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HIGHLAND MANOR HEALTHCARE - INDIANAPOLIS, IN

 



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Address
2926 N CAPITOL AVE
INDIANAPOLIS, IN, 46208
Phone (make sure to verify first before calling): (317) 926-0254

Number of Certified Beds: 52
Total Number of Residents: 44
Percent of Occupied Beds: 85%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Both
Continuing Care Retirement Community?: No
Quality Indicator Survey?: Yes
Special Focus Facility?: No
Type: Skilled Nursing Facilities


Overall Star Rating: 1 Star
Health Inspections Star Rating: 1 Star
Nurse Staffing Star Rating: 1 Star
Quality Measures Star Rating: 2 Stars
RN Only Star Rating: 2 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 1.14
Certified Nurse Aides - Full Time: 7.41
Certified Nurse Aides - Part Time: 2.11
Food Service Personnel - Full Time: 3.40
Food Service Personnel - Part Time: 1.37
Housekeeping Personnel - Full Time: 0.96
Licensed Practical/ Vocational Nurses - Full Time: 3.81
Licensed Practical/ Vocational Nurses - Part Time: 1.89
Medical Directors - Under Contract: 0.03
Persons Not Included In Any Other Categories - Full Time: 4.30
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.01
Activities Professionals - Full Time: 1.00
Nurses With Administrative Duties - Part Time: 0.77
Other Physicians - Under Contract: 0.03
Persons Not Included In Any Other Categories - Part Time: 1.39
Registered Nurses - Part Time: 0.74
Housekeeping Personnel - Part Time: 1.29
Medication Aides/ Technicians - Full Time: 2.09

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 Onsite To Residents
  • Pharmacy Services Are Provided Onsite To Residents
  • Physical Therapy 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 Onsite To Residents
  • Vocational Services Are Provided Onsite To Residents

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased
This Nursing Home:

33.3%
Indiana:

19.7%
Percent of long-stay residents who self-report moderate to severe pain
Here:

13.3%
State:

10.6%
Percent of long-stay residents who lose too much weight
Here:

2.5%
Indiana:

7.8%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Here:

13.0%
Indiana:

4.3%
Percent of long-stay residents who have depressive symptoms
Here:

15.4%
Indiana:

4.4%
Percent of long-stay residents experiencing one or more falls with major injury
This Nursing Home:

2.4%
State:

3.8%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

94.7%
State:

95.2%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

87.8%
Indiana:

94.0%
Percent of long-stay residents who received an antipsychotic medication
Here:

12.5%
State:

22.6%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
Here:

0.380
Indiana:

0.691
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Here:

0.200
Indiana:

0.981
Total Number of Licensed Staff Hours Per Resident Per Day
Here:

0.580
Indiana:

1.672
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Here:

0.060
Indiana:

0.096
Number Therapy Hours Per Resident Per Day
This Nursing Home:

0.060
State:

0.103

Complaint Deficiency

Exits that are accessible at all times: Some (Actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: 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)

Signs that state that exit doors are to be kept closed: Few (Minimal harm or potential for actual harm)

Proper medical gas storage and administration areas: 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)

Restrictions on the use of portable space heaters: Few (Minimal harm or potential for actual harm)

Proper backup exit lighting: Few (Minimal harm or potential for actual harm)

Hire sufficient dietary support personnel: Few (Minimal harm or potential for actual harm)

Provide routine and 24-hour emergency dental care for each resident: Some (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: Some (Minimal harm or potential for actual harm)

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature: 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)

Signs that state that exit doors are to be kept closed: Few (Minimal harm or potential for actual harm)

Proper backup exit lighting: Few (Minimal harm or potential for actual harm)

Signs that state that exit doors are to be kept closed: 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)

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: 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)

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: Some (Actual harm)

A two-hour-resistant firewall in common walls: Some (Actual harm)

A separate and independent backup electrical power source: Some (Minimal harm or potential for actual harm)

Provide proof that all residents' personal money which is deposited with the nursing home, is secure: Some (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)

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

A separate and independent backup electrical power source: Few (Minimal harm or potential for actual harm)

Provide proof that all residents' personal money which is deposited with the nursing home, is secure: Few (Minimal harm or potential for actual harm)

Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident: Few (Minimal harm or potential for actual harm)

Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Some (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)

Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible: Few (Minimal harm or potential for actual harm)

Provide food in a way that meets a resident's needs: Few (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)

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms: 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)

Record of quarterly fire drills for each shift under varying conditions: Many (Potential for minimal harm)

An approved installation, maintenance and testing program for fire alarm systems: Many (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Many (Potential for minimal harm)

Weekly inspections and monthly testing of generators: Many (Potential for minimal harm)

Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident: Few (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)

Develop policies and procedures for influenza and pneumococcal immunizations: Some (Minimal harm or potential for actual harm)

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms: Some (Minimal harm or potential for actual harm)

Provide bedrooms that don't allow residents to see each other when privacy is needed: Some (Minimal harm or potential for actual harm)

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

Properly maintained smoke detectors: Some (Minimal harm or potential for actual harm)

Properly protected cooking facilities: Some (Minimal harm or potential for actual harm)

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

Other fire safety features required by fire safety codes: Many (Minimal harm or potential for actual harm)

No-smoking signs where oxygen is used: Some (Minimal harm or potential for actual harm)

Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for: Some (Minimal harm or potential for actual harm)

Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property: Few (Immediate jeopardy to resident health or safety)

Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Few (Immediate jeopardy to resident health or safety)

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

Provide care by qualified persons according to each resident's written plan of care: Few (Immediate jeopardy to resident health or safety)

Provide necessary care and services to maintain the highest well being of each resident : Few (Immediate jeopardy to resident health or safety)

Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible: Few (Minimal harm or potential for actual harm)

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

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms: Some (Minimal harm or potential for actual harm)

Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs: Few (Immediate jeopardy to resident health or safety)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Some (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)

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

Proper backup exit lighting: Some (Minimal harm or potential for actual harm)

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

An approved installation, maintenance and testing program for fire alarm systems: 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)

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

Properly protected cooking facilities: Some (Minimal harm or potential for actual harm)

Other fire safety features required by fire safety codes: Many (Minimal harm or potential for actual harm)

Proper fire barriers, ventilation and signs for the transport of oxygen: Some (Minimal harm or potential for actual harm)

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