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FRIENDSHIP HEALTHCARE

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FRIENDSHIP HEALTHCARE 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 2630 S KEYSTONE AVE  
Zip Code 46203  
Phone 3177878951  
Overall Star Rating
1 
3.11
Health Inspections Star Rating
1 
2.83
Nurse Staffing Star Rating
2 
3.17
Quality Measures Star Rating
1 
3.31
RN Only Star Rating
2 
3.17
Number of Certified Beds
53 
108.94
Total Number of Residents
47 
91.25
Percent of Occupied Beds
89 %
83.65 %
Health Survey Date 2/17/2012  
Fire Survey Date 2/21/2012  
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 For Profit - Corporation  56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  45.1% Nursing Homes USA don't 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? Yes  1% Nursing Homes USA have Special Focus Facility?
Civil Money Penalty Count
3 
58.16
Total Enforcement Actions Count
7 
56.31
# of deficiencies
39 
7.48
Staff Information
Number of Residents
47 
91.38
Number of RN Hours Per Resident Per Day
0.42 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.96 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.38 
1.59
Number of CNA Hours Per Resident Per Day
0.13 
5.49
Number Therapy Hours Per Resident Per Day
0.13 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Few
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: 01/19/2012
date Of Correction: 04/20/2012 
Deficiency #2 Scope: Many
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 10/07/2011
date Of Correction: 11/29/2011 
Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 10/07/2011
date Of Correction: 11/29/2011 
Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 08/19/2011
date Of Correction: 11/29/2011 
Deficiency #5 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 01/24/2011
date Of Correction: 05/13/2011 
Deficiency #6 Scope: Few
level Of Harm: 4
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 06/07/2010
date Of Correction: 06/30/2010 
Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 04/23/2010
date Of Correction: 06/07/2010 
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: 05/31/2012
date Of Correction: 06/30/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 05/31/2012
date Of Correction: 06/15/2012 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 08/19/2011
date Of Correction: 10/07/2011 
Deficiency #4 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: 08/19/2011
date Of Correction: 10/07/2011 
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: 03/07/2011
date Of Correction: 05/13/2011 
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: 03/07/2011
date Of Correction: 05/13/2011 
Deficiency #7 Scope: Many
level Of Harm: 4
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 06/07/2010
date Of Correction: 06/08/2010 
Deficiency #8 Scope: Many
level Of Harm: 4
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: 06/07/2010
date Of Correction: 06/08/2010 
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: 02/17/2012
date Of Correction: 04/20/2012 
Deficiency #2 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: 10/07/2011
date Of Correction: 11/29/2011 
Deficiency #3 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: 08/19/2011
date Of Correction: 11/29/2011 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Let The Resident Refuse Treatment Or Refuse To Take Part In An Experiment And Formulate Advance Directives.
survey Date: 08/19/2011
date Of Correction: 10/07/2011 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 07/07/2011
date Of Correction: 11/29/2011 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 01/19/2012
date Of Correction: 03/18/2012 
Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.
survey Date: 10/07/2011
date Of Correction: 11/29/2011 
Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 10/07/2011
date Of Correction: 11/29/2011 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 10/07/2011
date Of Correction: 11/29/2011 
Deficiency #5 Scope: Some
level Of Harm: 4
deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.
survey Date: 08/19/2011
date Of Correction: 10/07/2011 
Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 08/19/2011
date Of Correction: 11/29/2011 
Deficiency #7 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 07/07/2011
date Of Correction: 08/19/2011 
Deficiency #8 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 07/07/2011
date Of Correction: 10/07/2011 
Deficiency #9 Scope: Few
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 03/07/2011
date Of Correction: 05/13/2011 
Resident Assessment Deficiencies
Deficiency #1 Scope: Some
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: 03/21/2012
date Of Correction: 04/20/2012 
Deficiency #2 Scope: Some
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: 02/17/2012
date Of Correction: 04/20/2012 
Deficiency #3 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: 01/19/2012
date Of Correction: 03/18/2012 
Deficiency #4 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: 07/07/2011
date Of Correction: 10/07/2011 
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: 05/31/2012
date Of Correction: 06/30/2012 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: 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: 05/31/2012
date Of Correction: 06/30/2012 
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: 02/17/2012
date Of Correction: 03/18/2012 
Pharmacy Service Deficiencies
Deficiency #1 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: 01/19/2012
date Of Correction: 05/03/2012 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 08/19/2011
date Of Correction: 11/29/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 07/07/2011
date Of Correction: 08/19/2011 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
56.3 %
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
23.7 (74.7) %
16.66 %
Percent of long-stay residents who lose too much weight 16.3:1 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.9 %
15.63 %
Percent of long-stay residents with a urinary tract infection
75.2 %
13.46 %
Percent of long-stay residents who have depressive symptoms
2.3 %
28.38 %
Percent of long-stay residents who were physically restrained
2.3 %
43.68 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
81 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
47.6 %
83.94 %
Percent of long-stay residents experiencing one or more falls with major injury
7 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
57.3 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
4.1 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
17.6 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
18.4 %
9.22 %
Percent of long-stay residents who lose too much weight 12.8:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
32.2 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6 %
10.65 %
Percent of long-stay residents with a urinary tract infection
75.2 %
9.58 %
Percent of long-stay residents who have depressive symptoms
0.8 %
19.86 %
Percent of long-stay residents who were physically restrained
4 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
8 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
37.5 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
51.2 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
32.7 (90.9) %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
7.7 %
17.34 %

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