CARDINAL NURSING AND REHABILITATION CENTER - SOUTH BEND, IN

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CARDINAL NURSING AND REHABILITATION CENTER
1121 E LASALLE AVE
SOUTH BEND, IN, 46617

Phone (make sure to verify first before calling): (574) 287-6501

Number of Certified Beds: 158
Total Number of Residents: 126
Percent of Occupied Beds: 80%
Sprinkler Status: Fully sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Government - County
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 2 Stars
Health Inspections Star Rating: 2 Stars
Nurse Staffing Star Rating: 2 Stars
Quality Measures Star Rating: 2 Stars
RN Only Star Rating: 3 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 4.46
Certified Nurse Aides - Full Time: 37.39
Certified Nurse Aides - Part Time: 3.89
Dietitians - Under Contract: 0.11
Food Service Personnel - Full Time: 9.86
Food Service Personnel - Part Time: 1.44
Housekeeping Personnel - Full Time: 11.23
Licensed Practical/ Vocational Nurses - Full Time: 16.09
Licensed Practical/ Vocational Nurses - Part Time: 2.90
Mental Health Services Personnel - Under Contract: 0.29
Nurses With Administrative Duties - Full Time: 4.51
Persons Not Included In Any Other Categories - Full Time: 2.27
Registered Nurses - Full Time: 3.51
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.14
Activities Professionals - Full Time: 1.10
Pharmacists - Under Contract: 0.11
Persons Not Included In Any Other Categories - Part Time: 0.71
Housekeeping Personnel - Part Time: 2.53
Occupational Therapists - Full Time: 1.31
Physical Therapists - Full Time: 2.43
Occupational Therapy Assistants - Full Time: 1.14
Occupational Therapy Assistants - Part Time: 0.61
Speech Pathologists - Part Time: 0.59
Medication Aides/ Technicians - Full Time: 4.70

Provided Services

Activities Services Are Provided Onsite To Residents
Administration And Storage Of Blood Services Are Provided Offsite To Residents
Clinical Laboratory Services Are Provided Offsite To Residents
Clinical Laboratory Services Are Provided Onsite To Residents
Dental Services Are Provided Offsite To Residents
Dental Services Are Provided Onsite To Residents
Diagnostic Xray Services Are Provided Offsite To Residents
Diagnostic Xray Services Are Provided Onsite To Residents
Dietary Services Are Provided Onsite To Residents
Housekeeping Services Are Provided Onsite To Residents
Mental Health Services Are Provided Offsite To Residents
Mental Health Services Are Provided Onsite To Residents
Nursing Services Are Provided Onsite To Residents
Occupational Therapy Services Are Provided Onsite To Residents
Pharmacy Services Are Provided Onsite To Residents
Physical Therapy Services Are Provided Onsite To Residents
Physician Extender Services Are Provided Offsite To Residents
Physician Extender Services Are Provided Onsite To Residents
Physician Services Are Provided Offsite To Residents
Physician Services Are Provided Onsite To Residents
Podiatry Services Are Provided Offsite To Residents
Podiatry Services Are Provided Onsite To Residents
Social Work Services Are Provided Onsite To Residents
Speech/Language Pathology Services Are Provided Onsite To Residents
Vocational Services Are Provided Offsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.660
State:	0.640

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	1.050
State:	0.993

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.710
State:	1.633

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	1.730
Indiana:	2.139

Quality Measures

Percent of long-stay residents given influenza vaccination during the flu season

This Nursing Home:	81.0%
State:	93.3%

Percent of long-stay residents who were assessed and given pneumococcal vaccination

Here:	91.0%
Indiana:	88.2%

Percent of long-stay residents whose need for help with daily activities has increased

This Nursing Home:	14.0%
State:	19.9%

Percent of long-stay residents who have moderate to severe pain

Here:	1.0%
State:	2.6%

Percent of high-risk long-stay residents who have pressure sores

Here:	11.0%
State:	9.3%

Percent of long-stay residents who were physically restrained

This Nursing Home:	3.0%
Indiana:	2.0%

Percent of long-stay residents who are more depressed or anxious

Here:	17.0%
State:	16.0%

Percent of low-risk long-stay residents who lose control of their bowels or bladder

Here:	57.0%
Indiana:	50.6%

Percent of long-stay residents who have/had a catheter inserted and left in their bladder

Here:	5.0%
State:	5.3%

Percent of long-stay residents who spend most of their time in bed or in a chair

Here:	2.0%
State:	3.0%

Percent of long-stay residents whose ability to move about in and around their room got worse

Here:	17.0%
State:	12.8%

Percent of long-stay residents who had a urinary tract infection

Here:	8.0%
State:	9.2%

Percent of long-stay residents who lose too much weight

This Nursing Home:	5.0%
Indiana:	7.7%

Percent of short-stay residents given influenza vaccination during the flu season

This Nursing Home:	69.0%
Indiana:	84.9%

Percent of short-stay residents who were assessed and given pneumococcal vaccination

This Nursing Home:	89.0%
Indiana:	77.8%

Percent of short-stay residents who had moderate to severe pain

Here:	13.0%
Indiana:	17.7%

Percent of short-stay residents who have pressure sores

Here:	4.0%
State:	8.8%

Complaint Deficiency

Make a complete assessment that covers all questions for areas that are listed in official regulations: Isolated (Minimal harm or potential for actual harm)

Give professional services that meet a professional standard of quality: Isolated (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Isolated (Actual harm)

Keep accurate and appropriate medical records: Isolated (Minimal harm or potential for actual harm)

Make a complete assessment that covers all questions for areas that are listed in official regulations: Isolated (Minimal harm or potential for actual harm)

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: Isolated (Minimal harm or potential for actual harm)

Make a complete assessment that covers all questions for areas that are listed in official regulations: Pattern (Potential for minimal harm)

Provide services to meet the needs and preferences of each resident: Isolated (Minimal harm or potential for actual harm)

Protect residents from mistreatment, neglect, and/or theft of personal property: Isolated (Minimal harm or potential for actual harm)

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: Isolated (Minimal harm or potential for actual harm)

Give professional services that meet a professional standard of quality: Isolated (Minimal harm or potential for actual harm)

Give professional services that follow each resident's written care plan: Isolated (Minimal harm or potential for actual harm)

Make sure that residents are safe from serious medication errors: Isolated (Actual harm)

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: Isolated (Minimal harm or potential for actual harm)

Give professional services that follow each resident's written care plan: Isolated (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free of dangers that cause accidents: Isolated (Actual harm)

Make sure that nurse aides show they have the skills to be able to care for residents: Isolated (Actual harm)

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature: Isolated (Minimal harm or potential for actual harm)

Have a program to keep infection from spreading: Isolated (Minimal harm or potential for actual harm)

Give or get lab tests to meet the needs of residents: Isolated (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Isolated (Minimal harm or potential for actual harm)

Give each resident enough fluids to keep them healthy and prevent dehydration: Isolated (Actual harm)

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)

Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene: Pattern (Minimal harm or potential for actual harm)

Give professional services that meet a professional standard of quality: Isolated (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Isolated (Actual harm)

Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property: Isolated (Minimal harm or potential for actual harm)

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: Isolated (Minimal harm or potential for actual harm)

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: Isolated (Minimal harm or potential for actual harm)

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: Isolated (Minimal harm or potential for actual harm)

Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property: Isolated (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free of dangers that cause accidents: Isolated (Minimal harm or potential for actual harm)

Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene: Pattern (Minimal harm or potential for actual harm)

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