| General |
| City |
| Bedford |
Peru |
| State attribute explanation |
| In |
In |
| Street |
| 1510 Clinic Dr |
390 W Boulevard |
| Zip Code |
| 47,421 |
46,970 |
| Phone |
| 8,122,794,494 |
7,654,734,900 |
|
Overall Star Rating |
| 2 |
4 |
|
Health Inspections Star Rating |
| 1 |
4 |
|
Nurse Staffing Star Rating |
| 2 |
2 |
|
Quality Measures Star Rating |
| 5 |
3 |
|
RN Only Star Rating |
| 3 |
3 |
|
Number of Certified Beds |
| 95 |
36 |
|
Total Number of Residents |
| 81 |
34 |
|
Percent of Occupied Beds |
| 85 % |
94 % |
| Health Survey Date |
| 11/30/2011 |
2/23/2012 |
| Fire Survey Date |
| 12/20/2011 |
3/9/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Government - County |
Non 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 |
| 7 |
2 |
| Total Enforcement Actions Count |
| 7 |
2 |
| # of deficiencies |
| 16 |
3 |
|
| Staff Information |
| Number of Residents |
| 81 |
34 |
| Number of RN Hours Per Resident Per Day |
| 0.66 |
0.63 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.72 |
0.63 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.38 |
1.26 |
| Number of CNA Hours Per Resident Per Day |
| 0.1 |
0.03 |
| Number Therapy Hours Per Resident Per Day |
| 0.1 |
0.03 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel 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: 07/29/2011date Of Correction: 07/30/2011 |
|
| Deficiency #2 |
| Scope: Fewlevel 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: 06/04/2010date Of Correction: 06/21/2010 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep All Essential Equipment Working Safely.survey Date: 02/22/2010date Of Correction: 03/15/2010 |
|
| Deficiency #4 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 02/22/2010date Of Correction: 03/15/2010 |
|
| Deficiency #5 |
| Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 07/14/2009date Of Correction: 08/20/2009 |
|
| Deficiency #6 |
| 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: 07/14/2009date Of Correction: 08/20/2009 |
|
| Deficiency #7 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Clean Bed And Bath Linens That Are In Good Condition.survey Date: 07/14/2009date Of Correction: 08/20/2009 |
|
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.survey Date: 02/22/2010date Of Correction: 03/15/2010 |
|
| 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: 05/11/2010date Of Correction: 06/02/2010 |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 4deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 07/29/2011date Of Correction: 07/30/2011 |
Scope: Fewlevel Of Harm: 3deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.survey Date: 05/11/2010date Of Correction: 06/02/2010 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 3deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 02/22/2010date Of Correction: 03/15/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 05/11/2010date Of Correction: 06/02/2010 |
| Deficiency #3 |
| Scope: Somelevel Of Harm: 4deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 02/22/2010date Of Correction: 03/15/2010 |
|
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Doctors Orders For The Resident's Immediate Care, At The Time The Resident Was Admitted.survey Date: 02/22/2010date Of Correction: 03/15/2010 |
|
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 4deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 07/29/2011date Of Correction: 07/30/2011 |
|
| Deficiency #2 |
| Scope: Fewlevel 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: 06/04/2010date Of Correction: 06/21/2010 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Tell The Attending Physician The Results Of X-rays And Other Tests, In A Timely Manner.survey Date: 02/22/2010date Of Correction: 03/15/2010 |
|
| Deficiency #4 |
| Scope: Fewlevel Of Harm: 2deficiency: 1) Set Up A Group That Is Legally Responsible For Writing And Setting Up Policies For Leading And Running The Nursing Home; Or 2) Hire A Properly Licensed Administrator.survey Date: 07/14/2009date Of Correction: 08/20/2009 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 45.6 % |
|
| 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 |
| 75.2 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.9 % |
|
| Percent of long-stay residents who lose too much weight |
| 7.5 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.8 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 10.4 % |
16.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 4.7 % |
19.4:1 |
| Percent of long-stay residents who were physically restrained |
| 1.50 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 3.4 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 98.2 % |
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 95.2 % |
|
| 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 % |
9.7 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 47.9 % |
27.7 % |
| 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 |
| 2.3 % |
14.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.1 % |
12.5 % |
| Percent of long-stay residents who lose too much weight |
| 7.3 % |
7.5 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 29.4 % |
65.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.3 % |
1.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 11.4 % |
14.6 % |
| Percent of long-stay residents who have depressive symptoms |
| 2.6 / 3 |
14.3 % |
| Percent of long-stay residents who were physically restrained |
| 2.1 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.6 / 3 |
14.6 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 5 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 77.3 % |
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 73.2 % |
|
| Percent of short-stay residents who newly received an antipsychotic medication |
| 18.2:1 |
|