| General |
| City |
| Mishawaka |
West Lafayette |
| State attribute explanation |
| In |
In |
| Street |
| 811 E 12th St |
2741 N Salisbury St |
| Zip Code |
| 46,544 |
47,906 |
| Phone |
| 5,742,591,917 |
7,654,637,546 |
|
Overall Star Rating |
| 3 |
5 |
|
Health Inspections Star Rating |
| 2 |
5 |
|
Nurse Staffing Star Rating |
| 2 |
5 |
|
Quality Measures Star Rating |
| 5 |
4 |
|
RN Only Star Rating |
| 3 |
5 |
|
Number of Certified Beds |
| 87 |
89 |
|
Total Number of Residents |
| 53 |
49 |
|
Percent of Occupied Beds |
| 61 % |
55 % |
| Health Survey Date |
| 10/21/2011 |
11/2/2011 |
| Fire Survey Date |
| 11/15/2011 |
11/30/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare |
| Type of Ownership |
| For Profit - Corporation |
Non 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 |
Yes |
| 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 |
| 19 |
|
|
| Staff Information |
| Number of Residents |
| 53 |
49 |
| Number of RN Hours Per Resident Per Day |
| 0.63 |
1.19 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.94 |
0.9 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.57 |
2.09 |
| Number of CNA Hours Per Resident Per Day |
| 0.11 |
0.2 |
| Number Therapy Hours Per Resident Per Day |
| 0.11 |
0.2 |
| 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: 04/28/2011date Of Correction: 05/23/2011 |
|
| Deficiency #2 |
| 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: 07/15/2010date Of Correction: 08/01/2010 |
|
| Deficiency #3 |
| Scope: Somelevel 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: 07/15/2010date Of Correction: 08/01/2010 |
|
| Deficiency #4 |
| Scope: Somelevel 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: 04/27/2009date Of Correction: 05/15/2009 |
|
| 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: 07/14/2009date Of Correction: 07/24/2009 |
|
| 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: 07/14/2009date Of Correction: 07/24/2009 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 04/27/2009date Of Correction: 05/15/2009 |
|
| Deficiency #4 |
| 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: 04/27/2009date Of Correction: 05/15/2009 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 01/20/2010date Of Correction: 02/12/2010 |
|
| Deficiency #2 |
| Scope: Somelevel Of Harm: 2deficiency: Try To Resolve Each Resident's Complaints Quickly.survey Date: 04/27/2009date Of Correction: 05/15/2009 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 07/15/2010date Of Correction: 08/01/2010 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 07/15/2010date Of Correction: 08/01/2010 |
|
| Deficiency #3 |
| Scope: Somelevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 07/15/2010date Of Correction: 08/01/2010 |
|
| Deficiency #4 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 07/15/2010date Of Correction: 08/01/2010 |
|
| Deficiency #5 |
| Scope: Somelevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 04/27/2009date Of Correction: 05/15/2009 |
|
| 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: 07/15/2010date Of Correction: 08/01/2010 |
|
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
| Scope: Manylevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 04/28/2011date Of Correction: 05/23/2011 |
|
| Deficiency #2 |
| Scope: Somelevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 01/20/2010date Of Correction: 02/12/2010 |
|
| Deficiency #3 |
| Scope: Somelevel Of Harm: 2deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.survey Date: 01/20/2010date Of Correction: 02/12/2010 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 18.2:1 |
10.3:1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
5.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 4.9 % |
75.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.7 % |
|
| Percent of long-stay residents who lose too much weight |
| 12.8:1 |
5.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 12.4-2413.6-24 |
3.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 75.2 % |
2.6 / 3 |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
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 |
| 7.1 % |
8.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 100 % |
96.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 100 % |
98.1 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 9.1 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.2 % |
10.3:1 |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 21.4 % |
13.7 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
4.1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 3.8 % |
0.9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.6:1 |
4.8 % |
| Percent of long-stay residents who lose too much weight |
| 10.7:1 |
6.8 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 36.6 % |
45 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.2 % |
5.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 75.2 % |
11.1 % |
| Percent of long-stay residents who have depressive symptoms |
| 2.7 % |
75.2 % |
| 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 |
| 1.3 % |
13.4 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 12.3:1 |
8.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 100 % |
96.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 100 % |
98.6 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 16.4 % |
11.2-20 |