| General Information: ARBOR GROVE VILLAGE | |
|---|---|
| Nursing home name | ARBOR GROVE VILLAGE |
| Address | 1021 E CENTRAL AVE GREENSBURG, IN 47240 |
| Phone number | (812) 663-8553 |
| Located within a hospital | No |
| Type of ownership | Non profit - Corporation |
| Owner operates multiple homes | Yes |
| Accept Medicare or Medicaid | Medicare and Medicaid |
| Continue Care Retirement Community | No |
| Resident and family councils | RESIDENT |
| Certified number of beds | 83 |
| Total number of residents | 75 |
| Perc of occupied beds | 90 |
| Sprinkler status | fully sprinklered |
| Last health survey date | 11/03/2009 |
| Fire survey date: | 10/28/2009 |
| Ratings Summary: ARBOR GROVE VILLAGE | |
|---|---|
| Overall rating |
2 out of 5 stars |
| Nursing Home Staffing |
2 out of 5 stars |
| Registered Nurses only |
3 out of 5 stars |
| Health Inspections |
2 out of 5 stars |
| Quality Measures |
2 out of 5 stars |
| Nursing Home Staffing Info: ARBOR GROVE VILLAGE | ||
|---|---|---|
| National Average | ARBOR GROVE VILLAGE | |
| Overall staff rating | Not Available. |
2 out of 5 stars |
| Registered Nurses only rating | Not Available |
3 out of 5 stars |
| Total Number of Residents | 94.2 | 75 |
| Total Number of Licensed Nurse Staff Hours per Resident per Day | 1.4 hours | 1.27 hours |
| Registered Nurses Hours per Residents per Day | 0.6 hours | 0.61 hours |
| Licensed Practical or Vacation Nurses Hours per Resident per Day | 0.8 hours | 0.66 hours |
| Certified Nursing Assistants Hours per Residents per Day | 0.6 hours | 0.61 hours |
| Health Inpections: ARBOR GROVE VILLAGE | |||
|---|---|---|---|
| Inspection Results: 11/03/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 12/01/2009 | Environmental Deficiencies | Have a program to keep infection from spreading. | D |
| 12/01/2009 | Nutrition and Dietary Deficiencies | Store, cook, and give out food in a safe and clean way. | F |
| 12/01/2009 | Resident Assessment Deficiencies | 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | D |
| 12/01/2009 | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | D |
| 12/01/2009 | Mistreatment Deficiencies | 1) Hire only people who have 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. | D |
| 12/01/2009 | Mistreatment Deficiencies | Protect each resident from all abuse, physical punishment, and being separated from others. | E |
| Inspection Results: 11/20/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 12/20/2008 | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | E |
| 12/20/2008 | Administration Deficiencies | Give or get lab tests to meet the needs of residents. | D |
| 12/20/2008 | Administration Deficiencies | Make sure that nurse aides show they have the skills to be able to care for residents. | D |
| 12/20/2008 | Pharmacy Service Deficiencies | Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | E |
| 12/20/2008 | 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 |
| 12/20/2008 | Quality Care Deficiencies | Give each resident enough fluids to keep them healthy and prevent dehydration. | D |
| 12/20/2008 | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | D |
| 12/20/2008 | Quality Care Deficiencies | Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | D |
| 12/20/2008 | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | D |
| 12/20/2008 | Administration Deficiencies | Keep accurate and appropriate medical records. | D |
| 12/20/2008 | Resident Assessment Deficiencies | Make a complete assessment that covers all questions for areas that are listed in official regulations. | D |
| Inspection Results: 10/26/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 11/22/2007 | Quality Care Deficiencies | Develop/implement required procedures for the administration of immunizations. | E |
| 11/22/2007 | Administration Deficiencies | Keep accurate and appropriate medical records. | E |
| 11/22/2007 | Quality Care Deficiencies | Give each resident enough fluids to keep them healthy and prevent dehydration. | D |
| 11/22/2007 | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | D |
| 11/22/2007 | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | G |
| 11/22/2007 | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | D |
| 11/22/2007 | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | G |
| 11/22/2007 | Resident Assessment Deficiencies | 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | D |
| 11/22/2007 | 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 |
| 11/22/2007 | Resident Assessment Deficiencies | Make a complete assessment that covers all questions for areas that are listed in official regulations. | D |
| 11/22/2007 | Quality Care Deficiencies | Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | E |
| 11/22/2007 | Mistreatment Deficiencies | 1) Hire only people who have 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. | G |
| 11/22/2007 | Mistreatment Deficiencies | Protect each resident from all abuse, physical punishment, and being separated from others. | G |
| 11/22/2007 | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | D |
| Fire Safety Inpections: ARBOR GROVE VILLAGE | |||
|---|---|---|---|
| Inspection Results: 10/28/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 11/27/2009 | Fire Alarm Systems Deficiencies | a fire alarm system that can be heard throughout the facility. | E |
| 11/27/2009 | Illumination and Emergency Power Deficiencies | properly located and lighted "Exit" signs. | E |
| 11/27/2009 | Corridor Walls and Doors Deficiencies | corridors that are separated from common areas by walls constructed to limit the passage of smoke. | E |
