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Autumn Hills Health And Rehab Center
10352 N 600 E COUNTY LINE RD
Demotte, IN 46310
(219) 345-5211
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 93 |
| Number of Residents: | 66 |
| Percent of Occupied Beds: | 71% |
| 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? | Resident |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: | |
| Nurse Staffing: |  |
| Quality Measures: | |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20071120 | Health | Resident Rights Deficiencies | 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 | Actual harm | 20071220 |
| 20071120 | Health | Quality Care Deficiencies | Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | Isolated | Minimal harm or potential for actual harm | 20071220 |
| 20071120 | Health | Resident Assessment Deficiencies | Make a complete assessment that covers all questions for areas that are listed in official regulations. | Pattern | Minimal harm or potential for actual harm | 20071220 |
| 20071120 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Pattern | Minimal harm or potential for actual harm | 20071220 |
| 20071120 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm | 20071220 |
| 20071120 | Health | Quality Care Deficiencies | Give each resident enough fluids to keep them healthy and prevent dehydration. | Isolated | Actual harm | 20071220 |
| 20071120 | Health | Pharmacy Service Deficiencies | 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | Isolated | Actual harm | 20071220 |
| 20080610 | Health | Quality Care Deficiencies | Give each resident enough fluids to keep them healthy and prevent dehydration. | Isolated | Actual harm | 20080806 |
| 20080610 | Health | Resident Assessment Deficiencies | 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | Isolated | Minimal harm or potential for actual harm | 20080918 |
| 20080610 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20080918 |
| 20080610 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Actual harm | 20080806 |
| 20080610 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Actual harm | 20080918 |
| 20080610 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20080918 |
| 20080610 | Health | Resident Assessment Deficiencies | Make a complete assessment that covers all questions for areas that are listed in official regulations. | Isolated | Actual harm | 20080918 |
| 20080610 | Health | Resident Rights Deficiencies | 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 | Actual harm | 20080918 |
| 20100726 | Health | Resident Assessment Deficiencies | Make a complete assessment that covers all questions for areas that are listed in official regulations. | Isolated | Minimal harm or potential for actual harm | 20100825 |
| 20100726 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm | 20100825 |
| 20100726 | Health | Pharmacy Service Deficiencies | Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Isolated | Minimal harm or potential for actual harm | 20100825 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 93 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 86 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 19 | |
| Percent of long-stay residents who have moderate to severe pain: | 2 | |
| Percent of high-risk long-stay residents who have pressure sores: | 15 | |
| Percent of low-risk long-stay residents who have pressure sores: | 2 | |
| Percent of long-stay residents who were physically restrained: | 0 | |
| Percent of long-stay residents who are more depressed or anxious: | 14 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 49 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 10 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 4 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 13 | |
| Percent of long-stay residents who had a urinary tract infection: | 13 | |
| Percent of long-stay residents who lose too much weight: | 8 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 80 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 69 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 10 | |
| Percent of short-stay residents who have pressure sores: | 9 | |
| # of Residents: | 66 |
| # RN Hours per Resident: | 0.69 |
| # LPN Hours per Resident: | 0.9 |
| # CNA Hours per Resident: | 1.85 |
| Total Staff Hours per Resident: | 1.59 |
