| General |
| City |
| Brownsburg |
Indianapolis |
| State attribute explanation |
| In |
In |
| Street |
| 1010 Hornaday Rd |
4851 Tincher Rd |
| Zip Code |
| 46,112 |
46,221 |
| Phone |
| 3,178,523,123 |
3,178,564,851 |
|
Overall Star Rating |
| 1 |
2 |
|
Health Inspections Star Rating |
| 2 |
3 |
|
Nurse Staffing Star Rating |
| 1 |
1 |
|
Quality Measures Star Rating |
| 2 |
3 |
|
RN Only Star Rating |
| 2 |
2 |
|
Number of Certified Beds |
| 160 |
88 |
|
Total Number of Residents |
| 126 |
78 |
|
Percent of Occupied Beds |
| 79 % |
89 % |
| Health Survey Date |
| 2/10/2012 |
7/8/2011 |
| Fire Survey Date |
| 2/10/2012 |
7/18/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Partnership |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
Yes |
| Resident and Family Councils |
| Resident |
Both |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 17 |
12 |
|
| Staff Information |
| Number of Residents |
| 126 |
78 |
| Number of RN Hours Per Resident Per Day |
| 0.36 |
0.56 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.78 |
0.36 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.14 |
0.91 |
| Number of CNA Hours Per Resident Per Day |
| 0.07 |
0.07 |
| Number Therapy Hours Per Resident Per Day |
| 0.07 |
0.07 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 06/24/2011date Of Correction: 06/27/2011 |
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: 05/03/2012date Of Correction: 05/24/2012 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 03/25/2011date Of Correction: 04/15/2011 |
Scope: Manylevel Of Harm: 1deficiency: Provide Clean Bed And Bath Linens That Are In Good Condition.survey Date: 05/03/2012date Of Correction: 05/24/2012 |
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 07/28/2009date Of Correction: 08/17/2009 |
Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 04/19/2011date Of Correction: 05/06/2011 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.survey Date: 06/05/2012date Of Correction: Not Available |
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: 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: 04/10/2012date Of Correction: 05/04/2012 |
Scope: Fewlevel Of Harm: 2deficiency: 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: 09/19/2011date Of Correction: 09/28/2011 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: 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: 03/25/2011date Of Correction: 04/15/2011 |
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: 09/01/2011date Of Correction: 09/20/2011 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.survey Date: 07/08/2011date Of Correction: 07/29/2011 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Notice To The Resident Before A Room Or Roommate Change.survey Date: 09/15/2010date Of Correction: 10/04/2010 |
| Deficiency #5 |
|
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: 09/15/2010date Of Correction: 10/04/2010 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.survey Date: 09/15/2010date Of Correction: 10/04/2010 |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 04/10/2012date Of Correction: 05/04/2012 |
Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 09/01/2011date Of Correction: 09/20/2011 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 04/10/2012date Of Correction: 05/04/2012 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 09/01/2011date Of Correction: 09/20/2011 |
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.survey Date: 03/25/2011date Of Correction: 04/15/2011 |
|
| Deficiency #4 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 03/25/2011date Of Correction: 04/15/2011 |
|
| Deficiency #5 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 03/25/2011date Of Correction: 04/15/2011 |
|
| Deficiency #6 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 12/20/2010date Of Correction: 01/19/2011 |
|
| Deficiency #7 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 07/28/2009date Of Correction: 08/17/2009 |
|
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 06/24/2011date Of Correction: 06/27/2011 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Doctors Orders For The Resident's Immediate Care, At The Time The Resident Was Admitted.survey Date: 03/25/2011date Of Correction: 04/15/2011 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 12/20/2010date Of Correction: 01/19/2011 |
|
| Deficiency #4 |
| Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 07/28/2009date Of Correction: 08/17/2009 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 03/25/2011date Of Correction: 04/15/2011 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 13.7 % |
14.5 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.6 % |
4.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 19.6 % |
22.1 (71.8) |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.3 % |
4.9 % |
| Percent of long-stay residents who lose too much weight |
| 15.4 % |
3.1 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 47.1 % |
37.1 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3.1 % |
5.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 8.7 % |
20.3 % |
| Percent of long-stay residents who have depressive symptoms |
| 10.7:1 |
6.1 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 26 % |
25 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 100 % |
88.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 97.9 % |
92.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 1.8 % |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.8 % |
1.50 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 14.1 % |
12 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.7 % |
2.9 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 17.8:1 |
18.7 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.9 % |
4.6 % |
| Percent of long-stay residents who lose too much weight |
| 12.5 % |
5.2 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 51.8 % |
42.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4 % |
4 % |
| Percent of long-stay residents with a urinary tract infection |
| 8.1 / 8.8 |
12.4-2413.6-24 |
| Percent of long-stay residents who have depressive symptoms |
| 13.4 % |
5.1 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
0.5 - 2.0 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.9 % |
3.6 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 26.9 % |
16.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 100 % |
90 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 95.8 % |
87.1 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 30.4 % |
19.6 % |