| General Information: ALTENHEIM COMMUNITY | |
|---|---|
| Nursing home name | ALTENHEIM COMMUNITY |
| Address | 3525 E HANNA AVE INDIANAPOLIS, IN 46237 |
| Phone number | (317) 788-4261 |
| Located within a hospital | No |
| Type of ownership | Non profit - Church related |
| Owner operates multiple homes | Yes |
| Accept Medicare or Medicaid | Medicare and Medicaid |
| Continue Care Retirement Community | Yes |
| Resident and family councils | RESIDENT |
| Certified number of beds | 72 |
| Total number of residents | 63 |
| Perc of occupied beds | 88 |
| Sprinkler status | fully sprinklered |
| Last health survey date | 01/09/2009 |
| Fire survey date: | 01/22/2009 |
| Ratings Summary: ALTENHEIM COMMUNITY | |
|---|---|
| Overall rating |
5 out of 5 stars |
| Nursing Home Staffing |
4 out of 5 stars |
| Registered Nurses only |
3 out of 5 stars |
| Health Inspections |
3 out of 5 stars |
| Quality Measures |
5 out of 5 stars |
| Nursing Home Staffing Info: ALTENHEIM COMMUNITY | ||
|---|---|---|
| National Average | ALTENHEIM COMMUNITY | |
| Overall staff rating | Not Available. |
4 out of 5 stars |
| Registered Nurses only rating | Not Available |
3 out of 5 stars |
| Total Number of Residents | 94.2 | 63 |
| Total Number of Licensed Nurse Staff Hours per Resident per Day | 1.4 hours | 1.58 hours |
| Registered Nurses Hours per Residents per Day | 0.6 hours | 0.64 hours |
| Licensed Practical or Vacation Nurses Hours per Resident per Day | 0.8 hours | 0.94 hours |
| Certified Nursing Assistants Hours per Residents per Day | 0.6 hours | 0.64 hours |
| Health Inpections: ALTENHEIM COMMUNITY | |||
|---|---|---|---|
| Inspection Results: 01/09/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 02/08/2009 | Administration Deficiencies | Make sure that nurse aides show they have the skills to be able to care for residents. | D |
| 02/08/2009 | Nutrition and Dietary Deficiencies | Make sure that residents are well nourished. | D |
| 02/08/2009 | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | D |
| 02/08/2009 | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | D |
| 02/08/2009 | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | D |
| Inspection Results: 11/13/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 12/10/2007 | Pharmacy Service Deficiencies | 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | D |
| 12/10/2007 | Pharmacy Service Deficiencies | At least once a month, have a licensed pharmacist check the drugs that each resident takes. | D |
| 12/10/2007 | Quality Care Deficiencies | Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | D |
| 12/10/2007 | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | K |
| 12/10/2007 | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | D |
| 12/10/2007 | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | E |
| 12/10/2007 | Resident Assessment Deficiencies | Make a complete assessment that covers all questions for areas that are listed in official regulations. | E |
| 12/10/2007 | Environmental Deficiencies | Provide needed housekeeping and maintenance. | E |
| 12/10/2007 | Quality Care Deficiencies | Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | D |
| Fire Safety Inpections: ALTENHEIM COMMUNITY | |||
|---|---|---|---|
| Inspection Results: 01/22/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 02/21/2009 | Medical Gases and Anesthetizing Areas Deficiencies | proper fire barriers, ventilation and signs for the transport of oxygen. | E |
| 02/21/2009 | Building Service Equipment Deficiencies | properly protected cooking facilities. | C |
| 02/21/2009 | Building Service Equipment Deficiencies | heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | C |
| Inspection Results: 11/07/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 12/05/2007 | Electrical Deficiencies | properly installed electrical wiring and equipment. | E |
| 11/29/2007 | Emergency Plans and Fire Drills Deficiencies | record of quarterly fire drills for each shift under varying conditions. | C |
| Resident Complaints: ALTENHEIM COMMUNITY | |||
|---|---|---|---|
| Date Complaint Substantiated: 05/30/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 06/29/2008 | Administration Deficiencies | Keep accurate and appropriate medical records. | D |
| Date Complaint Substantiated: 08/13/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 09/11/2007 | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | D |
| Quality Measures: ALTENHEIM COMMUNITY | ||
|---|---|---|
| Quality Measures | National Average | ALTENHEIM COMMUNITY |
| Overall quality rating | Not Available |
5 out of 5 stars |
| Long-Stay Residents | ||
| Percent of long-stay residents who have moderate to severe pain | 3% | 1% |
| Percent of long-stay residents who spend most of their time in bed or in a chair | 4% | 1% |
| Percent of high-risk long-stay residents who have pressure sores | 11% | 7% |
| Percent of long-stay residents who had a urinary tract infection | 9% | 15% |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 50% | 53% |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | 89% | 87% |
| Percent of long-stay residents who were physically restrained | 3% | 0% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 5% | 6% |
| Percent of long-stay residents whose need for help with daily activities has increased | 14% | 15% |
| Percent of low-risk long-stay residents who have pressure sores | 2% | 0% |
| Percent of long-stay residents who are more depressed or anxious | 14% | 11% |
| Percent of long-stay residents given influenza vaccination during the flu season | 91% | 90+% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 11% | 5% |
| Percent of long-stay residents who lose too much weight | 8% | 5% |
| Short-Stay Residents | ||
| Percent of short-stay residents who have pressure sores | 13% | 10% |
| Percent of short-stay residents who have delirium | 2% | 1% |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | 83% | 83% |
| Percent of short-stay residents given influenza vaccination during the flu season | 83% | 90+% |
| Percent of short-stay residents who had moderate to severe pain | 19% | 14% |
| Severity Codes Explanation. Note: The higher the letter, the higher the severity. | |
|---|---|
| A | Isolated /Potential for minimal harm |
| B | Pattern /Potential for minimal harm |
| C | Widespread /Potential for minimal harm |
| D | Isolated /Minimal harm or potential for actual harm |
| E | Pattern /Minimal harm or potential for actual harm |
| F | Widespread /Minimal harm or potential for actual harm |
| G | Isolated /Actual harm |
| H | Pattern /Actual harm |
| I | Widespread /Actual harm |
| J | Isolated /Immediate jeopardy to resident health or safety |
| K | Pattern /Immediate jeopardy to resident health or safety |
| L | Widespread /Immediate jeopardy to resident health or safety |