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COMMUNITY NURSING AND REHABILITATION CENTER

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COMMUNITY NURSING AND REHABILITATION CENTER VS
Nursing Homes USA
General
City INDIANAPOLIS   0.3% Nursing Homes USA have INDIANAPOLIS
State attribute explanation IN   3.1% Nursing Homes USA have IN
Street 5600 E 16TH ST  
Zip Code 46218  
Phone 3173560911  
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
115 
108.94
Total Number of Residents
104 
91.25
Percent of Occupied Beds
90 %
83.65 %
Health Survey Date 6/7/2012  
Fire Survey Date 6/19/2012  
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
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies
7.48
Staff Information
Number of Residents
104 
91.38
Number of RN Hours Per Resident Per Day
0.72 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.42 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
2.14 
1.59
Number of CNA Hours Per Resident Per Day
0.11 
5.49
Number Therapy Hours Per Resident Per Day
0.11 
0.10
Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 07/23/2009
date Of Correction: 08/13/2009 
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: 08/12/2009
date Of Correction: 08/26/2009 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Doctors Orders For The Resident's Immediate Care, At The Time The Resident Was Admitted.
survey Date: 08/12/2009
date Of Correction: 08/26/2009 
Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 1) Ensure Lab Services, Blood Blanks And Transfusion Services Provided On Site Meet Requirements For Certified Laboratories; Or 2) Have An Agreement To Obtain Services From An Offsite Laboratory, That Meets The Same Requirements.
survey Date: 08/04/2011
date Of Correction: 08/26/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 08/04/2011
date Of Correction: 08/26/2011 
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: 12/07/2010
date Of Correction: 12/27/2010 
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: 12/07/2010
date Of Correction: 12/27/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
33.3 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
1.4 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
2.9 %
12.58 %
Percent of long-stay residents who lose too much weight
2.1 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
28.3 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.5 %
15.63 %
Percent of long-stay residents with a urinary tract infection
4.2 %
13.46 %
Percent of long-stay residents who have depressive symptoms
1.1 %
28.38 %
Percent of long-stay residents who were physically restrained
1.1 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
1.8 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
45.1 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
43.1 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
2.20 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
3.2 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
28.3 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
0.4 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
5.2 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
3.4 %
9.22 %
Percent of long-stay residents who lose too much weight
3.7 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
29 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.9 %
10.65 %
Percent of long-stay residents with a urinary tract infection
2.20 %
9.58 %
Percent of long-stay residents who have depressive symptoms
0.8 %
19.86 %
Percent of long-stay residents who were physically restrained
0.4 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
2.20 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
12.5 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
45.3 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
44.4 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
20 %
17.34 %

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