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AMBASSADOR HEALTHCARE

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AMBASSADOR HEALTHCARE VS
Nursing Homes USA
General
City CENTERVILLE   0.1% Nursing Homes USA have CENTERVILLE
State attribute explanation IN   3.1% Nursing Homes USA have IN
Street 705 E MAIN ST  
Zip Code 47330  
Phone 7658553424  
Overall Star Rating
3.11
Health Inspections Star Rating
2.83
Nurse Staffing Star Rating
3.17
Quality Measures Star Rating
3.31
RN Only Star Rating
3.17
Number of Certified Beds
137 
108.94
Total Number of Residents
118 
91.25
Percent of Occupied Beds
86 %
83.65 %
Health Survey Date 11/21/2011  
Fire Survey Date 11/21/2011  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership Government - County  2.9% Nursing Homes USA have Government - County
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? Yes  31.3% Nursing Homes USA have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
58.16
Total Enforcement Actions Count
56.31
# of deficiencies
26 
7.48
Staff Information
Number of Residents
118 
91.38
Number of RN Hours Per Resident Per Day
0.59 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.59 
1.59
Number of CNA Hours Per Resident Per Day
0.09 
5.49
Number Therapy Hours Per Resident Per Day
0.09 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.
survey Date: 11/21/2011
date Of Correction: 12/21/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 11/21/2011
date Of Correction: 12/21/2011 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 11/21/2011
date Of Correction: 12/21/2011 
Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 03/23/2011
date Of Correction: 04/08/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 01/21/2011
date Of Correction: 02/14/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: 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: 01/21/2011
date Of Correction: 02/14/2011 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 01/21/2011
date Of Correction: 02/14/2011 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 06/25/2010
date Of Correction: 07/14/2010 
Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: 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: 06/25/2010
date Of Correction: 07/14/2010 
Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 08/26/2009
date Of Correction: 09/23/2009 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 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: 08/26/2009
date Of Correction: 09/23/2009 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Tell The Resident Completely About His Or Her Health Status, Care And Treatments.
survey Date: 08/26/2009
date Of Correction: 09/23/2009 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 11/21/2011
date Of Correction: 12/21/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Emergency Care By A Doctor 24 Hours A Day.
survey Date: 04/20/2011
date Of Correction: 05/10/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 08/26/2009
date Of Correction: 09/23/2009 
Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 11/21/2011
date Of Correction: 12/21/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 08/26/2009
date Of Correction: 09/23/2009 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 08/26/2009
date Of Correction: 09/23/2009 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 08/26/2009
date Of Correction: 09/23/2009 
Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 09/28/2011
date Of Correction: 10/11/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Choose A Doctor To Serve As The Medical Director To Create Resident Care Policies And Coordinate Medical Care In The Facility.
survey Date: 04/20/2011
date Of Correction: 05/10/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 01/21/2011
date Of Correction: 02/14/2011 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor.
survey Date: 11/21/2011
date Of Correction: 12/21/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.
survey Date: 11/21/2011
date Of Correction: 12/21/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 09/28/2011
date Of Correction: 10/11/2011 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 01/21/2011
date Of Correction: 02/14/2011 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
30.4 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
3.1 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
13.4 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
21.5 %
12.58 %
Percent of long-stay residents who lose too much weight
11.9 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
68.9 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.7 %
15.63 %
Percent of long-stay residents with a urinary tract infection
7.8 %
13.46 %
Percent of long-stay residents who have depressive symptoms
3.9 %
28.38 %
Percent of long-stay residents who were physically restrained
1 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
18.8 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
82.4 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
83.8 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 
45.90
Percent of long-stay residents experiencing one or more falls with major injury
3.8 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
32.5 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
4 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
15 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
16.1 %
9.22 %
Percent of long-stay residents who lose too much weight
9.6 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
58.5 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.3 %
10.65 %
Percent of long-stay residents with a urinary tract infection
11.3 %
9.58 %
Percent of long-stay residents who have depressive symptoms
5.3 %
19.86 %
Percent of long-stay residents who were physically restrained
0.3 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
4.3 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
26.4 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
75.2 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
85.3 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
17.7 %
17.34 %

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