| General |
| City |
| Louisville |
Sardis |
| State attribute explanation |
| Ms |
Ms |
| Street |
| 562 East Main Stree/p. O. Box 967 |
613 East Lee Street |
| Zip Code |
| 39,339 |
38,666 |
| Phone |
| 6,627,736,211 |
6,624,872,720 |
|
Overall Star Rating |
| 3 |
2 |
|
Health Inspections Star Rating |
| 2 |
1 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 3 |
3 |
|
RN Only Star Rating |
| 2 |
3 |
|
Number of Certified Beds |
| 120 |
60 |
|
Total Number of Residents |
| 110 |
54 |
|
Percent of Occupied Beds |
| 92 % |
90 % |
| Health Survey Date |
| 9/29/2011 |
4/20/2012 |
| Fire Survey Date |
| 9/28/2011 |
4/19/2012 |
| Sprinkler Status |
| Partially Sprinklered |
Partially Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| Yes |
No |
| Multi Nursing Home Ownership? |
| No |
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 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 5 |
12 |
|
| Staff Information |
| Number of Residents |
| 110 |
54 |
| Number of RN Hours Per Resident Per Day |
| 0.34 |
0.5 - 2.0 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.69 |
0.79 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 2.03 |
1.29 |
| Number of CNA Hours Per Resident Per Day |
| 0.01 |
0.01 |
| Number Therapy Hours Per Resident Per Day |
| 0.01 |
0.01 |
| Environmental Deficiencies |
| Deficiency #1 |
| 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: 01/25/2011date Of Correction: 01/26/2011 |
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: 07/13/2011date Of Correction: 08/27/2011 |
| Deficiency #2 |
|
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: 02/24/2010date Of Correction: 03/11/2010 |
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 01/25/2011date Of Correction: 01/26/2011 |
Scope: Fewlevel Of Harm: 3deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 07/13/2011date Of Correction: 08/27/2011 |
| 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: 09/15/2009date Of Correction: 10/08/2009 |
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: 09/16/2010date Of Correction: 10/15/2010 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 3deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 02/24/2010date Of Correction: 03/11/2010 |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 03/22/2010date Of Correction: 04/08/2010 |
Scope: Somelevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 09/16/2010date Of Correction: 10/15/2010 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 09/16/2010date Of Correction: 10/15/2010 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 02/24/2010date Of Correction: 03/11/2010 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 07/13/2011date Of Correction: 08/27/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 09/16/2010date Of Correction: 10/15/2010 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 09/16/2010date Of Correction: 10/15/2010 |
| Deficiency #2 |
|
Scope: Somelevel 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: 09/16/2010date Of Correction: 10/15/2010 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 05/03/2011date Of Correction: 05/30/2011 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 17.9 (64.2) |
14.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
1.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 23.2 % |
2.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6 % |
|
| Percent of long-stay residents who lose too much weight |
| 11.9 % |
7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 35.5 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.7 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.5 % |
75.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 0.9 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 4.5 % |
2.20 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 16 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 63.2 % |
96.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 60.5 % |
96.8 % |
| 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 |
| 3.6 % |
4.4 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 19.4:1 |
14.6 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.1 % |
3 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 25.7 % |
5.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.9 % |
14.9-28 |
| Percent of long-stay residents who lose too much weight |
| 10.7:1 |
9.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 34.3 % |
26.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4 % |
0.5 - 2.0 |
| Percent of long-stay residents with a urinary tract infection |
| 3.5 % |
14.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 1.3 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 6 % |
5.4 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.1 % |
4.7 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 24.5 % |
12.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 63.5 % |
98.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 62.6 % |
98.5 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 11.5 % |
75.2 % |