Shirkey Nursing And Rehabilitation Center

Contact Information

804 Wollard Blvd
Richmond, MO 64085
Phone: (816) 776-5403
County: Ray

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Nearby Hospitals

Ray County Memorial Hospital Type: Critical Access Hospitals Ownership: Government - Local Has an ER: Yes	< 1 mile
Lafayette Regional Health Center Type: Critical Access Hospitals Ownership: Proprietary Has an ER: Yes	7 miles
Excelsior Springs Hospital Type: Critical Access Hospitals Ownership: Government - Local Has an ER: Yes	16 miles
St Mary's Medical Center Type: Acute Care Hospitals Ownership: Voluntary non-profit - Church Has an ER: Yes	24 miles
Liberty Hospital Type: Acute Care Hospitals Ownership: Government - Hospital District or Authority Has an ER: Yes	25 miles

Other Nearby Nursing Homes

	Riverbend Heights Health & Rehabilitation Lexington, MO 8 miles
	Excelsior Springs Nursing & Rehab Excelsior Springs, MO 16 miles
	Excelsior Springs Medical Center Excelsior Springs, MO 16 miles
	Valley Manor And Rehabilitation Center Excelsior Springs, MO 16 miles
	Meyer Care Center Higginsville, MO 18 miles
	Lawson Manor & Rehab Lawson, MO 18 miles

About Shirkey Nursing And Rehabilitation Center

General Information

Legal Business Name	Senior Citizens Nursing Home District Of Ray County
Ownership Type	Government - City/County
Changed Ownership In The Last 12 Months	No
First Accepted Medicare	October 1, 2000 (17 years)
Capacity	187
Residents	170
Percent Occupied	91%
Program Participation	Medicare And Medicaid
Resident And Family Councils	Resident
In Hospital	No
Continuing Care Retirement Community	No
Special Focus Facility	No
Auto Sprinkler System In Required Areas	Yes

Ratings for Shirkey Nursing And Rehabilitation Center

Shirkey Nursing And Rehabilitation Center
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings

	Overall Rating
	Health Inspections Rating
	Quality Measures Rating
	Staff Rating
	RN Staff Rating

Overall Ratings of Missouri Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

	Residents Affected
Severity of the Deficiency	Few	Some	Many
Immediate jeopardy to resident health or safety	J	K	L
Actual harm that is not immediate jeopardy	G	H	I
No actual harm with potential for more than minimal harm that is not immediate jeopardy	D	E	F
No actual harm with potential for minimal harm	A	B	C

January 7, 2016 - 18 months ago

	Residents Affected	Severity	Source/Type	View Full Report Description
F	Many	Potential for Harm	Health Inspection	Store, cook, and serve food in a safe and clean way.
E	Some	Potential for Harm	Health Inspection	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
E	Some	Potential for Harm	Health Inspection	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.
E	Some	Potential for Harm	Health Inspection	Ensure services provided by the nursing facility meet professional standards of quality.
E	Some	Potential for Harm	Health Inspection	Have a program that investigates, controls and keeps infection from spreading.
E	Some	Potential for Harm	Health Inspection	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.
E	Some	Potential for Harm	Health Inspection	Provide housekeeping and maintenance services.
E	Some	Potential for Harm	Health Inspection	Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D	Few	Potential for Harm	Health Inspection	Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
D	Few	Potential for Harm	Health Inspection	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.
D	Few	Potential for Harm	Health Inspection	Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
D	Few	Potential for Harm	Health Inspection	Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
D	Few	Potential for Harm	Health Inspection	Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
D	Few	Potential for Harm	Health Inspection	Ensure residents maintain acceptable nutritional status.

February 9, 2015 - 2 years ago

	Residents Affected	Severity	Source/Type	View Full Report Description
E	Some	Potential for Harm	Health Inspection	Have a program that investigates, controls and keeps infection from spreading.
E	Some	Potential for Harm	Health Inspection	Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
E	Some	Potential for Harm	Health Inspection	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.
E	Some	Potential for Harm	Health Inspection	Ensure services provided by the nursing facility meet professional standards of quality.
E	Some	Potential for Harm	Health Inspection	Store, cook, and serve food in a safe and clean way.
D	Few	Potential for Harm	Health Inspection	Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
D	Few	Potential for Harm	Health Inspection	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Shirkey Nursing And Rehabilitation Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

3hr 25min	2hr 10min
Reported	Expected
CNA

50min	35min
Reported	Expected
LPN

20min	55min
Reported	Expected
RN

4hr 35min	3hr 45min
Reported	Expected
Total Nursing

This facility also provides approximately 30min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

98.9%	97.1%	97.1%	97.1%	94.1%	94.6%
Q4 2015	Q1 2016	Q2 2016	Q3 2016	MO	U.S.

