| General |
| City |
| Greenwood |
Michigan City |
| State attribute explanation |
| In |
In |
| Street |
| 295 Village Lane |
802 Us Hwy 20 E |
| Zip Code |
| 46,143 |
46,360 |
| Phone |
| 3,178,594,444 |
2,198,727,251 |
|
Overall Star Rating |
| 2 |
1 |
|
Health Inspections Star Rating |
| 1 |
2 |
|
Nurse Staffing Star Rating |
| 4 |
1 |
|
Quality Measures Star Rating |
| 2 |
3 |
|
RN Only Star Rating |
| 3 |
2 |
|
Number of Certified Beds |
| 137 |
120 |
|
Total Number of Residents |
| 101 |
92 |
|
Percent of Occupied Beds |
| 74 % |
77 % |
| Health Survey Date |
| 12/15/2011 |
6/14/2012 |
| Fire Survey Date |
| 1/10/2012 |
7/3/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Corporation |
For Profit - Partnership |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
No |
| Resident and Family Councils |
| Resident |
Resident |
| Continuing Care Retirement Community? |
| Yes |
No |
| Quality Indicator Survey? |
| No |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 5 |
75.2 |
| Total Enforcement Actions Count |
| 5 |
75.2 |
| # of deficiencies |
| 10 |
17 |
|
| Staff Information |
| Number of Residents |
| 101 |
92 |
| Number of RN Hours Per Resident Per Day |
| 0.62 |
0.57 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.64 |
0.92 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 2.26 |
1.49 |
| Number of CNA Hours Per Resident Per Day |
| 0.13 |
0.15 |
| Number Therapy Hours Per Resident Per Day |
| 0.13 |
0.15 |
| Environmental Deficiencies |
| Deficiency #1 |
| 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: 11/03/2011date Of Correction: 01/24/2012 |
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: 06/14/2012date Of Correction: 07/14/2012 |
| Deficiency #2 |
| Scope: Somelevel Of Harm: 4deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 05/13/2010date Of Correction: 04/05/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 05/22/2012date Of Correction: 06/01/2012 |
| Deficiency #3 |
| 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: 12/16/2009date Of Correction: 01/11/2010 |
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: 12/02/2011date Of Correction: 01/17/2012 |
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.survey Date: 11/03/2011date Of Correction: 12/15/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 05/22/2012date Of Correction: 06/01/2012 |
| 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: 05/22/2012date Of Correction: 06/01/2012 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 12/02/2011date Of Correction: 01/17/2012 |
| 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: 12/02/2011date Of Correction: 01/17/2012 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 03/28/2011date Of Correction: 04/27/2011 |
| Deficiency #6 |
|
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: 03/28/2011date Of Correction: 04/27/2011 |
| Deficiency #7 |
|
Scope: Fewlevel Of Harm: 2deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.survey Date: 03/28/2011date Of Correction: 04/27/2011 |
| Deficiency #8 |
|
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: 02/12/2010date Of Correction: 03/05/2010 |
| 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: 11/03/2011date Of Correction: 12/15/2011 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 11/03/2011date Of Correction: 01/24/2012 |
Scope: Fewlevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 06/14/2012date Of Correction: 07/14/2012 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 08/18/2011date Of Correction: 09/17/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 06/14/2012date Of Correction: 07/14/2012 |
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 08/18/2011date Of Correction: 09/17/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 06/14/2012date Of Correction: 07/14/2012 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 12/02/2011date Of Correction: 01/17/2012 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 02/12/2010date Of Correction: 03/05/2010 |
| 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: 11/22/2010date Of Correction: 12/22/2010 |
|
| Deficiency #2 |
| 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: 12/16/2009date Of Correction: 01/11/2010 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 02/12/2010date Of Correction: 03/05/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 23.3 % |
14.5 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
3 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 7.7 % |
1.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.1 % |
6.9 % |
| Percent of long-stay residents who lose too much weight |
| 10.7:1 |
8.6:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
81.4 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3.1 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 16.7 % |
5.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 25.3 % |
2.9 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
1.4 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 19.1:1 |
7.1 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 93.1 % |
85.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 93.1 % |
85.9 % |
| 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 |
| 4.6 % |
8.5 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 26.3 (79.3) |
19 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 4.4 % |
5.7 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 9.4 / 10.4 |
0.8 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.2 % |
13.5 % |
| Percent of long-stay residents who lose too much weight |
| 10.6 % |
7.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 34.7 % |
82.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1 % |
1.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 17.7 % |
9.1 % |
| Percent of long-stay residents who have depressive symptoms |
| 24.6 % |
3.3 % |
| Percent of long-stay residents who were physically restrained |
| 1.50 % |
2.20 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.4 % |
7.6 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 17.4 % |
6 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 88.1 % |
82.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 93.1 % |
83.4 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 27.3 % |
13.6-28 |