CATHOLIC CARE CENTER (BEL AIRE, KS) Detailed Nursing Home Profile

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.620
State:	0.703

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	0.810
State:	0.645

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.430
Kansas:	1.346

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.080
State:	0.050

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.080
State:	0.059

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

This Nursing Home:	15.7%
State:	14.7%

Percent of long-stay residents who self-report moderate to severe pain

This Nursing Home:	11.5%
Kansas:	12.8%

Percent of long-stay high-risk residents with pressure ulcers

This Nursing Home:	5.2%
State:	5.4%

Percent of long-stay residents who lose too much weight

Here:	5.7%
Kansas:	7.3%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

This Nursing Home:	34.0%
Kansas:	36.5%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	11.3%
State:	8.2%

Percent of long-stay residents who have depressive symptoms

Here:	11.7%
State:	9.8%

Percent of long-stay residents experiencing one or more falls with major injury

This Nursing Home:	5.6%
Kansas:	5.1%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	97.9%
State:	97.2%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	89.4%
State:	95.7%

Percent of short-stay residents who self-report moderate to severe pain

Here:	13.5%
Kansas:	23.4%

Percent of short-stay residents with Pressure ulcers that are new or worsened

Here:	1.9%
State:	1.9%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	95.5%
State:	87.0%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	93.1%
State:	83.3%

Percent of short-stay residents who newly received an antipsychotic medication

Here:	0.8%
State:	2.8%

Percent of long-stay residents who received an antipsychotic medication

Here:	25.7%
Kansas:	23.1%

Complaint Deficiency

Signs that state that exit doors are to be kept closed
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that a working call system is available in each resident's room or bathroom and bathing area
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
- Harm: Minimal harm or potential for actual harm
- Scope: Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few

CATHOLIC CARE CENTER - BEL AIRE, KS

Staff Information

Quality Measures

Complaint Deficiency

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