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MADISON HEALTH CARE CENTER

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MADISON HEALTH CARE CENTER 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 7465 MADISON AVE  
Zip Code 46227  
Phone 3177883000  
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
(0.17 lower than average)
vs
3.17

Quality Measures Star Rating
(2.31 lower than average)
vs
3.31

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

Number of Certified Beds
130  (21.06 higher than average)
vs
108.94

Total Number of Residents
60  (31.25 lower than average)
vs
91.25

Percent of Occupied Beds
46 % (37.65 % lower than average)
vs
83.65 %

Health Survey Date 8/25/2011  
Fire Survey Date 8/26/2011  
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? No  vs 45.1% Nursing Homes USA don't 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
60  (31.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.77  (equals average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.19  (0.35 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.96  (0.37 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.21  (5.28 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.21  (0.11 higher than 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: 06/15/2011
date Of Correction: 07/15/2011 

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: 03/08/2012
date Of Correction: 04/01/2012 

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: 03/08/2012
date Of Correction: 04/01/2012 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 03/08/2012
date Of Correction: 04/01/2012 

Deficiency #2 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: 03/08/2012
date Of Correction: 04/01/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
31.1 % (6.01 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
3.1 % (29.85 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
7.4 % (9.26 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
21.9 % (9.32 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
17 % (5.17 % higher than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.3 % (9.33 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection 12.8:1 % 
Percent of long-stay residents who have depressive symptoms
75.2 % (46.82 % higher 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
28.7 % (3.68 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
82.7 % (1.94 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
71.8 % (12.14 % lower 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
10.4 % (5.12 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
26.7 % (1.31 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
2.9 % (20.8 % lower than average)
vs
23.70 %

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

Percent of long-stay high-risk residents with pressure ulcers
15.8 % (6.58 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
11.4 % (2.9 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
36.9 % (6.48 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.5 % (4.15 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
19.7 % (10.12 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
4.7 % (15.16 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
1.50 % (37.03 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
10.4 % (0.33 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
27.4 % (2.64 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
82.5 % (1.06 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
58.4 % (16.35 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
26.4 % (9.06 % higher than average)
vs
17.34 %



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