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SPRING MILL HEALTH CAMPUS

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SPRING MILL HEALTH CAMPUS VS
All other Nursing Homes USA
General
City MERRILLVILLE   vs 0% Nursing Homes USA have MERRILLVILLE
State attribute explanation IN   vs 3.1% Nursing Homes USA have IN
Street 101 W 87TH AVE  
Zip Code 46410  
Phone 2197560744  
Overall Star Rating
(2.11 lower than average)
vs
3.11

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

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

Number of Certified Beds
58  (50.94 lower than average)
vs
108.94

Total Number of Residents
48  (43.25 lower than average)
vs
91.25

Percent of Occupied Beds
83 % (0.65 % lower than average)
vs
83.65 %

Health Survey Date 2/22/2012  
Fire Survey Date 3/7/2012  
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 For Profit - Partnership  vs 7.9% Nursing Homes USA have For profit - Partnership
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
(56.16 lower than average)
vs
58.16

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

# of deficiencies
33  (25.52 higher than average)
vs
7.48

Staff Information
Number of Residents
48  (43.38 lower than average)
vs
91.38

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: 03/09/2012
date Of Correction: 04/26/2012 

Deficiency #2 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: 08/24/2011
date Of Correction: 09/23/2011 

Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 04/26/2012
date Of Correction: 06/27/2012 

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: 04/26/2012
date Of Correction: 06/27/2012 

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: 02/29/2012
date Of Correction: 06/27/2012 

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: 02/29/2012
date Of Correction: 06/27/2012 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 08/24/2011
date Of Correction: 09/23/2011 

Deficiency #6 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: 08/24/2011
date Of Correction: 09/23/2011 

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: 04/26/2012
date Of Correction: 06/27/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Each Resident A Notice Of Rights, Rules, Services And Charges. Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items And Services Medicaid Covers And Which The Resident Must Pay For.
survey Date: 04/26/2012
date Of Correction: 06/27/2012 

Deficiency #3 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: 08/24/2011
date Of Correction: 09/23/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 04/26/2012
date Of Correction: 06/27/2012 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 04/26/2012
date Of Correction: 06/27/2012 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 04/26/2012
date Of Correction: 06/27/2012 

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: 04/26/2012
date Of Correction: 06/27/2012 

Deficiency #5 Scope: Few
level Of Harm: 3
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 03/09/2012
date Of Correction: 04/26/2012 

Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 03/09/2012
date Of Correction: 06/27/2012 

Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 03/09/2012
date Of Correction: 06/27/2012 

Deficiency #8 Scope: Few
level Of Harm: 2
deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident.
survey Date: 03/09/2012
date Of Correction: 04/26/2012 

Deficiency #9 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 10/25/2011
date Of Correction: 11/16/2011 

Deficiency #10 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: 02/25/2010
date Of Correction: 03/16/2010 

Deficiency #11 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: 02/25/2010
date Of Correction: 03/16/2010 

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: 03/09/2012
date Of Correction: 04/26/2012 

Deficiency #2 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: 10/25/2011
date Of Correction: 11/16/2011 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 04/26/2012
date Of Correction: 06/27/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Or Get X-rays And Other Tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 03/09/2012
date Of Correction: 04/26/2012 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests.
survey Date: 10/25/2011
date Of Correction: 11/16/2011 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 08/24/2011
date Of Correction: 09/23/2011 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 04/26/2012
date Of Correction: 06/27/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.
survey Date: 04/26/2012
date Of Correction: 06/27/2012 

Deficiency #3 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: 04/26/2012
date Of Correction: 06/27/2012 

Deficiency #4 Scope: Few
level Of Harm: 4
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: 10/25/2011
date Of Correction: 11/16/2011 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.
survey Date: 02/25/2010
date Of Correction: 03/16/2010 

Quality Measures Q1
Percent of long-stay residents whose need for help with daily activities has increased
4.1 % (28.85 % lower than average)
vs
32.95 %

Percent of short-stay residents who self-report moderate to severe pain
7.8 % (17.22 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
62.9 % (21.74 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
62.9 % (21.04 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
3.4 % (42.5 % lower than average)
vs
45.90 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
7.7 % (17.69 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
3.6 % (20.1 % lower than average)
vs
23.70 %

Percent of short-stay residents who self-report moderate to severe pain 15.9:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
74.5 % (6.94 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
75.2 % (0.45 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication 2.6 / 3 % 


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