| General |
| City |
| Greenwood |
Greenfield |
| State attribute explanation |
| In |
In |
| Street |
| 295 Village Lane |
5430 W Us 40 |
| Zip Code |
| 46,143 |
46,140 |
| Phone |
| 3,178,594,444 |
3,178,943,301 |
|
Overall Star Rating |
| 2 |
2 |
|
Health Inspections Star Rating |
| 1 |
1 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 2 |
4 |
|
RN Only Star Rating |
| 3 |
4 |
|
Number of Certified Beds |
| 137 |
60 |
|
Total Number of Residents |
| 101 |
47 |
|
Percent of Occupied Beds |
| 74 % |
78 % |
| Health Survey Date |
| 12/15/2011 |
5/12/2011 |
| Fire Survey Date |
| 1/10/2012 |
6/14/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Corporation |
For Profit - Corporation |
| 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 |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 5 |
2 |
| Total Enforcement Actions Count |
| 5 |
2 |
| # of deficiencies |
| 10 |
6 |
|
| Staff Information |
| Number of Residents |
| 101 |
48 |
| Number of RN Hours Per Resident Per Day |
| 0.62 |
0.58 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.64 |
1.05 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 2.26 |
1.63 |
| Number of CNA Hours Per Resident Per Day |
| 0.13 |
0.01 |
| Number Therapy Hours Per Resident Per Day |
| 0.13 |
0.01 |
| 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: 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: 06/15/2011date Of Correction: 07/12/2011 |
| 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 |
|
| 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 |
|
| 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: 06/15/2011date Of Correction: 08/03/2011 |
| 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: 06/15/2011date Of Correction: 08/03/2011 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 06/15/2011date Of Correction: 07/12/2011 |
| 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 |
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: 03/07/2012date Of Correction: 03/14/2012 |
| 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: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 06/15/2011date Of Correction: 07/12/2011 |
| 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 |
|
| 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 |
|
| 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 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 23.3 % |
57.6 % |
| 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 |
| 7.7 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.1 % |
|
| Percent of long-stay residents who lose too much weight |
| 10.7:1 |
25.6 (78.1) |
| 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 % |
9.3 % |
| Percent of long-stay residents who have depressive symptoms |
| 25.3 % |
2.4 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
4.7 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 19.1:1 |
14.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 93.1 % |
100 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 93.1 % |
100 % |
| 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 % |
75.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 26.3 (79.3) |
62.6 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 4.4 % |
4.9 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 9.4 / 10.4 |
5.4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.2 % |
15.4 % |
| Percent of long-stay residents who lose too much weight |
| 10.6 % |
19.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 34.7 % |
33.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 17.7 % |
5.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 24.6 % |
2.4 % |
| Percent of long-stay residents who were physically restrained |
| 1.50 % |
7.8 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.4 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 17.4 % |
18.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 88.1 % |
95.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 93.1 % |
13.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 27.3 % |
6.5 % |