NEVADA NURSING & REHAB

Nursing Home Inspector

700 EAST HIGHLAND AVENUE
NEVADA, MO 64772
Vernon County
Phone: 417-667-8889
Provider Number: 265558
Last Inspection: 05/12/2017

About the Nursing Home

Number of Beds: 68
Number of Residents: 32
Beds Available: 36
Percent Occupancy: 47%
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

 

8

Facility
10

County
21

MO
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

8

2017
29

2016
18

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 residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Pattern : Minimal 4 6/26/2017
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Minimal 4 6/26/2017
 

5/12/2016 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 6/26/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 6/26/2016
 
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. Pattern : Minimal 4 6/26/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 6/26/2016
 
Failed To: Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Isolated : Minimal 3 6/26/2016
 
Failed To: Train all employees on what to do in an emergency, and carry out unannounced staff drills. Widespread : Minimal 5 6/26/2016
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 6/26/2016
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 6/26/2016
 

5/14/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 6/30/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 6/30/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 6/30/2015
 
Failed To: Give residents a notice of rights, rules, services and charges. Isolated : Minimal 3 6/30/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Minimal 4 6/30/2015
 

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 32 51.75 74.26
Registered Nurses 0.69 0.65 0.60
Licensed Practical / Vocational Nurses 1.22 0.80 0.72
Certified Nursing Assistants 2.10 2.18 2.43
Total Staff Hours 4.00 3.63 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 3 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 88 96 88
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 99 93
of long-stay residents experiencing one or more falls with major injury 4 4 4
of long-stay residents who have depressive symptoms 8 8 3
of long-stay residents who lose too much weight 6 5 7
of long-stay residents who received an antianxiety or hypnotic medication 21 31 26
of long-stay residents who received an antipsychotic medication 4 13 18
of long-stay residents who self-report moderate to severe pain 18 9 7
of long-stay residents who were physically restrained 0 2 0
of long-stay residents whose ability to move independently worsened 6 9 15
of long-stay residents whose need for help with daily activities has increased 4 9 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 5 4
of low risk long-stay residents who lose control of their bowels or bladder 27 33 32
of short-stay residents assessed and appropriately given the pneumococcal vaccine 89 81 74
of short-stay residents who had an outpatient emergency department visit 15 14 12
of short-stay residents who made improvements in function 88 78 68
of short-stay residents who newly received an antipsychotic medication 0 2 2
of short-stay residents who self-report moderate to severe pain 38 24 16
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 96 80 73
of short-stay residents who were rehospitalized after a nursing home admission 25 19 22
of short-stay residents who were successfully discharged to the community 48 52 50
of short-stay residents with pressure ulcers that are new or worsened 2 0 1