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Cypress Grove Rehabilitation Center
4255 MEDWELL DRIVE
Newburgh, IN 47630
(812) 853-2993
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 100 |
| Number of Residents: | 97 |
| Percent of Occupied Beds: | 97% |
| 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 |
| Overall: |  |
| Health Inspection: | |
| Nurse Staffing: | |
| Quality Measures: |  |
| RN Only: |  |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20070912 | 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 | Minimal harm or potential for actual harm | 20080116 |
| 20070912 | 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 | 20070912 |
| 20070912 | Health | Quality Care Deficiencies | Provide activities to meet the needs of each resident. | Isolated | Minimal harm or potential for actual harm | 20070912 |
| 20070912 | 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 | 20070912 |
| 20070912 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20080116 |
| 20070912 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20070912 |
| 20070912 | Health | Quality Care Deficiencies | Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Pattern | Minimal harm or potential for actual harm | 20080116 |
| 20070912 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20070912 |
| 20071205 | 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 | 20080116 |
| 20071205 | Health | Nutrition and Dietary Deficiencies | Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Isolated | Minimal harm or potential for actual harm | 20080116 |
| 20071205 | Health | Quality Care Deficiencies | Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | Isolated | Minimal harm or potential for actual harm | 20080116 |
| 20071205 | 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 | 20080218 |
| 20071205 | Health | Mistreatment Deficiencies | 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 | 20080116 |
| 20071205 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20080116 |
| 20071205 | Health | Environmental Deficiencies | Provide needed housekeeping and maintenance. | Isolated | Minimal harm or potential for actual harm | 20080116 |
| 20071205 | 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 | 20080116 |
| 20080417 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20080530 |
| 20080417 | 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 | 20080530 |
| 20080417 | 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 | Minimal harm or potential for actual harm | 20080530 |
| 20080417 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20080530 |
| 20080530 | Health | Administration Deficiencies | Give or get lab tests to meet the needs of residents. | Isolated | Minimal harm or potential for actual harm | 20080725 |
| 20080530 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20080725 |
| 20080530 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Actual harm | 20080725 |
| 20080530 | 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 | 20080725 |
| 20091021 | 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 | Minimal harm or potential for actual harm | 20091116 |
| 20091021 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Pattern | Minimal harm or potential for actual harm | 20091116 |
| 20091021 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20091116 |
| 20091021 | 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 | 20091116 |
| 20091110 | 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 | Minimal harm or potential for actual harm | 20091116 |
| 20091110 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Minimal harm or potential for actual harm | 20091130 |
| 20091110 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20091130 |
| 20100225 | Health | Quality Care Deficiencies | Give each resident enough fluids to keep them healthy and prevent dehydration. | Isolated | Actual harm | 20100420 |
| 20100225 | Health | Administration Deficiencies | Quickly tell the resident's doctor the results of lab tests. | Isolated | Minimal harm or potential for actual harm | 20100420 |
| 20100225 | Health | Administration Deficiencies | Keep complete, dated lab records in the resident's file. | Isolated | Minimal harm or potential for actual harm | 20100420 |
| 20100708 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Minimal harm or potential for actual harm | 20100726 |
| 20100708 | 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 | 20100726 |
| 20100708 | 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 | Minimal harm or potential for actual harm | 20100726 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 89 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 90 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 17 | |
| Percent of long-stay residents who have moderate to severe pain: | 3 | |
| Percent of high-risk long-stay residents who have pressure sores: | 6 | |
| Percent of low-risk long-stay residents who have pressure sores: | 0 | |
| Percent of long-stay residents who were physically restrained: | 0 | |
| Percent of long-stay residents who are more depressed or anxious: | 25 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 55 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 6 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 2 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 8 | |
| Percent of long-stay residents who had a urinary tract infection: | 12 | |
| Percent of long-stay residents who lose too much weight: | 12 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 72 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 83 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 15 | |
| Percent of short-stay residents who have pressure sores: | 9 | |
| # of Residents: | 97 |
| # RN Hours per Resident: | 0.57 |
| # LPN Hours per Resident: | 0.78 |
| # CNA Hours per Resident: | 1.81 |
| Total Staff Hours per Resident: | 1.35 |
