13/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 4/27/2015
 
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 4/27/2015
 
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 4/27/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 4/27/2015
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 4/27/2015
 

Complaint Investigation Deficiencies

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

3/1/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 3/26/2017
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MO State Avg
Number of Residents 54 89.76 74.26
Registered Nurses 0.58 0.82 0.60
Licensed Practical / Vocational Nurses 0.68 0.61 0.72
Certified Nursing Assistants 2.54 2.45 2.43
Total Staff Hours 3.79 3.88 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 15 5 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 97 85 88
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 88 94 93
of long-stay residents experiencing one or more falls with major injury 3 4 4
of long-stay residents who have depressive symptoms 4 3 3
of long-stay residents who lose too much weight 7 7 7
of long-stay residents who received an antianxiety or hypnotic medication 34 33 26
of long-stay residents who received an antipsychotic medication 8 16 18
of long-stay residents who self-report moderate to severe pain 9 6 7
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 29 17 15
of long-stay residents whose need for help with daily activities has increased 28 14 14
of long-stay residents with a catheter inserted and left in their bladder 5 2 2
of long-stay residents with a urinary tract infection 8 3 4
of low risk long-stay residents who lose control of their bowels or bladder 31 33 32
of short-stay residents assessed and appropriately given the pneumococcal vaccine 82 76 74
of short-stay residents who had an outpatient emergency department visit 19 10 12
of short-stay residents who made improvements in function 68 65 68
of short-stay residents who newly received an antipsychotic medication 3 2 2
of short-stay residents who self-report moderate to severe pain 17 15 16
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 71 72 73
of short-stay residents who were rehospitalized after a nursing home admission 29 20 22
of short-stay residents with pressure ulcers that are new or worsened 2 54 50