General Information: CARMEL MANOR
Nursing home name CARMEL MANOR
Address100 CARMEL MANOR ROAD
FORT THOMAS, KY 41075
Phone number (859) 781-5111
Located within a hospital No
Type of ownership Non profit - Church related
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 65
Total number of residents 60
Perc of occupied beds 92
Sprinkler status Yes
Number of Facility Reported Incidents1
Number of Substantiated Complaints1
Number of Fines3
Total Amount of Fines$44395
Total Number of Penalties1
Total Number of Penalties4
Ratings Summary: CARMEL MANOR
Overall rating 2
2
Nursing Home Staffing 3
3
Registered Nurses only 2
2
Health Inspections 2
2
Quality Measures 4
4
Nursing Home Staffing Info: CARMEL MANOR
National AverageKentucky AverageCARMEL MANOR
Overall staff rating NA NA 3
3
Registered Nurses only rating NANA 2
2
Total Number of Residents NA NA 60
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.38 hours 4.27 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.85 hours 1.75 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.89 hours 0.42 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.96 hours 1.34 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.53 hours 2.52 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.09 hours 0.02 hours
Health Survey: CARMEL MANOR
Heath Survey Summary on 2013-07-19
Total Number of Health Deficiencies 4
Scope and Severity of most Severe Health Deficiency Isolated/Actual harm
Heath Survey Summary on 2012-06-14
Total Number of Health Deficiencies 4
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-07-05
Total Number of Health Deficiencies 12
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: CARMEL MANOR
Inspection Results: 07/19/2013
Corrected Deficiency Scope and Severity
08/24/2013 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Actual harm
08/24/2013 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
08/24/2013 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
08/24/2013 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Actual harm
Inspection Results: 06/14/2012
Corrected Deficiency Scope and Severity
07/24/2012 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern/Minimal harm or potential for actual harm
07/24/2012 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
07/24/2012 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
07/24/2012 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Isolated/Minimal harm or potential for actual harm
Inspection Results: 07/05/2011
Corrected Deficiency Scope and Severity
08/12/2011 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern/Minimal harm or potential for actual harm
08/12/2011 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
08/12/2011 Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Pattern/Minimal harm or potential for actual harm
08/12/2011 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. Pattern/Minimal harm or potential for actual harm
08/12/2011 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
08/12/2011 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
08/12/2011 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
08/12/2011 Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated/Minimal harm or potential for actual harm
08/12/2011 Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern/Minimal harm or potential for actual harm
08/12/2011 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
08/12/2011 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern/Minimal harm or potential for actual harm
08/12/2011 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: CARMEL MANOR
Fire Safety Survey Summary on 2013-07-19
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey Summary on 2012-06-14
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey Summary on 2011-06-15
Total Number of Fire SafetyDeficiencies 1
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey: CARMEL MANOR
Fire Safety Survey Results: 06/15/2011
Corrected Deficiency Severity
08/18/2011 An approved automatic sprinkler system connected to the fire alarm system. Widespread /Minimal harm or potential for actual harm

Resident Complaints: CARMEL MANOR
Date Complaint Substantiated: 07/10/2013
CorrectedCategoryDeficiencySeverity
08/24/20131) 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. D
Date Complaint Substantiated: 09/15/2011
CorrectedCategoryDeficiencySeverity
12/07/2011Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. K
12/07/2011Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . K
12/07/2011Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. E
Date Complaint Substantiated: 08/19/2011
CorrectedCategoryDeficiencySeverity
09/26/2011Protect each resident from mistreatment, neglect and misappropriation of personal property. D

Quality Measures: CARMEL MANOR
Quality Measures National Average Kentucky Average CARMEL MANOR
Overall quality rating NA NA 4
4
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 17.0% 11.6%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 9.6% 8.4%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.6% 0.7%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 8.2% 13.8%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 45.7% 52.2%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 4.1% 1.7%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 7.5% 8.8%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 4.6% 19.2%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 2.7% 1.9%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 4.0% 5.0%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 94.7% 90.5%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 97.1% 100.0%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 22.2% 7.6%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 21.9% 19.5%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.4% 3.2%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 88.5% 89.8%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 87.8% 100.0%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 3.1% 1.8%

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