General Information: DIVERSICARE OF CHANUTE
Nursing home name DIVERSICARE OF CHANUTE
Address530 W 14TH ST
CHANUTE, KS 66720
Phone number (620) 431-4940
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Both
Certified number of beds 77
Total number of residents 65
Perc of occupied beds 84
Sprinkler status Yes
Number of Facility Reported Incidents1
Number of Substantiated Complaints3
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: DIVERSICARE OF CHANUTE
Overall rating 4
4
Nursing Home Staffing 4
4
Registered Nurses only 4
4
Health Inspections 3
3
Quality Measures 2
2
Nursing Home Staffing Info: DIVERSICARE OF CHANUTE
National AverageKansas AverageDIVERSICARE OF CHANUTE
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 4
4
Total Number of Residents NA NA 65
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.11 hours 3.95 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.42 hours 1.4 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.8 hours 0.64 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.63 hours 0.76 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.69 hours 2.55 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.05 hours 0.08 hours
Health Survey: DIVERSICARE OF CHANUTE
Heath Survey Summary on 2013-12-11
Total Number of Health Deficiencies 7
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Heath Survey Summary on 2012-08-29
Total Number of Health Deficiencies 9
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-06-16
Total Number of Health Deficiencies 8
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: DIVERSICARE OF CHANUTE
Inspection Results: 12/11/2013
Corrected Deficiency Scope and Severity
01/10/2014 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. Pattern/Minimal harm or potential for actual harm
01/10/2014 Provide housekeeping and maintenance services. Pattern/Minimal harm or potential for actual harm
01/10/2014 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
01/10/2014 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
01/10/2014 Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated/Minimal harm or potential for actual harm
01/10/2014 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern/Minimal harm or potential for actual harm
01/10/2014 Have a program that investigates, controls and keeps infection from spreading. Widespread /Minimal harm or potential for actual harm
Inspection Results: 08/29/2012
Corrected Deficiency Scope and Severity
09/28/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
09/28/2012 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern/Minimal harm or potential for actual harm
09/28/2012 Provide routine and 24-hour emergency dental care for each resident. Isolated/Minimal harm or potential for actual harm
09/28/2012 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. Pattern/Minimal harm or potential for actual harm
09/28/2012 Keep residents' personal and medical records private and confidential. Isolated/Minimal harm or potential for actual harm
09/28/2012 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
09/28/2012 Conduct initial and periodic assessments of each resident's functional capacity. Isolated/Minimal harm or potential for actual harm
09/28/2012 Provide housekeeping and maintenance services. Pattern/Minimal harm or potential for actual harm
09/28/2012 Provide activities to meet the interests and needs of each resident. Isolated/Minimal harm or potential for actual harm
Inspection Results: 06/16/2011
Corrected Deficiency Scope and Severity
07/16/2011 Provide housekeeping and maintenance services. Pattern/Minimal harm or potential for actual harm
07/16/2011 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
07/16/2011 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
07/16/2011 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern/Minimal harm or potential for actual harm
07/16/2011 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. Isolated/Minimal harm or potential for actual harm
07/16/2011 Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern/Minimal harm or potential for actual harm
07/16/2011 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
07/16/2011 At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: DIVERSICARE OF CHANUTE
Fire Safety Survey Summary on 2013-05-20
Total Number of Fire SafetyDeficiencies 4
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-02-15
Total Number of Fire SafetyDeficiencies 7
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-01-25
Total Number of Fire SafetyDeficiencies 2
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey: DIVERSICARE OF CHANUTE
Fire Safety Survey Results: 05/20/2013
Corrected Deficiency Severity
06/20/2013 Walls that prevent smoke from passing through and would resist fire for at least one hour. Widespread /Minimal harm or potential for actual harm
06/20/2013 Smoke barrier doors that can resist smoke for at least 20 minutes. Isolated/Minimal harm or potential for actual harm
06/20/2013 Automatic sprinkler systems that have been maintained in working order. Widespread /Minimal harm or potential for actual harm
06/20/2013 Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 02/15/2012
Corrected Deficiency Severity
03/15/2012 Record of quarterly fire drills for each shift under varying conditions. Widespread /Minimal harm or potential for actual harm
03/09/2012 Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm
03/09/2012 Portable fire extinguishers. Isolated/Minimal harm or potential for actual harm
03/14/2012 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Isolated/Minimal harm or potential for actual harm
03/15/2012 Properly installed electrical wiring and equipment. Pattern/Minimal harm or potential for actual harm
03/14/2012 Proper medical gas storage and administration areas. Isolated/Minimal harm or potential for actual harm
03/14/2012 Smoke barrier doors that can resist smoke for at least 20 minutes. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 01/25/2011
Corrected Deficiency Severity
02/25/2011 Fire resistant room wall surfaces. Isolated/Minimal harm or potential for actual harm
02/25/2011 Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm

Resident Complaints: DIVERSICARE OF CHANUTE
Date Complaint Substantiated: 03/13/2012
CorrectedCategoryDeficiencySeverity
03/14/2012Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. D

Quality Measures: DIVERSICARE OF CHANUTE
Quality Measures National Average Kansas Average DIVERSICARE OF CHANUTE
Overall quality rating NA NA 2
2
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 15.7% 19.1%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 11.2% 25.1%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 5.2% 1.0%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.7% 3.0%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 38.0% 41.4%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.0% 7.9%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 8.0% 4.2%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 8.3% 18.5%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 0.5% 2.9%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 4.7% 4.6%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 93.9% 96.5%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 94.7% 96.6%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 22.3% 21.5%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 22.6% 35.8%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.7% 0.0%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 82.6% 84.3%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 77.4% 83.1%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.8% 2.5%

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