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SHADY NOOK CARE CENTER

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SHADY NOOK CARE CENTER VS
All other Nursing Homes USA
General
City LAWRENCEBURG   vs 0% Nursing Homes USA have LAWRENCEBURG
State attribute explanation IN   vs 3.1% Nursing Homes USA have IN
Street 36 VALLEY DR  
Zip Code 47025  
Phone 8125370930  
Overall Star Rating
(2.11 lower than average)
vs
3.11

Health Inspections Star Rating
(1.83 lower than average)
vs
2.83

Nurse Staffing Star Rating
(0.83 higher than average)
vs
3.17

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

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

Number of Certified Beds
94  (14.94 lower than average)
vs
108.94

Total Number of Residents
67  (24.25 lower than average)
vs
91.25

Percent of Occupied Beds
71 % (12.65 % lower than average)
vs
83.65 %

Health Survey Date 3/15/2012  
Fire Survey Date 4/9/2012  
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? 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
(54.16 lower than average)
vs
58.16

Total Enforcement Actions Count
(52.31 lower than average)
vs
56.31

# of deficiencies
16  (8.52 higher than average)
vs
7.48

Staff Information
Number of Residents
67  (24.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.8  (0.03 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.99  (0.15 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.79  (0.2 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.01  (5.48 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.01  (0.09 lower than average)
vs
0.10

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: 12/15/2011
date Of Correction: 01/20/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.
survey Date: 02/24/2011
date Of Correction: 03/07/2011 

Deficiency #3 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: 08/05/2010
date Of Correction: 09/04/2010 

Deficiency #4 Scope: Some
level Of Harm: 4
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 05/11/2010
date Of Correction: 05/24/2010 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 02/24/2011
date Of Correction: 03/07/2011 

Deficiency #2 Scope: Some
level Of Harm: 4
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 05/11/2010
date Of Correction: 05/24/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 05/28/2009
date Of Correction: 06/12/2009 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 05/28/2009
date Of Correction: 06/12/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Allow Residents To Easily View The Results Of The Nursing Home's Most Recent Survey.
survey Date: 04/15/2011
date Of Correction: 05/06/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.
survey Date: 02/24/2011
date Of Correction: 03/07/2011 

Deficiency #2 Scope: Some
level Of Harm: 4
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 02/07/2011
date Of Correction: 02/21/2011 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.
survey Date: 05/11/2010
date Of Correction: 05/24/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 04/07/2010
date Of Correction: 05/11/2010 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That A Doctor Approves A Resident's Admission In Writing And That Each Resident Remains Under The Care Of A Doctor.
survey Date: 02/07/2011
date Of Correction: 02/21/2011 

Deficiency #2 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: 05/11/2010
date Of Correction: 05/24/2010 

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: 01/20/2012
date Of Correction: 02/03/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
45.9 % (20.81 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
8.5 % (24.45 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
18.3 % (1.64 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
12.2 % (0.38 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
7.1 % (4.73 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.6 % (14.03 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
22.8 % (9.34 % higher than average)
vs
13.46 %

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 assessed and given, appropriately, the seasonal influenza vaccine
86.1 % (1.46 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
89.2 % (5.26 % higher than average)
vs
83.94 %

Percent of long-stay residents experiencing one or more falls with major injury
3.2 % (12.32 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
45.7 % (20.31 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
7.3 % (16.4 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
16.7 % (2.6 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
12.7 % (3.48 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
6.9 % (1.6 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
23.6 % (19.78 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.8 % (5.85 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
19.8 % (10.22 % higher 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
2.1 % (36.43 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
3.7 % (7.03 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
22 % (2.76 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
49.5 % (31.94 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
93.8 % (19.05 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
4.7 % (12.64 % lower than average)
vs
17.34 %



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