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ManorCare back in ‘substantial compliance'

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By Ann McGlynn | Monday, March 31, 2008 |

A Davenport nursing home that accumulated thousands of dollars in fines for inadequate care is back in “substantial compliance” with state regulators and will continue receiving Medicare and Medicaid funding, officials said Monday.

However, ManorCare, 815 E. Locust St., remains under close scrutiny by state investigators under a conditional license with several restrictions.

One of those restrictions is that ManorCare, with approximately 70 residents, cannot admit new patients until the end of May and then at a rate of only two or three a week. Specific members of the center’s leadership must remain until new leaders are trained.

The facility must also be back to full state licensure within a year.

It owes $18,450 in federal fines. State fines were suspended because of the federal action.

“If something should happen, should slip in its performance, it’s easier to go into immediate revocation status,” said spokesman David Werning. “We don’t very often put conditions on conditional licenses. But because of the problems we’ve had with this particular facility, conditions were put on the conditional license.”

A spokeswoman for ManorCare, based in Ohio, said the company is “pleased” the center is back in compliance.

“It is ManorCare’s intent is to be in full compliance with applicable regulations, and the center has internal measures in place to continually review and improve the quality of care provided to the residents. The state’s findings are a reflection of ManorCare’s commitment to providing quality care.”

A state visit in mid-March revealed a problem with maintenance of feeding tubes and a failure to report possible abuse to the state. Two employees were suspended, one of whom was fired. However, the center was not fined and considered to be in “substantial compliance,” Werning said.

State investigators uncovered serious problems in the past six months with wound care, failure to intervene when a patient’s condition changed, lack of privacy, improper supervision during drug administration, hiring employees before completing required background checks, poor dietary practices and improper fall prevention.

In 2002, the facility was fined by the state after an employee overmedicated a resident and the resident died. The employee incorrectly transcribed a physician's orders for the narcotic Roxanol, documents state.

The company is building a new 120-bed, $14 million nursing home in northwest Bettendorf. It is scheduled to be completed in September. Officials have said the Davenport facility will remain open.

Ann McGlynn can be contacted at (563) 383-2336 or amcglynn@qctimes.com.

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