Troy Manor Llc (Troy, Missouri) Nursing Home Grades

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TROY MANOR LLC
200 THOMPSON DRIVE
TROY, MO 63379
(636) 528-8446

Size (date of last inspection: 20060317)

120 total beds available
78 current residents
65% occupied

Staff Presence

2.79 nurse hours per resident per day
0.35 with Registered Nurses
0.33 with Licensed Practical Nurses
2.11 with Certified Nurse Assistants

Medicare and Medicaid

Yes participant in Medicare
Yes participant in Medicaid

Administration Details

This home is owned by a for-profit corporation

This home is not located within a hospital

The owner does not own other homes

This home has resident councils

Resident Details (survey date: 20060317)

0%	Percent of Low-Risk Residents Who Have Pressure Sores
0%	Percent of Short-Stay Residents With Pressure Sores
9%	Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse
0%	Percent of Residents Who Lose Too Much Weight
6%	Percent of Residents With a Urinary Tract Infection
1%	Percent of Residents Who Spend Most of Their Time in Bed or in a Chair
6%	Percent of Residents Who are More Depressed or Anxious
0%	Percent of Short-Stay Residents Who Had Moderate to Severe Pain
0%	Percent of Short-Stay Residents With Delirium
14%	Percent of Residents Who Were Physically Restrained
1%	Percent of Residents Who Have Moderate to Severe Pain
5%	Percent of High-Risk Residents Who Have Pressure Sores
9%	Percent of Residents Whose Need for Help With Daily Activities Has Increased
2%	Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder
46%	Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder

Deficiencies Found in Home Inspections

11
1...12

Environmental: Make sure that the nursing home area is free of dangers that cause accidents.

Level of Harm:

Immediate jeopardy to resident health or safety

Scope:

Pattern

Survey Date:

20050120

Corrected By:

20050301

11
1...12

Administration: Be administered in a way that leads to the highest possible level of well being for each resident.

Level of Harm:

Immediate jeopardy to resident health or safety

Scope:

Pattern

Survey Date:

20050120

Corrected By:

20050505

11
1...12

Environmental: Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public.

Level of Harm:

Immediate jeopardy to resident health or safety

Scope:

Pattern

Survey Date:

20050120

Corrected By:

20050505

7
1...12

Quality Care: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

Level of Harm:

Actual harm

Scope:

Isolated

Survey Date:

20050120

Corrected By:

20050301

6
1...12

Environmental: Have a program to keep infection from spreading.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Widespread

Survey Date:

20050120

Corrected By:

20050301

6
1...12

Environmental: Keep safe, clean and homelike surroundings.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Widespread

Survey Date:

20050120

Corrected By:

20050505

6
1...12

Administration: Follow all laws and professional standards.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Widespread

Survey Date:

20050120

Corrected By:

20050505

5
1...12

Environmental: Keep adequate and comfortable lighting in all areas.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Pattern

Survey Date:

20050120

Corrected By:

20050301

5
1...12

Environmental: Keep all essential equipment working safely.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Pattern

Survey Date:

20050120

Corrected By:

20050301

5
1...12

Resident Assessment: Make a complete assessment that covers all questions for areas that are listed in official regulations.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Pattern

Survey Date:

20050120

Corrected By:

20050301

5
1...12

Resident Assessment: 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Pattern

Survey Date:

20050120

Corrected By:

20050301

5
1...12

Pharmacy Service: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Pattern

Survey Date:

20050120

Corrected By:

20050505

5
1...12

Resident Rights: Keep each resident's personal and medical records private and confidential.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Pattern

Survey Date:

20050120

Corrected By:

20050301

5
1...12

Resident Rights: Provide care in a way that keeps or builds each resident's dignity and self respect.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Pattern

Survey Date:

20050120

Corrected By:

20050301

5
1...12

Mistreatment: Keep each resident free from physical restraints, unless needed for medical treatment.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Pattern

Survey Date:

20050120

Corrected By:

20050301

5
1...12

Resident Rights: Try to resolve each resident's complaints quickly.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Pattern

Survey Date:

20050120

Corrected By:

20050301

5
1...12

Environmental: Make sure that staff members wash their hands when needed.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Pattern

Survey Date:

20050120

Corrected By:

20050301

5
1...12

Environmental: Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Pattern

Survey Date:

20040225

Corrected By:

20040410

5
1...12

Administration: Make sure that nurse aides show they have the skills to be able to care for residents.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Pattern

Survey Date:

20050120

Corrected By:

20050301

5
1...12

Quality Care: Give each resident care and services to get or keep the highest quality of life possible.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Pattern

Survey Date:

20050120

Corrected By:

20050301

4
1...12

Quality Care: Give each resident care and services to get or keep the highest quality of life possible.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20060317

Corrected By:

20060426

4
1...12

Nutrition and Diet: Make sure that residents are well nourished.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20050120

Corrected By:

20050301

4
1...12

Nutrition and Diet: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20050120

Corrected By:

20050301

4
1...12

Environmental: Make sure that the nursing home area is safe, easy to use, clean and comfortable.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20050120

Corrected By:

20050505

4
1...12

Nutrition and Diet: Offer other nutritional food to each resident who will not eat the food served.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20050120

Corrected By:

20050301

4
1...12

Pharmacy Service: Make sure that the pharmacist reports anything unusual to the doctor on duty and the director of nursing.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20050120

Corrected By:

20050301

4
1...12

Quality Care: Give each resident enough fluids to keep them healthy and prevent dehydration.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20050120

Corrected By:

20050301

4
1...12

Quality Care: Make sure that each resident's nutritional needs were met.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20050120

Corrected By:

20050301

4
1...12

Resident Assessment: Make a complete assessment that covers all questions for areas that are listed in official regulations.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20040225

Corrected By:

20040410

4
1...12

Quality Care: Give each resident care and services to get or keep the highest quality of life possible.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20040225

Corrected By:

20040410

4
1...12

Quality Care: Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20040225

Corrected By:

20040410

4
1...12

Nutrition and Diet: Make sure that residents are well nourished.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20040225

Corrected By:

20040410

4
1...12

Nutrition and Diet: Make sure that the attending doctor orders special diets.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20040225

Corrected By:

20040410

4
1...12

Environmental: Make sure that staff members wash their hands when needed.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20040225

Corrected By:

20040410

4
1...12

Resident Rights: Keep each resident's personal and medical records private and confidential.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20040225

Corrected By:

20040410

4
1...12

Resident Rights: Provide services to meet the needs and preferences of each resident.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20050120

Corrected By:

20050301

4
1...12

Quality Care: Provide activities to meet the needs of each resident.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20050120

Corrected By:

20050301

4
1...12

Environmental: Keep temperature levels comfortable and safe.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20050120

Corrected By:

20050301

4
1...12

Quality Care: Give each resident enough fluids to keep them healthy and prevent dehydration.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20040225

Corrected By:

20040410

4
1...12

Quality Care: Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20050120

Corrected By:

20050301

4
1...12

Quality Care: Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.

Level of Harm:

Minimal harm or potential for actual harm

Scope:

Isolated

Survey Date:

20050120

Corrected By:

20050301

3
1...12

Quality Care: Provide activities to meet the needs of each resident.

Level of Harm:

Potential for minimal harm

Scope:

Widespread

Survey Date:

20040225

Corrected By:

20040410

Hospitals in Troy:

LINCOLN COUNTY MEDICAL CENTER
1000 EAST CHERRY STREET
TROY, MO
Phone: 6365288551