| General |
| City |
| West Lafayette |
Indianapolis |
| State attribute explanation |
| In |
In |
| Street |
| 2741 N Salisbury St |
1316 N Tibbs Ave |
| Zip Code |
| 47,906 |
46,222 |
| Phone |
| 7,654,637,546 |
3,176,348,330 |
|
Overall Star Rating |
| 5 |
5 |
|
Health Inspections Star Rating |
| 5 |
5 |
|
Nurse Staffing Star Rating |
| 5 |
4 |
|
Quality Measures Star Rating |
| 4 |
4 |
|
RN Only Star Rating |
| 5 |
4 |
|
Number of Certified Beds |
| 89 |
89 |
|
Total Number of Residents |
| 49 |
54 |
|
Percent of Occupied Beds |
| 55 % |
61 % |
| Health Survey Date |
| 11/2/2011 |
1/19/2012 |
| Fire Survey Date |
| 11/30/2011 |
2/3/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare |
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? |
| Yes |
No |
| Quality Indicator Survey? |
| No |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
|
2 |
|
| Staff Information |
| Number of Residents |
| 49 |
54 |
| Number of RN Hours Per Resident Per Day |
| 1.19 |
0.98 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.9 |
1.65 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 2.09 |
2.63 |
| Number of CNA Hours Per Resident Per Day |
| 0.2 |
75.2 |
| Number Therapy Hours Per Resident Per Day |
| 0.2 |
|
| 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: 01/05/2012date Of Correction: 01/06/2012 |
| 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: 01/05/2012date Of Correction: 01/06/2012 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 10.3:1 |
5 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 5.2 % |
4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 75.2 % |
4.8 % |
| Percent of long-stay residents who lose too much weight |
| 5.3 % |
75.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3.2 % |
7.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 2.6 / 3 |
5.3 % |
| 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 |
| 8.3 % |
40 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 96.1 % |
88.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 98.1 % |
84.7 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
1.1 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 10.3:1 |
75.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 13.7 % |
4.1 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 4.1 % |
3 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 0.9 % |
5.8 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.8 % |
10.7:1 |
| Percent of long-stay residents who lose too much weight |
| 6.8 % |
5.1 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 45 % |
35.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.3 % |
5.5 % |
| Percent of long-stay residents with a urinary tract infection |
| 11.1 % |
8.4 % |
| 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 long-stay residents experiencing one or more falls with major injury |
| 13.4 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 8.5 % |
39.6 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 96.7 % |
90.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 98.6 % |
86.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 11.2-20 |
1.50 % |