KINDRED TRANSITIONAL CARE AND REHAB- EAGLE CREEK

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General
City	INDIANAPOLIS	vs	0.3% Nursing Homes USA have INDIANAPOLIS
State attribute explanation	IN	vs	3.1% Nursing Homes USA have IN	compare IN Nursing Homes USA
Street	4102 SHORE DR
Zip Code	46254
Phone	3173479051
Overall Star Rating	4 (0.89 higher than average)	vs	3.11	Compare similar Overall Star Rating (4)
Health Inspections Star Rating	4 (1.17 higher than average)	vs	2.83	Compare similar Health Inspections Star Rating (4)
Nurse Staffing Star Rating	4 (0.83 higher than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (4)
Quality Measures Star Rating	2 (1.31 lower than average)	vs	3.31	Compare similar Quality Measures Star Rating (2)
RN Only Star Rating	5 (1.83 higher than average)	vs	3.17	Compare similar RN Only Star Rating (5)
Number of Certified Beds	120 (11.06 higher than average)	vs	108.94	Compare similar Number of Certified Beds (120)
Total Number of Residents	103 (11.75 higher than average)	vs	91.25	Compare similar Total Number of Residents (103)
Percent of Occupied Beds	86 % (2.35 % higher than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (86) %
Health Survey Date	11/3/2011
Fire Survey Date	11/7/2011
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	compare Medicare and Medicaid Nursing Homes USA
Type of Ownership	For Profit - Partnership	vs	7.9% Nursing Homes USA have For profit - Partnership	compare For profit - Partnership Nursing Homes USA
Located Within a Hospital?	No	vs	93.6% Nursing Homes USA don't have Located Within a Hospital?	Compare similar 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	14 (6.52 higher than average)	vs	7.48

Staff Information
Number of Residents	103 (11.62 higher than average)	vs	91.38
Number of RN Hours Per Resident Per Day	1.48 (0.71 higher than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	1.14 (0.3 higher than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	2.62 (1.03 higher than average)	vs	1.59
Number of CNA Hours Per Resident Per Day	0.28 (5.21 lower than average)	vs	5.49
Number Therapy Hours Per Resident Per Day	0.28 (0.18 higher than average)	vs	0.10

Mistreatment Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property. survey Date: 07/14/2011 date Of Correction: 08/02/2011

Resident Rights Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident. survey Date: 06/13/2012 date Of Correction: 07/09/2012

Quality Care Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 06/13/2012 date Of Correction: 07/09/2012
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: 06/13/2012 date Of Correction: 07/09/2012
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 01/05/2012 date Of Correction: 01/23/2012
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses. survey Date: 07/14/2011 date Of Correction: 08/02/2011
Deficiency #5		Scope: Few level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 05/08/2009 date Of Correction: 06/16/2009

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: 05/08/2009 date Of Correction: 06/16/2009
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity. survey Date: 05/08/2009 date Of Correction: 06/16/2009

Administration Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 06/13/2012 date Of Correction: 07/09/2012
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 07/14/2011 date Of Correction: 08/02/2011
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 05/08/2009 date Of Correction: 06/16/2009

Pharmacy Service Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being. survey Date: 06/13/2012 date Of Correction: 07/09/2012
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Make Sure That Residents Are Safe From Serious Medication Errors. survey Date: 01/05/2012 date Of Correction: 01/23/2012

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	8 % (17.09 % lower than average)	vs	25.09 %
Percent of long-stay residents whose need for help with daily activities has increased	2.3 % (30.65 % lower than average)	vs	32.95 %
Percent of long-stay residents who self-report moderate to severe pain	16.3:1 %
Percent of long-stay high-risk residents with pressure ulcers	8.3 % (4.28 % lower than average)	vs	12.58 %
Percent of long-stay residents who lose too much weight	5.7 % (6.13 % 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	3.8 % (9.66 % lower than average)	vs	13.46 %
Percent of long-stay residents who have depressive symptoms	2 % (26.38 % 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	40.1 % (15.08 % higher than average)	vs	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	83.3 % (1.34 % lower than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	88.1 % (4.16 % 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	75.2 % (59.68 % higher than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	11.9 % (13.49 % lower than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	1.50 % (22.2 % lower than average)	vs	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	16.1 % (2 % higher than average)	vs	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	11.6:1 %
Percent of long-stay residents who lose too much weight	9.7 % (1.2 % higher than average)	vs	8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	33.8 % (9.58 % lower than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	4.3 % (6.35 % lower than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	6.7 % (2.88 % lower than average)	vs	9.58 %
Percent of long-stay residents who have depressive symptoms	0.6 % (19.26 % 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	1.2 % (9.53 % lower than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	41.2 % (16.44 % higher than average)	vs	24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	85.8 % (4.36 % higher than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	88.7 % (13.95 % higher than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	24.4 % (7.06 % higher than average)	vs	17.34 %