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COUNTRYSIDE MEADOWS

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COUNTRYSIDE MEADOWS VS
All other Nursing Homes USA
General
City AVON   vs 0.1% Nursing Homes USA have AVON
State attribute explanation IN   vs 3.1% Nursing Homes USA have IN
Street 762 N DAN JONES RD  
Zip Code 46123  
Phone 3174957200  
Number of Certified Beds
171  (62.06 higher than average)
vs
108.94

Total Number of Residents
(89.25 lower than average)
vs
91.25

Percent of Occupied Beds
1 % (82.65 % lower than average)
vs
83.65 %

Health Survey Date 7/11/2011  
Fire Survey Date 7/11/2011  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  vs 91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Corporation  vs 56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  vs 54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   vs 66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  vs 90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? No  vs 68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? No  vs 99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2  (17.04 higher than average)
vs
58.16

Total Enforcement Actions Count
75.2  (18.89 higher than average)
vs
56.31

# of deficiencies
(2.48 lower than average)
vs
7.48

Staff Information
Number of Residents
(89.38 lower than average)
vs
91.38

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 05/24/2012
date Of Correction: 06/23/2012 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 05/24/2012
date Of Correction: 06/23/2012 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 10/17/2011
date Of Correction: 11/01/2011 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 04/03/2012
date Of Correction: 05/03/2012 

Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.
survey Date: 04/03/2012
date Of Correction: 05/03/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
26.1 % (1.01 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.6 % (31.35 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
4 % (12.66 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
2.5 % (10.08 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
10 % (1.83 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6 % (9.63 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
5 % (8.46 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
8.2 % (20.18 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
75.2 % (31.52 % higher than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
8.8 % (16.22 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
82.1 % (2.54 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
87 % (3.06 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2  (29.3 higher than average)
vs
45.90

Percent of long-stay residents experiencing one or more falls with major injury
1.50 % (14.02 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
23.1 % (2.29 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
0.7 % (23 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
8.2 % (5.9 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
3.4 % (5.82 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
7.7 % (0.8 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
13.5 % (29.88 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.4 % (3.25 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
13.2 % (3.62 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
9.6 % (10.26 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
75.2 % (36.67 % higher than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
1 % (9.73 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
16.2 % (8.56 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
82.9 % (1.46 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
90.7 % (15.95 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
21.5 % (4.16 % higher than average)
vs
17.34 %



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