| General |
| City |
| Hazard |
Louisville |
| State attribute explanation |
| Ky |
Ky |
| Street |
| 390 Park Avenue, P O Box 1329 |
4,600 |
| Zip Code |
| 41,702 |
40,220 |
| Phone |
| 6,064,392,306 |
5,024,511,401 |
|
Overall Star Rating |
| 1 |
2 |
|
Health Inspections Star Rating |
| 1 |
2 |
|
Nurse Staffing Star Rating |
| 2 |
2 |
|
Quality Measures Star Rating |
| 1 |
2 |
|
RN Only Star Rating |
| 1 |
2 |
|
Number of Certified Beds |
| 200 |
186 |
|
Total Number of Residents |
| 193 |
174 |
|
Percent of Occupied Beds |
| 97 % |
94 % |
| Health Survey Date |
| 10/20/2011 |
5/20/2011 |
| Fire Survey Date |
| 10/20/2011 |
5/19/2011 |
| 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 |
Yes |
| 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 |
13 |
|
| Staff Information |
| Number of Residents |
| 193 |
169 |
| Number of RN Hours Per Resident Per Day |
| 0.33 |
0.62 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.86 |
0.95 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.19 |
1.57 |
| Number of CNA Hours Per Resident Per Day |
| 0.09 |
0.07 |
| Number Therapy Hours Per Resident Per Day |
| 0.09 |
0.07 |
| 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: 01/03/2012date Of Correction: 01/30/2012 |
| 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: 08/26/2011date Of Correction: 09/24/2011 |
| Deficiency #3 |
|
Scope: Fewlevel 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: 03/17/2010date Of Correction: 03/18/2010 |
| 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 |
|
| 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 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
|
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: 11/17/2011date Of Correction: 12/16/2011 |
| 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: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 01/03/2012date Of Correction: 01/30/2012 |
| 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: 11/17/2011date Of Correction: 12/16/2011 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 08/26/2011date Of Correction: 09/24/2011 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.survey Date: 02/24/2011date Of Correction: 03/22/2011 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 02/24/2011date Of Correction: 03/22/2011 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 02/24/2011date Of Correction: 03/22/2011 |
| 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 |
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: 02/24/2011date Of Correction: 03/22/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Review Or Revise The Resident's Care Plan After Any Major Change In A Resident's Physical Or Mental Health.survey Date: 02/24/2011date Of Correction: 03/22/2011 |
| 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 |
|
| 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 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
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: 05/27/2010date Of Correction: 06/26/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 34.6 % |
30.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 3.3 % |
1.1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 28.5 % |
17.9 (64.2) |
| Percent of long-stay high-risk residents with pressure ulcers |
| 11.1 % |
10.4 % |
| Percent of long-stay residents who lose too much weight |
| 5.7 % |
8.6:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 25.8 % |
37.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.9 % |
2.6 / 3 |
| Percent of long-stay residents with a urinary tract infection |
| 3.4 % |
1.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 16.3:1 |
16.4 % |
| Percent of long-stay residents who were physically restrained |
| 3.9 % |
5.1 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
19.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 88.9 % |
79.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 84.4 % |
80.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 3.9 % |
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 % |
33 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 5.4 % |
2.5 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 32 % |
16.7 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 13.9 / 15.3 |
9.3 % |
| Percent of long-stay residents who lose too much weight |
| 5.3 % |
8.3 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 28.6 % |
40.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 7 % |
1.9 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.1 % |
1.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 13.7 % |
7.4 % |
| Percent of long-stay residents who were physically restrained |
| 3.9 % |
5 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 6.2 % |
5.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 54.8 % |
19.5-24 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 86.4 % |
79.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 83.9 % |
78.5 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 12.6:1 |
22.1 (71.8) |