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Bluegrass Care & Rehabilitation Center
3576 PIMLICO PARKWAY
Lexington, KY 40517
(859) 272-0608
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 124 |
| Number of Residents: | 99 |
| Percent of Occupied Beds: | 80% |
| 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? | Yes |
| Overall: |  |
| Health Inspection: |  |
| Nurse Staffing: |  |
| Quality Measures: |  |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20071004 | Health | Resident Rights Deficiencies | Try to resolve each resident's complaints quickly. | Isolated | Immediate jeopardy to resident health or safety | 20071015 |
| 20071004 | Health | Mistreatment Deficiencies | Protect residents from mistreatment, neglect, and/or theft of personal property. | Isolated | Immediate jeopardy to resident health or safety | 20071015 |
| 20071004 | 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 | Immediate jeopardy to resident health or safety | 20071015 |
| 20071004 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Immediate jeopardy to resident health or safety | 20071015 |
| 20071004 | Health | Administration Deficiencies | Be administered in a way that leads to the highest possible level of well being for each resident. | Isolated | Immediate jeopardy to resident health or safety | 20071015 |
| 20080418 | 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 | 20080424 |
| 20080708 | 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 | 20080714 |
| 20081218 | 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. | Widespread | Potential for minimal harm | 20090201 |
| 20081218 | Health | Mistreatment Deficiencies | Keep each resident free from physical restraints, unless needed for medical treatment. | Isolated | Minimal harm or potential for actual harm | 20090201 |
| 20081218 | 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 | 20090201 |
| 20081218 | Health | Quality Care Deficiencies | Give each resident enough fluids to keep them healthy and prevent dehydration. | Pattern | Minimal harm or potential for actual harm | 20090201 |
| 20081218 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20090201 |
| 20081218 | 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 | 20090201 |
| 20081218 | 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 | 20090201 |
| 20081218 | Health | Administration Deficiencies | post nurse staffing information. | Widespread | Potential for minimal harm | 20090201 |
| 20081218 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Pattern | Minimal harm or potential for actual harm | 20090201 |
| 20090306 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm | 20090408 |
| 20090413 | Health | Quality Care Deficiencies | Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | Pattern | Immediate jeopardy to resident health or safety | 20090423 |
| 20090413 | 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 | 20090507 |
| 20090413 | 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 | 20090507 |
| 20090413 | Health | Mistreatment Deficiencies | Protect each resident from all abuse, physical punishment, and being separated from others. | Pattern | Immediate jeopardy to resident health or safety | 20090423 |
| 20090413 | 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. | Pattern | Immediate jeopardy to resident health or safety | 20090423 |
| 20090413 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Pattern | Immediate jeopardy to resident health or safety | 20090423 |
| 20090413 | Health | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | Pattern | Immediate jeopardy to resident health or safety | 20090423 |
| 20090413 | Health | Administration Deficiencies | Be administered in a way that leads to the highest possible level of well being for each resident. | Pattern | Immediate jeopardy to resident health or safety | 20090423 |
| 20091027 | Health | Pharmacy Service Deficiencies | Properly mark drugs and other similar products. | Isolated | Minimal harm or potential for actual harm | 20091120 |
| 20091027 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20091120 |
| 20100331 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20100501 |
| 20100331 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20100501 |
| 20100331 | Health | Resident Assessment Deficiencies | Screen residents when they are first admitted to send them to an area with special care for people with developmental disabilities or mental illness, if needed. | Pattern | Potential for minimal harm | 20100501 |
| 20100331 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm | 20100501 |
| 20100331 | 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 | 20100501 |
| 20100331 | Health | Pharmacy Service Deficiencies | Make sure that residents are safe from serious medication errors. | Isolated | Minimal harm or potential for actual harm | 20100501 |
| 20100331 | Health | Quality Care Deficiencies | Develop/implement required procedures for the administration of immunizations. | Isolated | Minimal harm or potential for actual harm | 20100501 |
| 20100331 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Immediate jeopardy to resident health or safety | 20100501 |
| 20100331 | 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 | 20100501 |
| 20100331 | Health | Pharmacy Service Deficiencies | Properly mark drugs and other similar products. | Isolated | Minimal harm or potential for actual harm | 20100501 |
| 20100331 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Pattern | Minimal harm or potential for actual harm | 20100501 |
| 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: | 91 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 9 | |
| Percent of long-stay residents who have moderate to severe pain: | 3 | |
| Percent of high-risk long-stay residents who have pressure sores: | 11 | |
| Percent of low-risk long-stay residents who have pressure sores: | 0 | |
| Percent of long-stay residents who were physically restrained: | 4 | |
| Percent of long-stay residents who are more depressed or anxious: | 13 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 54 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 5 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 11 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 9 | |
| Percent of long-stay residents who had a urinary tract infection: | 13 | |
| Percent of long-stay residents who lose too much weight: | 7 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 68 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 69 | |
| Percent of short-stay residents who have delirium: | 1 | |
| Percent of short-stay residents who had moderate to severe pain: | 18 | |
| Percent of short-stay residents who have pressure sores: | 12 | |
| # of Residents: | 99 |
| # RN Hours per Resident: | 0.8 |
| # LPN Hours per Resident: | 1.27 |
| # CNA Hours per Resident: | 2.23 |
| Total Staff Hours per Resident: | 2.07 |
