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DECATUR COUNTY HOSPITAL LTCU - OBERLIN, KS

 



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Address
810 W COLUMBIA ST
OBERLIN, KS, 67749
Phone (make sure to verify first before calling): (785) 475-2208

Number of Certified Beds: 37
Total Number of Residents: 24
Percent of Occupied Beds: 65%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicaid
Type of Ownership: Non profit - Corporation
Located Within a Hospital?: Yes
Multi Nursing Home Ownership?: No
Resident and Family Councils: Both
Continuing Care Retirement Community?: No
Quality Indicator Survey?: Yes
Special Focus Facility?: No
Type: Nursing Facilities


Overall Star Rating: 3 Stars
Health Inspections Star Rating: 2 Stars
Nurse Staffing Star Rating: 5 Stars
Quality Measures Star Rating: 2 Stars
RN Only Star Rating: 5 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 4.11
Certified Nurse Aides - Full Time: 10.00
Certified Nurse Aides - Part Time: 2.34
Dietitians - Under Contract: 0.11
Food Service Personnel - Full Time: 3.17
Food Service Personnel - Part Time: 3.19
Housekeeping Personnel - Full Time: 4.04
Licensed Practical/ Vocational Nurses - Full Time: 1.59
Medical Directors - Under Contract: 0.11
Nurses With Administrative Duties - Full Time: 0.40
Persons Not Included In Any Other Categories - Full Time: 3.61
Registered Nurses - Full Time: 2.17
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 0.76
Activities Professionals - Full Time: 0.10
Pharmacists - Under Contract: 0.11
Physical Therapists - Part Time: 0.66
Speech Pathologists - Under Contract: 0.11
Other Physicians - Under Contract: 0.11
Physician Extenders - Under Contract: 0.11
Persons Not Included In Any Other Categories - Part Time: 0.86
Registered Nurses - Part Time: 2.13
Housekeeping Personnel - Part Time: 3.03

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Administration And Storage Of Blood Services Are Provided Onsite To Residents
  • Clinical Laboratory Services Are Provided Onsite To Residents
  • Dental Services Are Provided Offsite To Residents
  • Diagnostic Xray Services Are Provided Onsite To Residents
  • Dietary Services Are Provided Onsite To Residents
  • Housekeeping Services Are Provided Onsite To Residents
  • Mental Health Services Are Provided Offsite To Residents
  • Nursing Services Are Provided Onsite To Residents
  • Pharmacy Services Are Provided Offsite To Residents
  • Physical Therapy Services Are Provided Onsite To Residents
  • Physician Extender Services Are Provided Onsite To Residents
  • Physician Services Are Provided Onsite To Residents
  • Podiatry Services Are Provided Offsite To Residents
  • Social Work Services Are Provided Onsite To Residents
  • Speech/Language Pathology Services Are Provided Onsite To Residents

Outcome of Care

30-Day Mortality Rates from Heart Failure
This Nursing Home:

10.4%
State:

12.0%
30-Day Mortality Rates from Pneumonia
This Nursing Home:

10.5%
State:

12.2%
30-Day Readmission Rates from Heart Failure
Here:

24.2%
Kansas:

24.3%
30-Day Readmission Rates from Pneumonia
Here:

19.6%
State:

18.2%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
Here:

0.940
Kansas:

0.703
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
This Nursing Home:

0.580
State:

0.645
Total Number of Licensed Staff Hours Per Resident Per Day
This Nursing Home:

1.520
State:

1.346
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
This Nursing Home:

0.040
State:

0.050
Number Therapy Hours Per Resident Per Day
This Nursing Home:

0.040
Kansas:

0.059

Use of Medical Imaging

Outpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram.
Here:

18.200%
Kansas:

7.702%
Outpatient CT scans of the abdomen that were combination (double) scans.
Here:

0.065%
Kansas:

0.305%
Outpatient CT scans of the chest that were combination (double) scans.
Here:

0.017%
Kansas:

0.037%
Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery
This Nursing Home:

6.500%
Kansas:

5.166%

Complaint Deficiency

A two-hour-resistant firewall in common walls: Some (Minimal harm or potential for actual harm)

Record of quarterly fire drills for each shift under varying conditions: Few (Minimal harm or potential for actual harm)

An approved installation, maintenance and testing program for fire alarm systems: Few (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Many (Minimal harm or potential for actual harm)

Exits that are free from obstructions and can be used at all times: Few (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm)

Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Few (Minimal harm or potential for actual harm)

Listen to the resident or family groups or act on their complaints or suggestions: Few (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Some (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Few (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm)

Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident: Few (Minimal harm or potential for actual harm)

Keep each resident's personal and medical records private and confidential: Few (Minimal harm or potential for actual harm)

Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Few (Minimal harm or potential for actual harm)

Provide activities to meet the interests and needs of each resident: Few (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Some (Minimal harm or potential for actual harm)

Allow the resident the right to participate in the planning or revision of the resident's care plan: Some (Minimal harm or potential for actual harm)

Make sure that residents receive treatment/services to not only continue, but improve the ability to care for themselves: Few (Minimal harm or potential for actual harm)

Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: Some (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Some (Minimal harm or potential for actual harm)

Give each resident enough fluids to keep them healthy and prevent dehydration: Few (Minimal harm or potential for actual harm)

1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: Some (Minimal harm or potential for actual harm)

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor: Few (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm)

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action: Some (Minimal harm or potential for actual harm)

Smoke barrier doors that can resist smoke for at least 20 minutes: Few (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Many (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm)

Allow residents to easily view the results of the nursing home's most recent survey: Many (Potential for minimal harm)

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: Few (Minimal harm or potential for actual harm)

Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property: Few (Minimal harm or potential for actual harm)

Give notice to the resident before a room or roommate change: Few (Minimal harm or potential for actual harm)

Conduct initial and periodic assessments of each resident's functional capacity: Few (Minimal harm or potential for actual harm)

Make sure each resident receives an accurate assessment by a qualified health professional: Few (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Minimal harm or potential for actual harm)

Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: Few (Minimal harm or potential for actual harm)

Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Some (Minimal harm or potential for actual harm)

Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so: Few (Immediate jeopardy to resident health or safety)

1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: Some (Minimal harm or potential for actual harm)

Make sure that residents are safe from serious medication errors: Few (Minimal harm or potential for actual harm)

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed: Few (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Some (Minimal harm or potential for actual harm)

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Some (Minimal harm or potential for actual harm)

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor: Some (Minimal harm or potential for actual harm)

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Many (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Many (Minimal harm or potential for actual harm)

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