| General |
| City |
| Madisonville |
Lexington |
| State attribute explanation |
| Ky |
Ky |
| Street |
| 55 East North Street |
1500 Trent Boulevard |
| Zip Code |
| 42,431 |
40,515 |
| Phone |
| 2,708,211,492 |
8,592,722,273 |
|
Overall Star Rating |
| 4 |
3 |
|
Health Inspections Star Rating |
| 4 |
2 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 2 |
3 |
|
RN Only Star Rating |
| 4 |
3 |
|
Number of Certified Beds |
| 66 |
150 |
|
Total Number of Residents |
| 58 |
149 |
|
Percent of Occupied Beds |
| 88 % |
99 % |
| Health Survey Date |
| 7/14/2011 |
11/10/2011 |
| Fire Survey Date |
| 7/14/2011 |
11/9/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
No |
| Resident and Family Councils |
| Resident |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
1 |
| Total Enforcement Actions Count |
| 75.2 |
1 |
| # of deficiencies |
|
14 |
|
| Staff Information |
| Number of Residents |
| 58 |
149 |
| Number of RN Hours Per Resident Per Day |
| 0.75 |
0.68 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.91 |
0.77 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.65 |
1.45 |
| Number of CNA Hours Per Resident Per Day |
| 0.01 |
0.09 |
| Number Therapy Hours Per Resident Per Day |
| 0.01 |
0.09 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 09/17/2010date Of Correction: 10/29/2010 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 09/17/2010date Of Correction: 10/29/2010 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area.survey Date: 10/13/2009date Of Correction: 11/10/2009 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 08/21/2009date Of Correction: 09/21/2009 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 05/06/2009date Of Correction: 05/29/2009 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: 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: 05/06/2009date Of Correction: 05/29/2009 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.survey Date: 09/17/2010date Of Correction: 10/29/2010 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 10/13/2009date Of Correction: 11/10/2009 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 09/17/2010date Of Correction: 10/29/2010 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.survey Date: 10/13/2009date Of Correction: 11/10/2009 |
| Deficiency #3 |
|
Scope: Manylevel Of Harm: 2deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.survey Date: 08/21/2009date Of Correction: 11/10/2009 |
| Deficiency #4 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 08/21/2009date Of Correction: 09/21/2009 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.survey Date: 08/21/2009date Of Correction: 11/10/2009 |
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 08/21/2009date Of Correction: 11/10/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 27.8 (82.0) |
21.5 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 6.9 % |
1.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 9.7 % |
4.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.5 % |
2.20 % |
| Percent of long-stay residents who lose too much weight |
| 9.3 % |
7.4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
58.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.1 % |
4.9 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.6:1 |
12.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 16.4 % |
3.5 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
4.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 37.5 % |
14.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 94.7 % |
100 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 94.7 % |
97.7 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 75.2 % |
5.7 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 27.9 % |
19.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 5.9 % |
0.7 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 11.1 % |
8.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 15.8 % |
5.1 % |
| Percent of long-stay residents who lose too much weight |
| 8.4 % |
7.4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 15.3 % |
60.9 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 8.2 % |
4.5 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.4 % |
12.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 18.9 % |
4 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
3.7 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.6 % |
5.4 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 35.2 % |
12.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 94.2 % |
98.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 96.2 % |
96.4 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 14.3 % |
9.6 % |