| General |
| City |
| Somerset |
Florence |
| State attribute explanation |
| Ky |
Ky |
| Street |
| 555 Bourne Avenue |
6975 Burlington Pike |
| Zip Code |
| 42,501 |
41,042 |
| Phone |
| 6,066,797,421 |
8,595,250,007 |
|
Overall Star Rating |
| 4 |
1 |
|
Health Inspections Star Rating |
| 4 |
1 |
|
Nurse Staffing Star Rating |
| 3 |
2 |
|
Quality Measures Star Rating |
| 3 |
2 |
|
RN Only Star Rating |
| 2 |
2 |
|
Number of Certified Beds |
| 166 |
150 |
|
Total Number of Residents |
| 160 |
138 |
|
Percent of Occupied Beds |
| 96 % |
92 % |
| Health Survey Date |
| 1/12/2012 |
11/30/2011 |
| Fire Survey Date |
| 1/10/2012 |
11/29/2011 |
| Sprinkler Status |
| Partially 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 |
3 |
| Total Enforcement Actions Count |
| 75.2 |
4 |
| # of deficiencies |
|
23 |
|
| Staff Information |
| Number of Residents |
| 160 |
138 |
| Number of RN Hours Per Resident Per Day |
| 0.43 |
0.47 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.05 |
0.96 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.48 |
1.43 |
| Number of CNA Hours Per Resident Per Day |
| 0.06 |
0.02 |
| Number Therapy Hours Per Resident Per Day |
| 0.06 |
0.02 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area.survey Date: 02/16/2012date Of Correction: 03/05/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 02/16/2012date Of Correction: 03/05/2012 |
| Deficiency #3 |
|
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: 02/13/2010date Of Correction: 03/03/2010 |
| Deficiency #4 |
|
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: 10/08/2009date Of Correction: 10/30/2009 |
| 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: 02/17/2011date Of Correction: 02/18/2011 |
| 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: 02/17/2011date Of Correction: 02/18/2011 |
| 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: 02/16/2012date Of Correction: 03/05/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Establish And Follow A Written Policy That Permits A Resident To Return To The Nursing Home After Hospitalization.survey Date: 01/12/2012date Of Correction: 02/01/2012 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed.survey Date: 01/12/2012date Of Correction: 02/01/2012 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.survey Date: 01/12/2012date Of Correction: 02/01/2012 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Let The Resident Or The Resident's Legal Representative The Right To Access Or Purchase Copies Of All Records.survey Date: 01/12/2012date Of Correction: 02/01/2012 |
| Deficiency #6 |
|
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: 03/18/2010date Of Correction: 03/20/2010 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 01/12/2012date Of Correction: 02/01/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 03/18/2010date Of Correction: 03/20/2010 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.survey Date: 02/13/2010date Of Correction: 03/03/2010 |
| Deficiency #4 |
|
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: 02/13/2010date Of Correction: 03/03/2010 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 3deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 02/13/2010date Of Correction: 03/03/2010 |
| Deficiency #6 |
|
Scope: Somelevel Of Harm: 4deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 10/08/2009date Of Correction: 10/30/2009 |
| Deficiency #7 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 05/01/2009date Of Correction: 05/25/2009 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
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: 02/17/2011date Of Correction: 03/10/2011 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 2deficiency: Train All Employees On What To Do In An Emergency, And Carry Out Announced Staff Drills.survey Date: 02/13/2010date Of Correction: 03/03/2010 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 4deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 10/08/2009date Of Correction: 10/30/2009 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 03/18/2010date Of Correction: 03/20/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 30.1 % |
29.1 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 5 % |
28.6 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 2.5 % |
2 % |
| Percent of long-stay residents who lose too much weight |
| 3.6 % |
9.2 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 37.8 % |
42.9 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 10.8 % |
7.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 0.7 % |
28.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 0.7 % |
9.8 % |
| Percent of long-stay residents who were physically restrained |
| 5.7 % |
0.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 16.7 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 85.5 % |
84.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 85.7 % |
87.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 14.7:1 |
3.3 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.3 % |
6.1 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 29.1 % |
27.7 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
0.9 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 10 % |
27.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 2.20 % |
3 % |
| Percent of long-stay residents who lose too much weight |
| 4.4 % |
11.2-20 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 39.5 % |
41.8 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 10 % |
8.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 3 % |
27.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 2.3 % |
9.9:1 |
| Percent of long-stay residents who were physically restrained |
| 6.9 % |
0.3 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.6 % |
4.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 15.3 % |
21.1 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 84.1 % |
87.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 85.5 % |
89 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 12.3:1 |
21.5 % |