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

99.4%	100.0%	100.0%	100.0%	89.8%	93.5%
Q4 2015	Q1 2016	Q2 2016	Q3 2016	MO	U.S.

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

23.7%	30.7%	25.4%	32.9%	33.3%	47.0%
Q4 2015	Q1 2016	Q2 2016	Q3 2016	MO	U.S.

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

42.0%	34.1%	32.8%	34.8%	27.0%	23.4%
Q4 2015	Q1 2016	Q2 2016	Q3 2016	MO	U.S.

Percentage of long-stay residents who received an antianxiety or hypnotic medication

15.9%	13.4%	19.7%	9.5%	15.4%	18.1%
Q4 2015	Q1 2016	Q2 2016	Q3 2016	MO	U.S.

Percentage of long-stay residents whose ability to move independently worsened

23.8%	17.1%	18.8%	12.5%	18.8%	16.6%
Q4 2015	Q1 2016	Q2 2016	Q3 2016	MO	U.S.

Percentage of long-stay residents who received an antipsychotic medication

20.9%	17.7%	10.2%	10.9%	14.3%	15.2%
Q4 2015	Q1 2016	Q2 2016	Q3 2016	MO	U.S.

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

10.0%	10.1%	10.6%	13.3%	8.1%	7.3%
Q4 2015	Q1 2016	Q2 2016	Q3 2016	MO	U.S.

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

11.2%	18.4%	13.8%	4.6%	6.9%	7.0%
Q4 2015	Q1 2016	Q2 2016	Q3 2016	MO	U.S.

Percentage of long-stay residents who lose too much weight

12.7%	13.6%	7.7%	4.2%	5.7%	5.7%
Q4 2015	Q1 2016	Q2 2016	Q3 2016	MO	U.S.

Percentage of high risk long-stay residents with pressure ulcers

0.6%	1.3%	0.7%	0.7%	4.1%	5.3%
Q4 2015	Q1 2016	Q2 2016	Q3 2016	MO	U.S.

Percentage of long-stay residents who have depressive symptoms

10.0%	10.1%	5.3%	3.3%	4.8%	4.4%
Q4 2015	Q1 2016	Q2 2016	Q3 2016	MO	U.S.

Percentage of long-stay residents with a urinary tract infection

5.3%	5.6%	5.9%	5.8%	4.0%	3.3%
Q4 2015	Q1 2016	Q2 2016	Q3 2016	MO	U.S.

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

5.3%	2.3%	2.3%	1.3%	2.6%	2.6%
Q4 2015	Q1 2016	Q2 2016	Q3 2016	MO	U.S.

Percentage of long-stay residents with a catheter inserted and left in their bladder

0.0%	0.0%	0.0%	0.0%	0.3%	0.7%
Q4 2015	Q1 2016	Q2 2016	Q3 2016	MO	U.S.

Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

84.4%	94.9%	98.1%	98.2%	74.8%	81.7%
Q4 2015	Q1 2016	Q2 2016	Q3 2016	MO	U.S.

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

61.8%	71.1%	71.1%	71.1%	74.7%	79.9%
Q4 2015	Q1 2016	Q2 2016	Q3 2016	MO	U.S.

Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine

-	-	-	-	66.5%	63.7%
Q4 2015	Q1 2016	Q2 2016	Q3 2016	MO	U.S.

* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function

13.0%	15.2%	18.0%	28.0%	17.6%	15.9%
Q4 2015	Q1 2016	Q2 2016	Q3 2016	MO	U.S.

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

4.2%	3.4%	2.9%	0.0%	2.1%	2.1%
Q4 2015	Q1 2016	Q2 2016	Q3 2016	MO	U.S.

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

5.1%	6.9%	0.0%	0.0%	1.4%	1.1%
Q4 2015	Q1 2016	Q2 2016	Q3 2016	MO	U.S.

Percentage of short-stay residents with pressure ulcers that are new or worsened

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