LEVERING REGIONAL HEALTH CARE CENTER

Nursing Home Inspector

1734 MARKET STREET
HANNIBAL, MO 63401
Marion County
Phone: 573-221-2930
Provider Number: 265469
Last Inspection: 05/12/2017

About the Nursing Home

Number of Beds: 179
Number of Residents: 164
Beds Available: 15
Percent Occupancy: 92%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Limited Liability company
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

 

8

Facility
25

County
21

MO
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

8

2017
18

2016
12

2015

Medicare Ratings

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

 

Details by Inspection Date

5/12/2017 Inspection

 
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 6/19/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 6/19/2017
 

3/10/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 4/6/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 4/6/2016
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 4/6/2016
 
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 4/6/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 4/6/2016
 

6/5/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Minimal 4 7/20/2015
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 7/20/2015
 
Failed To: Make sure that special or therapeutic diets are ordered by the attending doctor. Pattern : Minimal 4 7/20/2015
 

Complaint Investigation Deficiencies

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

2/19/2016 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. Widespread : Minimal 5 4/6/2016
 
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. Widespread : Minimal 5 4/6/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 4/6/2016
 

12/10/2015 Investigation

 
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 1/15/2016
 

8/19/2015 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 : Actual 4 9/28/2015
 

3/23/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 4/15/2015
 

1/8/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 2/9/2015
 

12/15/2014 Investigation

 
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. Isolated : Minimal 3 1/29/2015
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 1/29/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MO State Avg
Number of Residents 164 81.17 74.26
Registered Nurses 0.11 0.51 0.60
Licensed Practical / Vocational Nurses 0.42 0.86 0.72
Certified Nursing Assistants 1.57 2.04 2.43
Total Staff Hours 2.10 3.41 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 10 5 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 99 95 88
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 95 93
of long-stay residents experiencing one or more falls with major injury 3 5 4
of long-stay residents who have depressive symptoms 0 3 3
of long-stay residents who lose too much weight 3 9 7
of long-stay residents who received an antianxiety or hypnotic medication 37 19 26
of long-stay residents who received an antipsychotic medication 76 22 18
of long-stay residents who self-report moderate to severe pain 8 7 7
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 6 17 15
of long-stay residents whose need for help with daily activities has increased 6 16 14
of long-stay residents with a catheter inserted and left in their bladder 2 2 2
of long-stay residents with a urinary tract infection 0 4 4
of low risk long-stay residents who lose control of their bowels or bladder 7 35 32
of short-stay residents assessed and appropriately given the pneumococcal vaccine 90 78 74
of short-stay residents who had an outpatient emergency department visit 18 9 12
of short-stay residents who newly received an antipsychotic medication 36 79 68
of short-stay residents who self-report moderate to severe pain 23 7 2
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 94 17 16
of short-stay residents who were rehospitalized after a nursing home admission 12 76 73
of short-stay residents with pressure ulcers that are new or worsened 10 18 22