General Information: GREENWOOD VILLAGE SOUTH
Nursing home name GREENWOOD VILLAGE SOUTH
Address295 VILLAGE LANE
GREENWOOD, IN 46143
Phone number (317) 859-4444
Located within a hospital No
Type of ownership Non profit - Corporation
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 137
Total number of residents 110
Perc of occupied beds 80
Sprinkler status Data Not Available
Number of Facility Reported Incidents1
Number of Substantiated Complaints8
Number of Fines1
Total Amount of Fines$2925
Total Number of Penalties0
Total Number of Penalties1
Ratings Summary: GREENWOOD VILLAGE SOUTH
Overall rating 5
5
Nursing Home Staffing 4
4
Registered Nurses only 5
5
Health Inspections 4
4
Quality Measures 5
5
Nursing Home Staffing Info: GREENWOOD VILLAGE SOUTH
National AverageIndiana AverageGREENWOOD VILLAGE SOUTH
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 5
5
Total Number of Residents NA NA 110
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.09 hours 4.26 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.84 hours 2.16 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.84 hours 1.14 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 1.0 hours 1.02 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.25 hours 2.1 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.1 hours 0.13 hours
Health Survey: GREENWOOD VILLAGE SOUTH
Heath Survey Summary on 2014-03-12
Total Number of Health Deficiencies 3
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Heath Survey Summary on 2013-02-08
Total Number of Health Deficiencies 0
Scope and Severity of most Severe Health Deficiency
Heath Survey Summary on 2011-12-15
Total Number of Health Deficiencies 5
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: GREENWOOD VILLAGE SOUTH
Inspection Results: 03/12/2014
Corrected Deficiency Scope and Severity
04/11/2014 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
04/11/2014 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
04/11/2014 Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated/Minimal harm or potential for actual harm
Inspection Results: 12/15/2011
Corrected Deficiency Scope and Severity
01/06/2012 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
01/06/2012 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated/Minimal harm or potential for actual harm
01/24/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern/Minimal harm or potential for actual harm
01/24/2012 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
01/06/2012 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: GREENWOOD VILLAGE SOUTH
Fire Safety Survey Summary on 2013-02-18
Total Number of Fire SafetyDeficiencies 4
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-01-10
Total Number of Fire SafetyDeficiencies 1
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey: GREENWOOD VILLAGE SOUTH
Fire Safety Survey Results: 02/18/2013
Corrected Deficiency Severity
03/30/2013 Corridor and hallway doors that block smoke. Widespread /Minimal harm or potential for actual harm
03/30/2013 Proper fire barriers, ventilation and signs for the transfilling of oxygen. Pattern/Minimal harm or potential for actual harm
03/30/2013 An approved automatic sprinkler system connected to the fire alarm system. Pattern/Minimal harm or potential for actual harm
03/30/2013 Restrictions on the use of portable space heaters. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 01/10/2012
Corrected Deficiency Severity
01/27/2012 Proper backup exit lighting. Pattern/Minimal harm or potential for actual harm

Resident Complaints: GREENWOOD VILLAGE SOUTH
Date Complaint Substantiated: 10/17/2013
CorrectedCategoryDeficiencySeverity
11/01/2013Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. D
Date Complaint Substantiated: 09/10/2012
CorrectedCategoryDeficiencySeverity
09/14/2012Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
Date Complaint Substantiated: 11/03/2011
CorrectedCategoryDeficiencySeverity
01/24/2012Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
01/24/2012Provide necessary care and services to maintain or improve the highest well being of each resident . G
12/15/2011Keep each resident free from physical restraints, unless needed for medical treatment. D
12/15/2011Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
Date Complaint Substantiated: 08/18/2011
CorrectedCategoryDeficiencySeverity
09/17/2011Provide necessary care and services to maintain or improve the highest well being of each resident . G
09/17/2011Provide care by qualified persons according to each resident's written plan of care. D

Quality Measures: GREENWOOD VILLAGE SOUTH
Quality Measures National Average Indiana Average GREENWOOD VILLAGE SOUTH
Overall quality rating NA NA 5
5
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 17.5% 20.8%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 8.8% 2.2%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.6% 3.2%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 8.1% 7.1%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 47.8% 60.7%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.4% 0.4%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 6.3% 8.3%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 5.4% 11.2%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.1% 0.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.4% 3.9%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 92.3% 98.8%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 93.3% 98.8%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 20.9% 19.9%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 21.1% 5.0%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.6% 0.6%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 83.4% 95.7%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 80.8% 91.9%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.7% 2.4%

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