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General |
| City |
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FORT WAYNE |
0.1% Nursing Homes USA have FORT WAYNE |
| State attribute explanation |
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IN |
3.1% Nursing Homes USA have IN
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| Street |
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3136 GOEGLEIN RD |
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| Zip Code |
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46815 |
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| Phone |
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2607499655 |
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| Overall Star Rating |
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| Health Inspections Star Rating |
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| Nurse Staffing Star Rating |
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| Quality Measures Star Rating |
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| RN Only Star Rating |
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| Number of Certified Beds |
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| Total Number of Residents |
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| Percent of Occupied Beds |
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| Health Survey Date |
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7/15/2011 |
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| Fire Survey Date |
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7/27/2011 |
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| Sprinkler Status |
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Fully Sprinklered |
90.2% Nursing Homes USA have Fully Sprinklered |
| Program Participation |
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Medicare And Medicaid |
91.5% Nursing Homes USA have Medicare and Medicaid
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| Type of Ownership |
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Non Profit - Church Related |
4.4% Nursing Homes USA have Non profit - Church related
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| Located Within a Hospital? |
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No |
93.6% Nursing Homes USA don't have Located Within a Hospital?
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| Multi Nursing Home Ownership? |
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No |
45.1% Nursing Homes USA don't have Multi Nursing Home Ownership? |
| Resident and Family Councils |
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RESIDENT |
66% Nursing Homes USA have RESIDENT |
| Continuing Care Retirement Community? |
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Yes |
9.1% Nursing Homes USA have Continuing Care Retirement Community? |
| Quality Indicator Survey? |
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No |
68.7% Nursing Homes USA don't have Quality Indicator Survey? |
| Special Focus Facility? |
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No |
99% Nursing Homes USA don't have Special Focus Facility? |
| Civil Money Penalty Count |
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| Total Enforcement Actions Count |
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| # of deficiencies |
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Staff Information |
| Number of Residents |
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| Number of RN Hours Per Resident Per Day |
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| Number of LPN/LVN Hours Per Resident Per Day |
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| Total Number of Licensed Staff Hours Per Resident Per Day |
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| Number of CNA Hours Per Resident Per Day |
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Environmental Deficiencies |
| Deficiency #1 |
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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: 06/22/2010
date Of Correction: 07/28/2010 |
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Resident Rights Deficiencies |
| Deficiency #1 |
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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: 07/28/2010
date Of Correction: 08/09/2010 |
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Resident Assessment Deficiencies |
| Deficiency #1 |
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Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 07/28/2010
date Of Correction: 08/09/2010 |
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Administration Deficiencies |
| Deficiency #1 |
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Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 04/08/2011
date Of Correction: 04/26/2011 |
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Pharmacy Service Deficiencies |
| Deficiency #1 |
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Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 04/08/2011
date Of Correction: 04/26/2011 |
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Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
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| Percent of long-stay residents who self-report moderate to severe pain |
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| Percent of long-stay high-risk residents with pressure ulcers |
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| Percent of long-stay residents who lose too much weight |
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| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
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| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
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| Percent of long-stay residents with a urinary tract infection |
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| Percent of long-stay residents who have depressive symptoms |
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| Percent of long-stay residents who were physically restrained |
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| Percent of long-stay residents experiencing one or more falls with major injury |
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Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
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| Percent of long-stay residents whose need for help with daily activities has increased |
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| Percent of long-stay residents who self-report moderate to severe pain |
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9.4 / 10.4 % |
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| Percent of long-stay high-risk residents with pressure ulcers |
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| Percent of long-stay residents who lose too much weight |
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| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
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| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
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| Percent of long-stay residents with a urinary tract infection |
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| Percent of long-stay residents who have depressive symptoms |
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| Percent of long-stay residents who were physically restrained |
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| Percent of long-stay residents experiencing one or more falls with major injury |
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22.2:1 % |
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| Percent of short-stay residents who self-report moderate to severe pain |
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| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
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| Percent of short-stay residents with Pressure ulcers that are new or worsened |
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| Percent of short-stay residents who newly received an antipsychotic medication |
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