| Inspection Results: 12/03/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 01/02/2009 | Illumination and Emergency Power Deficiencies | emergency lighting that can last at least 1 1/2 hours. | F |
| 01/02/2009 | Automatic Sprinkler Systems Deficiencies | automatic sprinkler systems that have been maintained in working order. | E |
| 01/02/2009 | Fire Alarm Systems Deficiencies | an approved installation, maintenance and testing program for fire alarm systems. | F |
| 01/02/2009 | Emergency Plans and Fire Drills Deficiencies | record of quarterly fire drills for each shift under varying conditions. | F |
| 01/02/2009 | Electrical Deficiencies | weekly inspections and monthly testing of generators. | F |
| 01/02/2009 | Exits and Egress Deficiencies | exits that are accessible at all times. | E |
| 01/02/2009 | Hazardous Area Deficiencies | construction that can resist fire for one hour or an approved fire extinguishing system. | E |
| 01/02/2009 | Smoke Compartmentation and Control Deficiencies | smoke barrier doors that can resist smoke for at least 20 minutes. | F |
| 01/02/2009 | Smoke Compartmentation and Control Deficiencies | walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. | F |
| 01/02/2009 | Corridor Walls and Doors Deficiencies | corridor and hallway doors that block smoke. | E |
| 01/02/2009 | Interior Finish Deficiencies | fire-resistant room wall surfaces. | F |
| 01/02/2009 | Interior Finish Deficiencies | fire-resistant interior walls. | F |
| Inspection Results: 10/18/2007 | |||
| Corrected | Category | Deficiency | Severity |
| 10/18/2008 | Building Service Equipment Deficiencies | heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | B |
| Resident Complaints: ARBOR GROVE VILLAGE | |||
|---|---|---|---|
| Date Complaint Substantiated: 07/22/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 08/05/2009 | Pharmacy Service Deficiencies | Make sure that residents are safe from serious medication errors. | G |
| Date Complaint Substantiated: 02/11/2009 | |||
| Corrected | Category | Deficiency | Severity |
| 03/13/2009 | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | E |
| 03/13/2009 | Resident Assessment Deficiencies | Make a complete assessment that covers all questions for areas that are listed in official regulations. | E |
| 03/13/2009 | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | E |
| 03/13/2009 | Quality Care Deficiencies | Have enough nurses to care for every resident in a way that maximizes the resident's well being. | E |
| 03/13/2009 | Quality Care Deficiencies | Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | D |
| Date Complaint Substantiated: 01/31/2008 | |||
| Corrected | Category | Deficiency | Severity |
| 03/01/2008 | Administration Deficiencies | Keep complete, dated lab records in the resident's file. | D |
| 03/01/2008 | Nutrition and Dietary Deficiencies | Make sure that residents are well nourished. | E |
| 03/01/2008 | Nutrition and Dietary Deficiencies | Make sure that the attending doctor orders special diets. | E |
| 03/01/2008 | Nutrition and Dietary Deficiencies | Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | E |
| Date Complaint Substantiated: 12/21/2006 | |||
| Corrected | Category | Deficiency | Severity |
| 01/21/2007 | Quality Care Deficiencies | Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | D |
| 01/21/2007 | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | D |
| 01/21/2007 | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | D |
| 01/21/2007 | Mistreatment Deficiencies | 1) Hire only people who have 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. | D |
| 01/21/2007 | Mistreatment Deficiencies | Protect each resident from all abuse, physical punishment, and being separated from others. | D |
| 01/21/2007 | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | D |
| Quality Measures: ARBOR GROVE VILLAGE | ||
|---|---|---|
| Quality Measures | National Average | ARBOR GROVE VILLAGE |
| Overall quality rating | Not Available |
2 out of 5 stars |
| Long-Stay Residents | ||
| Percent of long-stay residents whose need for help with daily activities has increased | 14% | 30% |
| Percent of long-stay residents who are more depressed or anxious | 14% | 17% |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 50% | 32% |
| Percent of long-stay residents who were physically restrained | 3% | 5% |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | 89% | 76% |
| Percent of low-risk long-stay residents who have pressure sores | 2% | 3% |
| Percent of high-risk long-stay residents who have pressure sores | 11% | 18% |
| Percent of long-stay residents given influenza vaccination during the flu season | 91% | 90+% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 5% | 4% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 11% | 25% |
| Percent of long-stay residents who spend most of their time in bed or in a chair | 4% | 3% |
| Percent of long-stay residents who lose too much weight | 8% | 7% |
| Percent of long-stay residents who have moderate to severe pain | 3% | 3% |
| Percent of long-stay residents who had a urinary tract infection | 9% | 7% |
| Short-Stay Residents | ||
| Percent of short-stay residents who had moderate to severe pain | 19% | 14% |
| Percent of short-stay residents given influenza vaccination during the flu season | 83% | 81% |
| Percent of short-stay residents who have pressure sores | 13% | 10% |
| Percent of short-stay residents who have delirium | 2% | 0% |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | 83% | 53% |
| 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 |