SILEX COMMUNITY CARE

Nursing Home Inspector

111 DUNCAN MANSION ROAD
SILEX, MO 63377
Lincoln County
Phone: 573-384-5218
Provider Number: 265611
Last Inspection: 06/15/2017

About the Nursing Home

Number of Beds: 60
Number of Residents: 57
Beds Available: 3
Percent Occupancy: 95%
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

 

32

Facility
39

County
21

MO
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

32

2017
48

2016
37

2015

Medicare Ratings

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

 

Details by Inspection Date

6/15/2017 Inspection

 
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 7/30/2017
 
Failed To: Maintain comfortable sound levels. Pattern : Minimal 4 7/30/2017
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Minimal 4 7/30/2017
 
Failed To: Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Pattern : Minimal 4 7/30/2017
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 7/30/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 7/30/2017
 
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Pattern : Minimal 4 7/30/2017
 
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 7/30/2017
 

5/13/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 6/16/2016
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 6/16/2016
 
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 6/16/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 6/16/2016
 
Failed To: Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Isolated : Minimal 3 6/16/2016
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 6/16/2016
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 6/16/2016
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 6/16/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 6/16/2016
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 6/16/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 6/16/2016
 
Failed To: Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. Pattern : Minimal 4 6/16/2016
 
Failed To: Train all employees on what to do in an emergency, and carry out unannounced staff drills. Widespread : Minimal 5 6/16/2016
 

6/10/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide residents with private access to a telephone. Pattern : Minimal 4 7/21/2015
 
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 7/21/2015
 
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 8/10/2015
 
Failed To: Provide activities to meet the interests and needs of each resident. Pattern : Minimal 4 7/21/2015
 
Failed To: Review or revise the resident's care plan after any major change in physical or mental health. Pattern : Minimal 4 7/21/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Minimal 4 7/21/2015
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 7/21/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 7/21/2015
 
Failed To: Post nurse staffing information/data on a daily basis. Pattern : Potential 3 7/21/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 7/21/2015
 

Complaint Investigation Deficiencies

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

7/12/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Actual 4 7/30/2017
 

8/17/2016 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 9/26/2016
 

4/20/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give each resident enough fluids to keep them healthy and prevent dehydration. Pattern : Minimal 4 6/16/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MO State Avg
Number of Residents 57 76.75 74.26
Registered Nurses 0.43 0.38 0.60
Licensed Practical / Vocational Nurses 0.78 0.68 0.72
Certified Nursing Assistants 1.12 2.00 2.43
Total Staff Hours 2.32 3.05 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 1 4 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 96 94 88
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 97 93
of long-stay residents experiencing one or more falls with major injury 0 1 4
of long-stay residents who have depressive symptoms 12 4 3
of long-stay residents who lose too much weight 0 2 7
of long-stay residents who received an antianxiety or hypnotic medication 28 20 26
of long-stay residents who received an antipsychotic medication 42 21 18
of long-stay residents who self-report moderate to severe pain 7 5 7
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 8 8 15
of long-stay residents whose need for help with daily activities has increased 7 8 14
of long-stay residents with a catheter inserted and left in their bladder 1 2 2
of long-stay residents with a urinary tract infection 5 2 4
of low risk long-stay residents who lose control of their bowels or bladder 26 33 32
of short-stay residents assessed and appropriately given the pneumococcal vaccine 59 77 74
of short-stay residents who had an outpatient emergency department visit 18 12 12
of short-stay residents who self-report moderate to severe pain 17 55 68
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 58 2 2
of short-stay residents who were rehospitalized after a nursing home admission 18 14 16
of short-stay residents with pressure ulcers that are new or worsened 0 75 73