| General |
| City |
| Elizabethtown |
Hazard |
| State attribute explanation |
| Ky |
Ky |
| Street |
| 1117 Woodland Drive |
390 Park Avenue, P O Box 1329 |
| Zip Code |
| 42,701 |
41,702 |
| Phone |
| 2,707,692,363 |
6,064,392,306 |
|
Overall Star Rating |
| 1 |
1 |
|
Health Inspections Star Rating |
| 1 |
1 |
|
Nurse Staffing Star Rating |
| 1 |
2 |
|
Quality Measures Star Rating |
| 1 |
1 |
|
RN Only Star Rating |
| 2 |
1 |
|
Number of Certified Beds |
| 112 |
200 |
|
Total Number of Residents |
| 108 |
193 |
|
Percent of Occupied Beds |
| 96 % |
97 % |
| Health Survey Date |
| 8/4/2011 |
10/20/2011 |
| Fire Survey Date |
| 8/3/2011 |
10/20/2011 |
| Sprinkler Status |
| Fully 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 |
| 4 |
1 |
| Total Enforcement Actions Count |
| 4 |
1 |
| # of deficiencies |
| 3 |
7 |
|
| Staff Information |
| Number of Residents |
| 108 |
193 |
| Number of RN Hours Per Resident Per Day |
| 0.63 |
0.33 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.76 |
0.86 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.39 |
1.19 |
| Number of CNA Hours Per Resident Per Day |
| 0.05 |
0.09 |
| Number Therapy Hours Per Resident Per Day |
| 0.05 |
0.09 |
| 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: 12/15/2010date Of Correction: 12/23/2010 |
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: 05/12/2009date Of Correction: 06/05/2009 |
| 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: 05/06/2009date Of Correction: 05/15/2009 |
Scope: Fewlevel Of Harm: 4deficiency: 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: 06/01/2010date Of Correction: 06/02/2010 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 4deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 06/01/2010date Of Correction: 06/02/2010 |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 10/28/2010date Of Correction: 11/22/2010 |
Scope: Fewlevel Of Harm: 4deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 06/01/2010date Of Correction: 06/02/2010 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 4deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 06/01/2010date Of Correction: 06/02/2010 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 4deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.survey Date: 06/01/2010date Of Correction: 06/02/2010 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 4deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 06/01/2010date Of Correction: 06/02/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 34.8 % |
34.6 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 4.8 % |
3.3 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 30.2 % |
28.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 16.2 % |
11.1 % |
| Percent of long-stay residents who lose too much weight |
| 9.3 % |
5.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 21.2:1 |
25.8 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 7.9:1 |
4.9 % |
| Percent of long-stay residents with a urinary tract infection |
| 9.3 % |
3.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 2 % |
16.3:1 |
| Percent of long-stay residents who were physically restrained |
| 4 % |
3.9 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 95.5 % |
88.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 97.8 % |
84.4 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 3.7 % |
3.9 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1 % |
5.1 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 31.3 % |
34.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.7 % |
5.4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 31.9 % |
32 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 11.1 % |
13.9 / 15.3 |
| Percent of long-stay residents who lose too much weight |
| 8.2 % |
5.3 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 23.9 % |
28.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.2 % |
7 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.1 % |
5.1 % |
| Percent of long-stay residents who have depressive symptoms |
| 1.7 % |
13.7 % |
| Percent of long-stay residents who were physically restrained |
| 6.1 % |
3.9 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3 % |
6.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 25 % |
54.8 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 96.2 % |
86.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 95.7 % |
83.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 20.3 % |
12.6:1 |