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MCGIVNEY HEALTH CARE CENTER

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MCGIVNEY HEALTH CARE CENTER VS
All other Nursing Homes USA
General
City CARMEL   vs 0% Nursing Homes USA have CARMEL
State attribute explanation IN   vs 3.1% Nursing Homes USA have IN
Street 2907 E 136TH ST  
Zip Code 46033  
Phone 3178460265  
Overall Star Rating
(0.89 higher 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
(1.69 higher than average)
vs
3.31

RN Only Star Rating
(0.83 higher than average)
vs
3.17

Number of Certified Beds
37  (71.94 lower than average)
vs
108.94

Total Number of Residents
31  (60.25 lower than average)
vs
91.25

Percent of Occupied Beds
84 % (0.35 % higher than average)
vs
83.65 %

Health Survey Date 6/1/2012  
Fire Survey Date 6/13/2012  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicaid  vs 3.5% Nursing Homes USA have Medicaid
Type of Ownership Non Profit - Corporation  vs 18.7% Nursing Homes USA have Non 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
18  (10.52 higher than average)
vs
7.48

Percent of long-stay residents experiencing one or more falls with major injury 75.2 % 
Staff Information
Number of Residents
31  (60.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.82  (0.05 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.44  (0.4 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.26  (0.33 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.05  (5.44 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.05  (0.05 lower 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: 07/10/2009
date Of Correction: 10/02/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 06/01/2012
date Of Correction: 07/01/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.
survey Date: 06/01/2012
date Of Correction: 07/01/2012 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 06/01/2012
date Of Correction: 07/01/2012 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.
survey Date: 05/13/2011
date Of Correction: 06/12/2011 

Deficiency #5 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: 05/13/2011
date Of Correction: 06/12/2011 

Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 05/13/2011
date Of Correction: 06/12/2011 

Deficiency #7 Scope: Some
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 07/10/2009
date Of Correction: 08/17/2009 

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: 08/24/2009
date Of Correction: 10/02/2009 

Deficiency #2 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: 07/10/2009
date Of Correction: 08/17/2009 

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: 06/01/2012
date Of Correction: 07/01/2012 

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: 08/24/2009
date Of Correction: 10/02/2009 

Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 07/10/2009
date Of Correction: 08/17/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Some
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: 07/10/2009
date Of Correction: 08/17/2009 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 07/10/2009
date Of Correction: 08/17/2009 

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: 07/10/2009
date Of Correction: 08/17/2009 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.
survey Date: 07/10/2009
date Of Correction: 10/02/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.
survey Date: 08/24/2009
date Of Correction: 10/02/2009 

Quality Measures Q1
Percent of long-stay residents who were physically restrained
75.2 % (31.52 % higher than average)
vs
43.68 %

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 17.1:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (51.5 % higher than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
75.2 % (61.1 % higher than average)
vs
14.10 %

Percent of long-stay residents who lose too much weight
5.1 % (3.4 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
6.5 % (36.88 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 % (64.55 % higher than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
2.5 % (7.08 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
4.9 % (14.96 % 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
33.8 % (23.07 % higher than average)
vs
10.73 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
54.2 % (27.24 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
22 % (52.75 % lower than average)
vs
74.75 %



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