| General |
| City |
| Indianapolis |
Lawrenceburg |
| State attribute explanation |
| In |
In |
| Street |
| 5600 E 16th St |
403 Bielby Rd |
| Zip Code |
| 46,218 |
47,025 |
| Phone |
| 3,173,560,911 |
8,125,371,132 |
|
Overall Star Rating |
| 5 |
1 |
|
Health Inspections Star Rating |
| 4 |
1 |
|
Nurse Staffing Star Rating |
| 3 |
3 |
|
Quality Measures Star Rating |
| 5 |
1 |
|
RN Only Star Rating |
| 3 |
2 |
|
Number of Certified Beds |
| 115 |
100 |
| Total Number of Residents |
| 104 |
46 |
|
Percent of Occupied Beds |
| 90 % |
46 % |
| Health Survey Date |
| 6/7/2012 |
6/29/2012 |
| Fire Survey Date |
| 6/19/2012 |
7/9/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Government - County |
Government - County |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Resident |
Both |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| Yes |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 7 |
17 |
|
| Staff Information |
| Number of Residents |
| 104 |
46 |
| Number of RN Hours Per Resident Per Day |
| 0.72 |
0.53 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.42 |
1.17 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 2.14 |
1.7 |
| Number of CNA Hours Per Resident Per Day |
| 0.11 |
0.12 |
| Number Therapy Hours Per Resident Per Day |
| 0.11 |
0.12 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.survey Date: 06/29/2012date Of Correction: 07/20/2012 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 06/29/2012date Of Correction: 07/20/2012 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.survey Date: 06/29/2012date Of Correction: 07/20/2012 |
| Deficiency #4 |
|
Scope: Manylevel Of Harm: 2deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.survey Date: 05/16/2012date Of Correction: Not Available |
| 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: 07/23/2009date Of Correction: 08/13/2009 |
|
| 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: 02/23/2010date Of Correction: 03/01/2010 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 3deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.survey Date: 11/05/2009date Of Correction: 11/19/2009 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 11/05/2009date Of Correction: 11/19/2009 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 3deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 11/05/2009date Of Correction: 11/19/2009 |
| 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: 08/12/2009date Of Correction: 08/26/2009 |
Scope: Fewlevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 02/23/2010date Of Correction: 03/01/2010 |
| 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: 08/12/2009date Of Correction: 08/26/2009 |
Scope: Fewlevel Of Harm: 2deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 11/05/2009date Of Correction: 11/19/2009 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 11/05/2009date Of Correction: 11/19/2009 |
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: 1) Ensure Lab Services, Blood Blanks And Transfusion Services Provided On Site Meet Requirements For Certified Laboratories; Or 2) Have An Agreement To Obtain Services From An Offsite Laboratory, That Meets The Same Requirements.survey Date: 08/04/2011date Of Correction: 08/26/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 05/16/2011date Of Correction: 06/01/2011 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.survey Date: 08/04/2011date Of Correction: 08/26/2011 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 12/07/2010date Of Correction: 12/27/2010 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor.survey Date: 12/07/2010date Of Correction: 12/27/2010 |
Scope: Somelevel Of Harm: 2deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 06/29/2012date Of Correction: 07/20/2012 |
| Deficiency #2 |
|
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: 06/29/2012date Of Correction: 07/20/2012 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: 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: 11/05/2009date Of Correction: 11/19/2009 |
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: 1) Provide 3 Meals At Regular Times; 2) Serve Breakfast Within 14 Hours After Dinner; Or 3) Offer A Snack At Bedtime Each Day.survey Date: 06/29/2012date Of Correction: 07/20/2012 |
| Deficiency #2 |
|
Scope: Manylevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 05/16/2012date Of Correction: Not Available |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 33.3 % |
11.9 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 1.4 % |
34.4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 2.9 % |
|
| Percent of long-stay residents who lose too much weight |
| 2.1 % |
11.1 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 28.3 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.5 % |
9.8 % |
| Percent of long-stay residents with a urinary tract infection |
| 4.2 % |
11.1 % |
| Percent of long-stay residents who have depressive symptoms |
| 1.1 % |
9.3 % |
| Percent of long-stay residents who were physically restrained |
| 1.1 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 1.8 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 45.1 % |
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 43.1 % |
85.7 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 2.20 % |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.2 % |
11.1 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 28.3 % |
12.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.4 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 5.2 % |
30 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.4 % |
13.3 % |
| Percent of long-stay residents who lose too much weight |
| 3.7 % |
8.4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 29 % |
24.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3.9 % |
9.9:1 |
| Percent of long-stay residents with a urinary tract infection |
| 2.20 % |
15.6 % |
| Percent of long-stay residents who have depressive symptoms |
| 0.8 % |
9.5 % |
| Percent of long-stay residents who were physically restrained |
| 0.4 % |
0.6 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.20 % |
12.8:1 |
| Percent of short-stay residents who self-report moderate to severe pain |
| 12.5 % |
62.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 45.3 % |
95.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 44.4 % |
23 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 20 % |
75.2 % |