Heritage House Convalescent Center

2309 S MILLER ST
Shelbyville, IN 46176
(317) 398-9781
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 141
Number of Residents: 88
Percent of Occupied Beds: 62%
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: 2 Star Overall Rating
Health Inspection: 3 Star Health Inspection Rating
Nurse Staffing: 1 Star Nurse Staffing Rating
Quality Measures: 4 Star Quality Measures Rating
RN Only: 1 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20070907 Health Quality Care Deficiencies Give professional services that follow each resident's written care plan. Isolated Minimal harm or potential for actual harm 20071006
20070907 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 20071006
20070907 Health Quality Care Deficiencies Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated Actual harm 20071006
20070914 Health Quality Care Deficiencies 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. Isolated Minimal harm or potential for actual harm 20071013
20070914 Health Environmental Deficiencies Have a program to keep infection from spreading. Pattern Minimal harm or potential for actual harm 20071013
20070914 Health Quality Care Deficiencies Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. Isolated Minimal harm or potential for actual harm 20071013
20070914 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 20071013
20080110 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 20080131
20080110 Health Resident Assessment Deficiencies Do a new assessment after any major change in a resident's physical or mental health. Isolated Minimal harm or potential for actual harm 20080131
20080110 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 20080131
20080110 Health Resident Assessment Deficiencies Make sure that a doctor approves a resident's admission in writing and that each resident has a doctor. Isolated Minimal harm or potential for actual harm 20080131
20080110 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 20080131
20080313 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 20080411
20080313 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 20080411
20080313 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 20080411
20080915 Health Resident Assessment Deficiencies Make a complete assessment that covers all questions for areas that are listed in official regulations. Isolated Actual harm 20081006
20080915 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 20081006
20080915 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 Actual harm 20081006
20080915 Health Administration Deficiencies Keep accurate and appropriate medical records. Isolated Minimal harm or potential for actual harm 20081006
20090309 Health Resident Assessment Deficiencies Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. Pattern Minimal harm or potential for actual harm 20090406
20090309 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20090406
20090309 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 20090406
20090309 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 20090406
20090309 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 20090406
20090309 Health Environmental Deficiencies Have a program to keep infection from spreading. Isolated Minimal harm or potential for actual harm 20090406
20090521 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Actual harm 20090619
20100526 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 20100611
20100526 Health Pharmacy Service Deficiencies At least once a month, have a licensed pharmacist check the drugs that each resident takes. Isolated Minimal harm or potential for actual harm 20100611
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 96
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 88
Percent of long-stay residents whose need for help with daily activities has increased: 20
Percent of long-stay residents who have moderate to severe pain: 2
Percent of high-risk long-stay residents who have pressure sores: 8
Percent of low-risk long-stay residents who have pressure sores: 5
Percent of long-stay residents who were physically restrained: 5
Percent of long-stay residents who are more depressed or anxious: 27
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 34
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 7
Percent of long-stay residents who spend most of their time in bed or in a chair: 1
Percent of long-stay residents whose ability to move about in and around their room got worse: 7
Percent of long-stay residents who had a urinary tract infection: 10
Percent of long-stay residents who lose too much weight: 10
Percent of short-stay residents given influenza vaccination during the flu season: 88
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 84
Percent of short-stay residents who have delirium: 0
Percent of short-stay residents who had moderate to severe pain: 17
Percent of short-stay residents who have pressure sores: 12
# of Residents: 88
# RN Hours per Resident: 0.3
# LPN Hours per Resident: 0.92
# CNA Hours per Resident: 2.29
Total Staff Hours per Resident: 1.22