| General |
| City |
| Jena |
Hammond |
| State attribute explanation |
| La |
La |
| Street |
| 139 Ninth Street |
15704 Medical Arts Plaza |
| Zip Code |
| 71,342 |
70,403 |
| Phone |
| 3,189,926,627 |
9,855,420,110 |
|
Overall Star Rating |
| 3 |
3 |
|
Health Inspections Star Rating |
| 4 |
3 |
|
Nurse Staffing Star Rating |
| 2 |
2 |
|
Quality Measures Star Rating |
| 1 |
2 |
|
RN Only Star Rating |
| 1 |
1 |
|
Number of Certified Beds |
| 133 |
140 |
|
Total Number of Residents |
| 100 |
101 |
|
Percent of Occupied Beds |
| 75 % |
72 % |
| Health Survey Date |
| 8/19/2011 |
2/2/2012 |
| Fire Survey Date |
| 8/19/2011 |
2/1/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Government - Hospital District |
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 |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 5 |
4 |
|
| Staff Information |
| Number of Residents |
| 100 |
101 |
| Number of RN Hours Per Resident Per Day |
| 0.26 |
0.39 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.99 |
1.34 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.25 |
1.73 |
| Number of CNA Hours Per Resident Per Day |
| 0.11 |
0.06 |
| Number Therapy Hours Per Resident Per Day |
| 0.11 |
0.06 |
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident Free From Drugs That Restrain Them, Unless Needed For Medical Treatment.survey Date: 07/15/2011date Of Correction: 08/19/2011 |
Scope: Somelevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 04/18/2012date Of Correction: 06/02/2012 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 02/04/2010date Of Correction: 02/05/2010 |
|
| 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: 07/15/2011date Of Correction: 08/19/2011 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 07/15/2011date Of Correction: 09/15/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 04/18/2012date Of Correction: 06/02/2012 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 07/15/2011date Of Correction: 08/19/2011 |
|
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel 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: 04/18/2012date Of Correction: 06/02/2012 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.survey Date: 04/18/2012date Of Correction: 06/02/2012 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 26.1 % |
25.6 (78.1) |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.7 % |
1.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 17.8:1 |
18.9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 11.1 % |
10.6 % |
| Percent of long-stay residents who lose too much weight |
| 19.6 % |
12.1:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
54.1 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 12.7 % |
4.4 % |
| Percent of long-stay residents with a urinary tract infection |
| 7.6 % |
19.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
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 |
| 17.4 % |
14.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 91.7 % |
98.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 58.3 % |
94.6 % |
| 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 |
| 3.2 % |
3.1 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 24.1 % |
27.6 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 4.6 % |
1.9 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 22.4:1 |
15 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 11.5 % |
8.8 % |
| Percent of long-stay residents who lose too much weight |
| 18.5 % |
12.4-2413.6-24 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 17.9 (64.2) |
49.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 13.5 % |
3.9 % |
| Percent of long-stay residents with a urinary tract infection |
| 10 % |
22.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 0.4 % |
0.7 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.20 % |
5.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 26.7 % |
10.4 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 89.2 % |
90.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 66.4 % |
94.4 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 22.2:1 |
24.1 % |