DANVILLE REGIONAL REHABILITATION - DANVILLE, IN

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Address

255 MEADOW DR
DANVILLE, IN, 46122

Phone (make sure to verify first before calling): (317) 745-5451

Number of Certified Beds: 127
Total Number of Residents: 97
Percent of Occupied Beds: 76%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Both
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: 1 Star
Nurse Staffing Star Rating: 2 Stars
Quality Measures Star Rating: 5 Stars
RN Only Star Rating: 4 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 4.74
Certified Nurse Aides - Full Time: 23.19
Certified Nurse Aides - Part Time: 11.86
Food Service Personnel - Full Time: 10.71
Licensed Practical/ Vocational Nurses - Full Time: 25.47
Licensed Practical/ Vocational Nurses - Part Time: 8.87
Medical Directors - Under Contract: 0.46
Mental Health Services Personnel - Under Contract: 0.06
Nurses With Administrative Duties - Full Time: 6.86
Physical Therapists - Under Contract: 4.71
Registered Nurses - Full Time: 6.83
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 0.57
Activities Professionals - Full Time: 0.57
Occupational Therapists - Under Contract: 4.79
Speech Pathologists - Under Contract: 2.29
Housekeeping Personnel - Under Contract: 9.36
Other Physicians - Under Contract: 0.43
Physician Extenders - Under Contract: 1.14
Dietitians - Full Time: 0.86
Occupational Therapy Assistants - Under Contract: 4.57
Medication Aides/ Technicians - Part Time: 0.74

Provided Services

Activities Services Are Provided Onsite To Residents
Clinical Laboratory Services Are Provided Onsite To Residents
Dental Services Are Provided Onsite 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 Onsite To Residents
Nursing Services Are Provided Onsite To Residents
Occupational Therapy Services Are Provided Offsite To Residents
Occupational Therapy Services Are Provided Onsite To Non Residents
Occupational Therapy Services Are Provided Onsite To Residents
Pharmacy Services Are Provided Onsite To Residents
Physical Therapy Services Are Provided Offsite To Residents
Physical Therapy Services Are Provided Onsite To Non Residents
Physical Therapy Services Are Provided Onsite To Residents
Physician Extender Services Are Provided Onsite To Residents
Physician Services Are Provided Onsite To Residents
Podiatry Services Are Provided Onsite To Residents
Social Work Services Are Provided Onsite To Residents
Speech/Language Pathology Services Are Provided Offsite To Residents
Speech/Language Pathology Services Are Provided Onsite To Non Residents
Speech/Language Pathology Services Are Provided Onsite To Residents

Quality Measures

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

Here:	9.4%
State:	19.7%

Percent of long-stay residents who self-report moderate to severe pain

This Nursing Home:	8.3%
State:	10.6%

Percent of long-stay high-risk residents with pressure ulcers

Here:	8.3%
State:	6.3%

Percent of long-stay residents who lose too much weight

Here:	2.7%
State:	7.8%

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

Here:	45.9%
State:	47.9%

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

Here:	3.9%
Indiana:	4.3%

Percent of long-stay residents with a urinary tract infection

Here:	4.1%
Indiana:	6.6%

Percent of long-stay residents who have depressive symptoms

Here:	4.5%
Indiana:	4.4%

Percent of long-stay residents who were physically restrained

This Nursing Home:	2.7%
State:	1.3%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	2.7%
State:	3.8%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	98.6%
Indiana:	95.2%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	100.0%
State:	94.0%

Percent of short-stay residents who self-report moderate to severe pain

Here:	10.9%
Indiana:	22.0%

Percent of short-stay residents with Pressure ulcers that are new or worsened

This Nursing Home:	0.7%
Indiana:	2.0%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	90.8%
Indiana:	84.1%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	89.6%
State:	82.2%

Percent of short-stay residents who newly received an antipsychotic medication

Here:	0.9%
Indiana:	2.9%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	17.4%
State:	22.6%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	1.100
Indiana:	0.691

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

This Nursing Home:	1.310
State:	0.981

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	2.410
Indiana:	1.672

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.100
State:	0.096

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.100
State:	0.103

Complaint Deficiency

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Few (Minimal harm or potential for actual harm)

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed: Few (Minimal harm or potential for actual harm)

A two-hour-resistant firewall in common walls: Few (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Few (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Few (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm)

Provide doctors orders for the resident's immediate care, at the time the resident was admitted: Few (Minimal harm or potential for actual harm)

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Few (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm)

Proper medical gas storage and administration areas: Some (Minimal harm or potential for actual harm)

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Few (Minimal harm or potential for actual harm)

Provide enough notice before discharging or transferring a resident: Few (Minimal harm or potential for actual harm)

Approved construction type or materials: Few (Immediate jeopardy to resident health or safety)

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Immediate jeopardy to resident health or safety)

Hire sufficient dietary support personnel: Few (Immediate jeopardy to resident health or safety)

Provide doctors orders for the resident's immediate care, at the time the resident was admitted: Some (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm)

Conduct initial and periodic assessments of each resident's functional capacity: Some (Minimal harm or potential for actual harm)

Provide care by qualified persons according to each resident's written plan of care: Some (Minimal harm or potential for actual harm)

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Few (Minimal harm or potential for actual harm)

1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: Few (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Some (Minimal harm or potential for actual harm)

Give or get quality lab services/tests in a timely manner to meet the needs of residents: Few (Minimal harm or potential for actual harm)

Keep complete, dated lab records in the resident's file: Few (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm)

Smoke barrier doors that can resist smoke for at least 20 minutes: Some (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Many (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Minimal harm or potential for actual harm)

Provide care by qualified persons according to each resident's written plan of care: Few (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Few (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Immediate jeopardy to resident health or safety)

Make sure that residents are safe from serious medication errors: Few (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Minimal harm or potential for actual harm)

Keep each resident free from physical restraints, unless needed for medical treatment: Few (Minimal harm or potential for actual harm)

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: Few (Minimal harm or potential for actual harm)

Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property: Few (Minimal harm or potential for actual harm)

Provide activities to meet the interests and needs of each resident: Some (Minimal harm or potential for actual harm)

Make sure each resident receives an accurate assessment by a qualified health professional: Some (Potential for minimal harm)

Provide care by qualified persons according to each resident's written plan of care: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Immediate jeopardy to resident health or safety)

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm)

Keep clinical record information safe, so that it will not be lost, destroyed or used by the wrong person: Many (Minimal harm or potential for actual harm)

Did not have a written emergency evacuation plan: Some (Minimal harm or potential for actual harm)

Portable fire extinguishers: Some (Minimal harm or potential for actual harm)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Many (Minimal harm or potential for actual harm)

Other nearby hospitals and nursing homes

DAY BY DAY HOSPICE (0.38 miles)
FMCNA - HENDRICKS COUNTY (0.32 miles)
HENDRICKS REGIONAL HEALTH (0.66 miles)
PRIMROSE MANOR (1.67 miles)
RESIDENTIAL CRF INC (0.79 miles)
ADVOCATE HOSPICE (1.37 miles)

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