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WESTSIDE RETIREMENT VILLAGE - INDIANAPOLIS, IN

 



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Address
8616 W 10TH ST
INDIANAPOLIS, IN, 46234
Phone (make sure to verify first before calling): (317) 209-2800

Number of Certified Beds: 132
Total Number of Residents: 107
Percent of Occupied Beds: 81%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Partnership
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: 1 Star
Health Inspections Star Rating: 2 Stars
Nurse Staffing Star Rating: 1 Star
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 2 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 2.29
Certified Nurse Aides - Full Time: 15.13
Certified Nurse Aides - Part Time: 0.56
Dietitians - Under Contract: 0.23
Food Service Personnel - Full Time: 2.89
Food Service Personnel - Part Time: 3.16
Housekeeping Personnel - Full Time: 3.63
Licensed Practical/ Vocational Nurses - Full Time: 8.99
Licensed Practical/ Vocational Nurses - Part Time: 0.46
Medical Directors - Under Contract: 0.46
Mental Health Services Personnel - Under Contract: 0.34
Persons Not Included In Any Other Categories - Full Time: 3.47
Registered Nurses - Full Time: 1.19
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.13
Activities Professionals - Full Time: 1.19
Administrative Staff - Under Contract: 1.14
Sppech Pathologists - Full Time: 1.11
Registered Nurses - Part Time: 0.47
Occupational Therapists - Full Time: 3.40
Physical Therapists - Full Time: 4.27
Occupational Therapy Assistants - Full Time: 1.99

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 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 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

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
Here:

0.550
State:

0.691
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
This Nursing Home:

1.030
State:

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

1.580
Indiana:

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

0.360
State:

0.096
Number Therapy Hours Per Resident Per Day
Here:

0.360
Indiana:

0.103

Quality Measures

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

22.7%
State:

19.7%
Percent of long-stay high-risk residents with pressure ulcers
Here:

5.5%
State:

6.3%
Percent of long-stay residents who lose too much weight
This Nursing Home:

10.1%
Indiana:

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

7.4%
State:

4.3%
Percent of long-stay residents with a urinary tract infection
This Nursing Home:

11.6%
State:

6.6%
Percent of long-stay residents who were physically restrained
Here:

2.8%
State:

1.3%
Percent of long-stay residents experiencing one or more falls with major injury
Here:

2.8%
State:

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

81.7%
State:

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

67.6%
Indiana:

94.0%
Percent of short-stay residents who self-report moderate to severe pain
Here:

12.8%
Indiana:

22.0%
Percent of short-stay residents with Pressure ulcers that are new or worsened
Here:

0.6%
State:

2.0%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

84.6%
Indiana:

84.1%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

85.3%
Indiana:

82.2%
Percent of short-stay residents who newly received an antipsychotic medication
This Nursing Home:

1.7%
Indiana:

2.9%
Percent of long-stay residents who received an antipsychotic medication
This Nursing Home:

17.4%
Indiana:

22.6%

Complaint Deficiency

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)

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

Exits that are free from obstructions and can be used at all times: Some (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)

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

Provide clean bed and bath linens that are in good condition: Few (Minimal harm or potential for actual harm)

Make sure each resident receives an accurate assessment by a qualified health professional: 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: 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)

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

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Minimal harm or potential for actual harm)

Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so: Few (Minimal harm or potential for actual harm)

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses: 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)

Hire a qualified dietician: Few (Minimal harm or potential for actual harm)

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: 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)

1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews: 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)

Proper medical gas storage and administration areas: 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)

A two-hour-resistant firewall in common walls: Some (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 (Potential for minimal harm)

An externally vented heating system: Some (Minimal harm or potential for actual harm)

Properly protected cooking facilities: Some (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)

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

Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property: 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 care by qualified persons according to each resident's written plan of care: Few (Minimal harm or potential for actual harm)

Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so: Few (Minimal harm or potential for actual harm)

1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day: Many (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)

Have a program that investigates, controls and keeps infection from spreading: 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)

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)

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

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

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

Record of quarterly fire drills for each shift under varying conditions: Many (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: Some (Minimal harm or potential for actual harm)

Properly sized and located linen or trash receptacles: Some (Minimal harm or potential for actual harm)

Weekly inspections and monthly testing of generators: Many (Minimal harm or potential for actual harm)

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