| General |
| City |
| Hazard |
Lexington |
| State attribute explanation |
| Ky |
Ky |
| Street |
| 390 Park Avenue, P O Box 1329 |
1500 Trent Boulevard |
| Zip Code |
| 41,702 |
40,515 |
| Phone |
| 6,064,392,306 |
8,592,722,273 |
|
Overall Star Rating |
| 1 |
3 |
|
Health Inspections Star Rating |
| 1 |
2 |
|
Nurse Staffing Star Rating |
| 2 |
4 |
|
Quality Measures Star Rating |
| 1 |
3 |
|
RN Only Star Rating |
| 1 |
3 |
|
Number of Certified Beds |
| 200 |
150 |
|
Total Number of Residents |
| 193 |
149 |
|
Percent of Occupied Beds |
| 97 % |
99 % |
| Health Survey Date |
| 10/20/2011 |
11/10/2011 |
| Fire Survey Date |
| 10/20/2011 |
11/9/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
No |
| Resident and Family Councils |
| Resident |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 1 |
1 |
| Total Enforcement Actions Count |
| 1 |
1 |
| # of deficiencies |
| 7 |
14 |
|
| Staff Information |
| Number of Residents |
| 193 |
149 |
| Number of RN Hours Per Resident Per Day |
| 0.33 |
0.68 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.86 |
0.77 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.19 |
1.45 |
| Number of CNA Hours Per Resident Per Day |
| 0.09 |
0.09 |
| Number Therapy Hours Per Resident Per Day |
| 0.09 |
0.09 |
| 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: 05/12/2009date Of Correction: 06/05/2009 |
Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 09/17/2010date Of Correction: 10/29/2010 |
| Deficiency #2 |
|
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: 09/17/2010date Of Correction: 10/29/2010 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area.survey Date: 10/13/2009date Of Correction: 11/10/2009 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 08/21/2009date Of Correction: 09/21/2009 |
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 4deficiency: 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: 06/01/2010date Of Correction: 06/02/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 05/06/2009date Of Correction: 05/29/2009 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 4deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 06/01/2010date Of Correction: 06/02/2010 |
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: 05/06/2009date Of Correction: 05/29/2009 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.survey Date: 09/17/2010date Of Correction: 10/29/2010 |
| Deficiency #2 |
|
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: 10/13/2009date Of Correction: 11/10/2009 |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 4deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 06/01/2010date Of Correction: 06/02/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 09/17/2010date Of Correction: 10/29/2010 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.survey Date: 10/13/2009date Of Correction: 11/10/2009 |
| Deficiency #3 |
|
Scope: Manylevel Of Harm: 2deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.survey Date: 08/21/2009date Of Correction: 11/10/2009 |
| Deficiency #4 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 08/21/2009date Of Correction: 09/21/2009 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 4deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 06/01/2010date Of Correction: 06/02/2010 |
|
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 4deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.survey Date: 06/01/2010date Of Correction: 06/02/2010 |
Scope: Somelevel Of Harm: 2deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.survey Date: 08/21/2009date Of Correction: 11/10/2009 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 4deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 06/01/2010date Of Correction: 06/02/2010 |
|
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 08/21/2009date Of Correction: 11/10/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 34.6 % |
21.5 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 3.3 % |
1.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 28.5 % |
4.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 11.1 % |
2.20 % |
| Percent of long-stay residents who lose too much weight |
| 5.7 % |
7.4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 25.8 % |
58.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.9 % |
4.9 % |
| Percent of long-stay residents with a urinary tract infection |
| 3.4 % |
12.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 16.3:1 |
3.5 % |
| Percent of long-stay residents who were physically restrained |
| 3.9 % |
4.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
14.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 88.9 % |
100 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 84.4 % |
97.7 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 3.9 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 5.1 % |
5.7 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 34.3 % |
19.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 5.4 % |
0.7 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 32 % |
8.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 13.9 / 15.3 |
5.1 % |
| Percent of long-stay residents who lose too much weight |
| 5.3 % |
7.4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 28.6 % |
60.9 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 7 % |
4.5 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.1 % |
12.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 13.7 % |
4 % |
| Percent of long-stay residents who were physically restrained |
| 3.9 % |
3.7 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 6.2 % |
5.4 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 54.8 % |
12.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 86.4 % |
98.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 83.9 % |
96.4 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 12.6:1 |
9.6 % |