| General |
| City |
| Indianapolis |
Kokomo |
| State attribute explanation |
| In |
In |
| Street |
| 7001 Hoover Rd |
3518 S Lafountain St |
| Zip Code |
| 46,260 |
46,902 |
| Phone |
| 3,172,512,261 |
7,654,534,666 |
|
Overall Star Rating |
| 4 |
1 |
|
Health Inspections Star Rating |
| 4 |
1 |
|
Nurse Staffing Star Rating |
| 4 |
3 |
|
Quality Measures Star Rating |
| 3 |
2 |
|
RN Only Star Rating |
| 3 |
3 |
|
Number of Certified Beds |
| 188 |
105 |
|
Total Number of Residents |
| 169 |
50 |
|
Percent of Occupied Beds |
| 90 % |
48 % |
| Health Survey Date |
| 5/8/2012 |
9/22/2011 |
| Fire Survey Date |
| 5/18/2012 |
9/29/2011 |
| 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? |
| No |
No |
| Quality Indicator Survey? |
| Yes |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
2 |
| Total Enforcement Actions Count |
| 75.2 |
2 |
| # of deficiencies |
| 1 |
27 |
|
| Staff Information |
| Number of Residents |
| 169 |
50 |
| Number of RN Hours Per Resident Per Day |
| 0.59 |
0.7 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.81 |
0.95 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.4 |
1.65 |
| Number of CNA Hours Per Resident Per Day |
| 0.04 |
0.13 |
| Number Therapy Hours Per Resident Per Day |
| 0.04 |
0.13 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 08/25/2011date Of Correction: 10/05/2011 |
| 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: 08/25/2011date Of Correction: 10/05/2011 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 3deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.survey Date: 08/25/2011date Of Correction: 10/05/2011 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 04/28/2011date Of Correction: 05/06/2011 |
| Deficiency #5 |
|
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: 04/28/2011date Of Correction: 05/06/2011 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 07/29/2010date Of Correction: 10/07/2010 |
| Deficiency #7 |
|
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: 07/29/2010date Of Correction: 10/07/2010 |
| Deficiency #8 |
|
Scope: Fewlevel Of Harm: 2deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.survey Date: 07/29/2010date Of Correction: 10/07/2010 |
| 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: 04/19/2011date Of Correction: 05/17/2011 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 03/07/2011date Of Correction: 04/06/2011 |
| Deficiency #3 |
|
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: 03/07/2011date Of Correction: 05/17/2011 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Help And Prepare Each Resident For A Safe And Easy Discharge And Transfer From The Nursing Home.survey Date: 11/29/2010date Of Correction: 01/21/2011 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Written Records When A Resident Is Transferred Or Discharged.survey Date: 11/29/2010date Of Correction: 01/21/2011 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
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: 04/19/2011date Of Correction: 05/17/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 04/19/2011date Of Correction: 05/17/2011 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 3deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.survey Date: 03/07/2011date Of Correction: 04/06/2011 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 3deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.survey Date: 03/07/2011date Of Correction: 05/17/2011 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 03/07/2011date Of Correction: 04/06/2011 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 11/29/2010date Of Correction: 01/21/2011 |
| Deficiency #7 |
|
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: 09/22/2010date Of Correction: 10/07/2010 |
| Deficiency #8 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 09/22/2010date Of Correction: 10/07/2010 |
| Deficiency #9 |
|
Scope: Fewlevel Of Harm: 3deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 07/29/2010date Of Correction: 10/07/2010 |
| Deficiency #10 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 07/29/2010date Of Correction: 10/07/2010 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 03/07/2011date Of Correction: 04/06/2011 |
| 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: 07/29/2010date Of Correction: 10/07/2010 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 04/09/2010date Of Correction: 04/26/2010 |
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 02/19/2010date Of Correction: 03/19/2010 |
Scope: Manylevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 01/03/2011date Of Correction: 01/17/2011 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 24 % |
22 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 5.3 % |
1.50 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 21.9 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 6 % |
|
| Percent of long-stay residents who lose too much weight |
| 9.7 % |
7.8 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 78.8 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 75.2 % |
5.4 % |
| Percent of long-stay residents with a urinary tract infection |
| 1.9 % |
11.8:1 |
| Percent of long-stay residents who have depressive symptoms |
| 6.7 % |
75.2 % |
| 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 |
| 20.4 % |
33.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 87.7 % |
74.6 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 86.4 % |
78.3 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 1.9 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 6.5 % |
3.8 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 23.3 % |
20.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 4 % |
1.1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 23.9 % |
15.3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 8.5 % |
10.3:1 |
| Percent of long-stay residents who lose too much weight |
| 8.8 % |
9.4 / 10.4 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 73 % |
39.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 0.2 % |
4 % |
| Percent of long-stay residents with a urinary tract infection |
| 2.7 % |
15.3 % |
| Percent of long-stay residents who have depressive symptoms |
| 6.4 % |
2.1 % |
| Percent of long-stay residents who were physically restrained |
| 0.4 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 5 % |
2.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 21.3 % |
33.9 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 89.4 % |
77.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 87.3 % |
84 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 20.6 % |
24.6 % |