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FOREST CREEK VILLAGE

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FOREST CREEK VILLAGE VS
All other Nursing Homes USA
General
City INDIANAPOLIS   vs 0.3% Nursing Homes USA have INDIANAPOLIS
State attribute explanation IN   vs 3.1% Nursing Homes USA have IN
Street 525 E THOMPSON RD  
Zip Code 46227  
Phone 3177878253  
Overall Star Rating
(1.11 lower than average)
vs
3.11

Health Inspections Star Rating
(0.17 higher than average)
vs
2.83

Nurse Staffing Star Rating
(2.17 lower than average)
vs
3.17

Quality Measures Star Rating
(0.69 higher than average)
vs
3.31

RN Only Star Rating
(2.17 lower than average)
vs
3.17

Number of Certified Beds
128  (19.06 higher than average)
vs
108.94

Total Number of Residents
121  (29.75 higher than average)
vs
91.25

Percent of Occupied Beds
95 % (11.35 % higher than average)
vs
83.65 %

Health Survey Date 9/16/2011  
Fire Survey Date 9/21/2011  
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 Government - County  vs 2.9% Nursing Homes USA have Government - County
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
(0.48 lower than average)
vs
7.48

Staff Information
Number of Residents
121  (29.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.47  (0.3 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.9  (0.06 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.37  (0.22 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.1  (5.39 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.1  (equals average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 03/13/2012
date Of Correction: 04/12/2012 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 11/21/2011
date Of Correction: 12/21/2011 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 11/21/2011
date Of Correction: 12/21/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 10/17/2011
date Of Correction: 11/16/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 10/17/2011
date Of Correction: 11/16/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 04/15/2009
date Of Correction: 05/01/2009 

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: 10/15/2010
date Of Correction: 11/03/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
36.6 % (11.51 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (42.25 % higher than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
11 % (5.66 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
5.3 % (7.28 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
12.5 % (0.67 % higher than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
56.3 % (11.76 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.5 % (8.13 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
5.1 % (8.36 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
3.4 % (24.98 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
5.2 % (38.48 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
13.7 % (11.32 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
86.6 % (1.96 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
86.6 % (2.66 % 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
5.1 % (10.42 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
35.9 % (10.51 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
0.2 % (23.5 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
4.6 % (9.5 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
6 % (3.22 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
9 % (0.5 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
55.2 % (11.82 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder 7.9:1 % 
Percent of long-stay residents with a urinary tract infection
3.3 % (6.28 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
1.9 % (17.96 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
5.4 % (33.13 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
4 % (6.73 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
11.2-20 % (13.56 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
86.6 % (5.16 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
83.1 % (8.35 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
7.8 % (9.54 % lower than average)
vs
17.34 %



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