| General |
| City |
| Hot Springs |
Hot Springs |
| State attribute explanation |
| Ar |
Ar |
| Street |
| 1910 Malvern Avenue |
260 Lakepark Drive |
| Zip Code |
| 71,901 |
71,901 |
| Phone |
| 5,013,211,000 |
5,012,621,920 |
|
Overall Star Rating |
| 5 |
1 |
|
Health Inspections Star Rating |
| 5 |
1 |
|
Nurse Staffing Star Rating |
|
5 |
|
Quality Measures Star Rating |
| 2 |
1 |
|
RN Only Star Rating |
|
5 |
|
Number of Certified Beds |
| 10 |
80 |
|
Total Number of Residents |
| 3 |
63 |
|
Percent of Occupied Beds |
| 30 % |
79 % |
| Health Survey Date |
| 6/15/2012 |
5/25/2012 |
| Fire Survey Date |
| 6/15/2012 |
5/22/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
Non Profit - Corporation |
| Located Within a Hospital? |
| Yes |
No |
| Multi Nursing Home Ownership? |
| Yes |
No |
| Resident and Family Councils |
| None |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
3 |
| Total Enforcement Actions Count |
| 75.2 |
4 |
| # of deficiencies |
|
9 |
|
| Staff Information |
| Number of Residents |
| 3 |
63 |
| Number of RN Hours Per Resident Per Day |
|
1 |
| Number of LPN/LVN Hours Per Resident Per Day |
|
1.45 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
|
2.45 |
| Number of CNA Hours Per Resident Per Day |
|
0.07 |
| Number Therapy Hours Per Resident Per Day |
|
0.07 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel 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: 10/15/2009date Of Correction: 11/14/2009 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 10/15/2009date Of Correction: 11/14/2009 |
| Deficiency #2 |
|
Scope: Somelevel 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: 10/15/2009date Of Correction: 11/14/2009 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 4deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 10/15/2009date Of Correction: 11/14/2009 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 1deficiency: Determine If It Is Safe For The Resident To Self-administer Drugs.survey Date: 10/15/2009date Of Correction: 10/15/2009 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel 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: 12/03/2010date Of Correction: 01/02/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 12/03/2010date Of Correction: 01/02/2011 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 10/15/2009date Of Correction: 11/14/2009 |
| Deficiency #4 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 10/15/2009date Of Correction: 11/14/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
|
30.9 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
|
| Percent of long-stay residents who self-report moderate to severe pain |
|
25.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
6.5 % |
| Percent of long-stay residents who lose too much weight |
|
23.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
|
4.7 % |
| Percent of long-stay residents with a urinary tract infection |
|
15 % |
| Percent of long-stay residents who have depressive symptoms |
|
5 % |
| Percent of long-stay residents who were physically restrained |
|
1.7 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 39.8 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 98.9 % |
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 100 % |
|
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
1 |
| Percent of long-stay residents experiencing one or more falls with major injury |
|
1.7 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
|
32.7 (90.9) |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.8 % |
12.4-2413.6-24 |
| Percent of long-stay residents who self-report moderate to severe pain |
|
28.6 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
8.8 % |
| Percent of long-stay residents who lose too much weight |
|
12.5 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
20.8 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
|
6.2 % |
| Percent of long-stay residents with a urinary tract infection |
|
15.8 % |
| Percent of long-stay residents who have depressive symptoms |
|
5.3 % |
| Percent of long-stay residents who were physically restrained |
|
3.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
|
18.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 46.9 % |
34.8 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 98.9 % |
91.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 99.2 % |
58.5 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
3.1 % |