| General |
| City |
| Shelbyville |
Indianapolis |
| State attribute explanation |
| In |
In |
| Street |
| 2309 S Miller St |
2860 Churchman Ave |
| Zip Code |
| 46,176 |
46,203 |
| Phone |
| 3,173,989,781 |
3,177,873,451 |
|
Overall Star Rating |
| 3 |
2 |
|
Health Inspections Star Rating |
| 5 |
2 |
|
Nurse Staffing Star Rating |
| 1 |
2 |
|
Quality Measures Star Rating |
| 1 |
3 |
|
RN Only Star Rating |
| 1 |
4 |
|
Number of Certified Beds |
| 141 |
115 |
|
Total Number of Residents |
| 85 |
86 |
|
Percent of Occupied Beds |
| 60 % |
75 % |
| Health Survey Date |
| 10/24/2011 |
12/1/2011 |
| Fire Survey Date |
| 10/24/2011 |
12/6/2011 |
| 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 |
| 75.2 |
2 |
| Total Enforcement Actions Count |
| 75.2 |
2 |
| # of deficiencies |
| 3 |
16 |
|
| Staff Information |
| Number of Residents |
| 85 |
86 |
| Number of RN Hours Per Resident Per Day |
| 0.31 |
0.94 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.16 |
0.39 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.48 |
1.34 |
| Number of CNA Hours Per Resident Per Day |
| 0.07 |
0.19 |
| Number Therapy Hours Per Resident Per Day |
| 0.07 |
0.19 |
| 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: 05/21/2009date Of Correction: 06/19/2009 |
|
| 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: 03/30/2012date Of Correction: 04/27/2012 |
| Deficiency #2 |
|
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: 09/04/2009date Of Correction: 10/04/2009 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Listen To The Resident Or Family Groups Or Act On Their Complaints Or Suggestions.survey Date: 05/05/2009date Of Correction: 05/29/2009 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 03/30/2012date Of Correction: 04/27/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 03/30/2012date Of Correction: 04/27/2012 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 3deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.survey Date: 10/21/2010date Of Correction: 11/19/2010 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 3deficiency: 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: 10/21/2010date Of Correction: 11/19/2010 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 3deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 09/04/2009date Of Correction: 10/04/2009 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 09/04/2009date Of Correction: 10/04/2009 |
| Deficiency #7 |
|
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: 08/26/2009date Of Correction: 09/25/2009 |
| 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: 10/21/2010date Of Correction: 11/19/2010 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 3deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 10/21/2010date Of Correction: 11/23/2010 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 09/04/2009date Of Correction: 10/04/2009 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 09/04/2009date Of Correction: 10/04/2009 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor.survey Date: 05/26/2010date Of Correction: 06/11/2010 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.survey Date: 05/26/2010date Of Correction: 06/11/2010 |
|
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 05/05/2009date Of Correction: 05/29/2009 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure That Special Or Therapeutic Diets Are Ordered By The Attending Doctor.survey Date: 05/05/2009date Of Correction: 05/29/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 30.6 % |
25.4 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 7.3 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 1.50 % |
26 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 14.3 % |
8.2 % |
| Percent of long-stay residents who lose too much weight |
| 8.8 % |
5.3 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 41.9 % |
55.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.6 / 3 |
5.9 % |
| Percent of long-stay residents with a urinary tract infection |
| 16.3:1 |
75.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 16.7 % |
10 % |
| 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 |
| 17.4 % |
37.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 58.6 % |
77.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 72.4 % |
80.3 % |
| 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 |
| 4.9 % |
2.7 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 32 % |
22.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 7.4 % |
1.1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 2.5 % |
19.9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 14 % |
9.2 % |
| Percent of long-stay residents who lose too much weight |
| 8.6:1 |
6.2 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 39.4 % |
46.9 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.2 % |
6.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 11.1 % |
1.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 10.9 % |
10.4 % |
| Percent of long-stay residents who were physically restrained |
| 1.6 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 6.5 % |
1.9 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 18.9 % |
40.1 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 75.3 % |
80.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 76.5 % |
78.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 28.3 % |
17.6 % |