| General |
| City |
| Monroe |
Thibodaux |
| State attribute explanation |
| La |
La |
| Street |
| 309 Jackson Street |
1002 Tiger Drive |
| Zip Code |
| 71,210 |
70,301 |
| Phone |
| 3,189,666,173 |
9,854,472,205 |
|
Overall Star Rating |
| 5 |
3 |
|
Health Inspections Star Rating |
| 4 |
3 |
|
Nurse Staffing Star Rating |
| 5 |
3 |
|
Quality Measures Star Rating |
| 2 |
3 |
|
RN Only Star Rating |
| 5 |
4 |
|
Number of Certified Beds |
| 24 |
72 |
|
Total Number of Residents |
| 17 |
68 |
|
Percent of Occupied Beds |
| 71 % |
94 % |
| Health Survey Date |
| 7/28/2011 |
9/9/2011 |
| Fire Survey Date |
| 7/28/2011 |
9/6/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Partially Sprinklered |
| Program Participation |
| Medicare |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Church Related |
Non Profit - Corporation |
| Located Within a Hospital? |
| Yes |
No |
| Multi Nursing Home Ownership? |
| Yes |
No |
| Resident and Family Councils |
| None |
Both |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| Yes |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
2 |
| Total Enforcement Actions Count |
| 75.2 |
2 |
| # of deficiencies |
|
4 |
|
| Staff Information |
| Number of Residents |
| 18 |
68 |
| Number of RN Hours Per Resident Per Day |
| 3.33 |
0.69 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.79 |
0.69 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 5.12 |
1.38 |
| Number of CNA Hours Per Resident Per Day |
| 0.89 |
0.12 |
| Number Therapy Hours Per Resident Per Day |
| 0.89 |
0.12 |
| 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: 02/05/2010date Of Correction: 03/04/2010 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
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: 02/05/2010date Of Correction: 03/04/2010 |
| 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: 07/15/2010date Of Correction: 08/14/2010 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 07/15/2010date Of Correction: 08/14/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
|
24.2 % |
| 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 |
|
18.6 (65.5) |
| Percent of long-stay high-risk residents with pressure ulcers |
|
3.3 % |
| Percent of long-stay residents who lose too much weight |
|
9.1 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
5.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
|
1.7 % |
| Percent of long-stay residents with a urinary tract infection |
|
3 % |
| Percent of long-stay residents who have depressive symptoms |
|
1.4 % |
| Percent of long-stay residents who were physically restrained |
|
1.4 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 46.5 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 99.1 % |
|
| 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 |
|
| Percent of long-stay residents experiencing one or more falls with major injury |
|
4.3 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
|
23.8:1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.7 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
21 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
7.8 % |
| Percent of long-stay residents who lose too much weight |
|
10.5 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
13 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
|
4.6 % |
| Percent of long-stay residents with a urinary tract infection |
|
7.3 % |
| Percent of long-stay residents who have depressive symptoms |
|
2.5 % |
| Percent of long-stay residents who were physically restrained |
|
1.50 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
|
15.7 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 48 % |
20 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 98.7 % |
100 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 99.8 % |
100 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 2.3 % |
10.8 % |