| General |
| City |
| Brownsburg |
Indianapolis |
| State attribute explanation |
| In |
In |
| Street |
| 1010 Hornaday Rd |
1380 E County Line Rd S |
| Zip Code |
| 46,112 |
46,227 |
| Phone |
| 3,178,523,123 |
3,178,857,050 |
|
Overall Star Rating |
| 1 |
2 |
|
Health Inspections Star Rating |
| 2 |
2 |
|
Nurse Staffing Star Rating |
| 1 |
3 |
|
Quality Measures Star Rating |
| 2 |
4 |
|
RN Only Star Rating |
| 2 |
3 |
|
Number of Certified Beds |
| 160 |
176 |
|
Total Number of Residents |
| 126 |
143 |
|
Percent of Occupied Beds |
| 79 % |
81 % |
| Health Survey Date |
| 2/10/2012 |
3/23/2012 |
| Fire Survey Date |
| 2/10/2012 |
3/29/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
Government - County |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
Yes |
| Resident and Family Councils |
| Resident |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 17 |
15 |
|
| Staff Information |
| Number of Residents |
| 126 |
143 |
| Number of RN Hours Per Resident Per Day |
| 0.36 |
0.67 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.78 |
0.99 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.14 |
1.67 |
| Number of CNA Hours Per Resident Per Day |
| 0.07 |
0.12 |
| Number Therapy Hours Per Resident Per Day |
| 0.07 |
0.12 |
| 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: 08/24/2011date Of Correction: 09/23/2011 |
| 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: 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: 02/08/2011date Of Correction: 03/03/2011 |
| 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: Somelevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 03/16/2010date Of Correction: 04/15/2010 |
| 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: Help And Prepare Each Resident For A Safe And Easy Discharge And Transfer From The Nursing Home.survey Date: 04/06/2009date Of Correction: 05/06/2009 |
| 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: 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: 04/06/2009date Of Correction: 05/06/2009 |
| 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: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 08/24/2011date Of Correction: 09/23/2011 |
| 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: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 03/16/2010date Of Correction: 04/15/2010 |
| 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 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 03/16/2010date Of Correction: 04/15/2010 |
| 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 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 04/06/2009date Of Correction: 05/06/2009 |
| 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 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 04/06/2009date Of Correction: 05/06/2009 |
| 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 |
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: 03/16/2010date Of Correction: 04/15/2010 |
| 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 |
|
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 01/07/2011date Of Correction: 02/06/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 04/06/2009date Of Correction: 05/06/2009 |
| 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 |
Scope: Fewlevel Of Harm: 2deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.survey Date: 04/06/2009date Of Correction: 05/06/2009 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 04/06/2009date Of Correction: 05/06/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 13.7 % |
21.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.6 % |
2.7 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 19.6 % |
6.7 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.3 % |
5.7 % |
| Percent of long-stay residents who lose too much weight |
| 15.4 % |
9.2 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 47.1 % |
40.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3.1 % |
4.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 8.7 % |
2.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 10.7:1 |
75.2 % |
| 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 % |
17.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 100 % |
89 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 97.9 % |
97.5 % |
| 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 % |
1.8 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 14.1 % |
18.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.7 % |
2.20 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 17.8:1 |
7.9:1 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.9 % |
5.7 % |
| Percent of long-stay residents who lose too much weight |
| 12.5 % |
11.6:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 51.8 % |
34.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4 % |
3.6 % |
| Percent of long-stay residents with a urinary tract infection |
| 8.1 / 8.8 |
2.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 13.4 % |
0.6 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.9 % |
3.4 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 26.9 % |
20 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 100 % |
91.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 95.8 % |
96.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 30.4 % |
20.8 % |